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Referral pathway

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https://www.readbyqxmd.com/read/27926560/using-modified-frailty-index-to-predict-safe-discharge-within-48-hours-of-ileostomy-closure
#1
Yuxiang Wen, Murad A Jabir, Eslam M G Dosokey, Dongjin Choi, Clayton C Petro, Justin T Brady, Scott R Steele, Conor P Delaney
BACKGROUND: Enhanced recovery pathways allow for safe discharge and optimal outcomes within 48 hours after ileostomy closure. Unfortunately, some patients undergoing ileostomy closure have prolonged hospital stays. We have shown previously that the Modified Frailty Index can help predict patients who will fail early discharge after laparoscopic colorectal surgery. OBJECTIVE: The purpose of this study was to use the Modified Frailty Index to identify patients who were safe for early discharge after ileostomy closure...
January 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/27924740/so-let-me-find-my-way-whatever-it-will-cost-me-rather-than-leaving-myself-in-darkness-experiences-of-glaucoma-in-nigeria
#2
Fatima Kyari, Clare I Chandler, Martha Martin, Clare E Gilbert
BACKGROUND: Blindness from glaucoma is associated with socio-economic deprivation, presumed to reflect poor access to care and poor adherence to treatment. OBJECTIVES: To determine why people with glaucoma are presenting late for treatment and to understand access to glaucoma care. Additionally, we sought to identify what patients and the community know, do and think about the condition and why the poor are the most affected with glaucoma blindness. DESIGN: Study participants were from four communities and two hospitals in Abuja-FCT and Kaduna State, Nigeria...
2016: Global Health Action
https://www.readbyqxmd.com/read/27905074/community-pharmacist-perceptions-of-delivering-post-hospital-discharge-medicines-use-reviews-for-elderly-patients
#3
Paul Rutter, Helen Ramsbottom, Ray Fitzpatrick
Background The UK's Department of Health has recommended that formal communication channels between hospital and community pharmacy should be established so that post discharge Medicines Use Reviews (dMUR) become an integral part of the medicines pathway. Objective To investigate the perspective of community pharmacists on the usefulness of dMUR referrals from hospital, the suitability of patients referred and overall views on the service. Method Self-completed survey distributed to 21 community pharmacists who had received referrals from the hospital during a 9-month randomized controlled feasibility study...
November 30, 2016: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/27903664/practical-considerations-for-therapies-targeting-the-prostacyclin-pathway
#4
REVIEW
Harrison W Farber, Wendy Gin-Sing
Therapies that target the prostacyclin pathway play a key role in the treatment of both early- and late-stage pulmonary arterial hypertension, and provide significant clinical benefits for patients. A number of agents have been approved, which are administered via intravenous, subcutaneous, inhaled or oral routes. The use of these therapies is associated with practical challenges, relating to the need for up-titration and their routes of administration. We discuss here a number of measures that can be taken to support patients and healthcare professionals in order to address the complexities of using these therapies and to encourage compliance...
December 2016: European Respiratory Review: An Official Journal of the European Respiratory Society
https://www.readbyqxmd.com/read/27895068/impact-of-a-dedicated-cancer-associated-thrombosis-service-on-clinical-outcomes-a-mixed-methods-evaluation-of-a-clinical-improvement-exercise
#5
Simon Noble, Nikki Pease, Jessica Sui, James Davies, Sarah Lewis, Usman Malik, Raza Alikhan, Hayley Prout, Annmarie Nelson
OBJECTIVES: Cancer-associated thrombosis (CAT) complex condition, which may present to any healthcare professional and at any point during the cancer journey. As such, patients may be managed by a number of specialties, resulting in inconsistent practice and suboptimal care. We describe the development of a dedicated CAT service and its evaluation. SETTING: Specialist cancer centre, district general hospital and primary care. PARTICIPANTS: Patients with CAT and their referring clinicians...
November 28, 2016: BMJ Open
https://www.readbyqxmd.com/read/27893185/women-s-pathways-to-abortion-care-in-south-carolina-a-qualitative-study-of-obstacles-and-supports
#6
Judy Margo, Lois McCloskey, Gouri Gupte, Melanie Zurek, Seema Bhakta, Emily Feinberg
CONTEXT: Women seeking timely and affordable abortion care may face myriad challenges, including high out-of-pocket costs, transportation demands, scheduling difficulties and stigma. State-level regulations may exacerbate these burdens and impede women's access to a full range of care. Women's reports of their experiences can inform efforts to improve pathways to abortion care. METHODS: In 2014, semistructured qualitative interviews were conducted with 45 women obtaining abortions in South Carolina, which has a restrictive abortion environment...
November 28, 2016: Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/27880650/deconstructing-chronic-low-back-pain-in-the-older-adult-step-by-step-evidence-and-expert-based-recommendations-for-evaluation-and-treatment-part-xi-dementia
#7
Rollin Wright, Monica Malec, Joseph W Shega, Eric Rodriguez, Joseph Kulas, Lisa Morrow, Juleen Rodakowski, Todd Semla, Debra K Weiner
: OBJECTIVE : To present the 11th in a series of articles designed to deconstruct chronic low back pain (CLBP) in older adults. The series presents CLBP as a syndrome, a final common pathway for the expression of multiple contributors rather than a disease localized exclusively to the lumbosacral spine. Each article addresses one of 12 important contributions to pain and disability in older adults with CLBP. This article focuses on dementia. METHODS:  A modified Delphi technique was used to develop an algorithm for an approach to treatment for older adults living with CLBP and dementia...
November 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27878782/trajectory-of-cause-of-death-among-brought-dead-neonates-in-tertiary-care-public-facilities-of-pakistan-a-multicenter-study
#8
Muhammad Ayaz Mustufa, Munir Ahmed Sheikh, Ijaz-Ul-Haque Taseer, Syed Jamal Raza, Muhammad Sohail Arshad, Tasleem Akhter, Ghazala Mohyuddin Arain, Sultana Habibullah, Sohail Safdar, Rukhsana Firdous, Muhammad Adnan
BACKGROUND: Considering the fact that Pakistan is amongst the countries with very high neonatal mortality rates, we conducted a research study to determine the possible causes and characteristics of neonates presenting dead to the emergency department of tertiary public health care facilities of Pakistan using verbal autopsies. METHODS: A descriptive case series study was conducted in emergency department/pediatrics ward/neonatal ward/nursery unit of ten tertiary care public health facilities, situated in seven major cities of Pakistan from November, 2011 to June, 2013...
November 23, 2016: World Journal of Pediatrics: WJP
https://www.readbyqxmd.com/read/27855723/exceeding-the-recruitment-target-in-a-primary-care-paediatric-trial-an-evaluation-of-the-choice-of-moisturiser-for-eczema-treatment-comet-feasibility-randomised-controlled-trial
#9
Kingsley Powell, Victoria J Wilson, Niamh M Redmond, Daisy M Gaunt, Matthew J Ridd
BACKGROUND: Recruiting to target in randomised controlled trials of investigational medicinal products (CTIMPs) in primary care and paediatric populations is notoriously difficult. More evidence is needed for effective recruitment strategies in these settings. We report on the impact of different recruitment strategies used in the Choice of Moisturiser in Eczema Treatment (COMET) study - a feasibility trial comparing the effectiveness of four emollients for the treatment of childhood eczema - recruiting via general practitioner (GP) surgeries...
November 17, 2016: Trials
https://www.readbyqxmd.com/read/27855100/increasing-the-uptake-of-long-acting-reversible-contraception-in-general-practice-the-australian-contraceptive-choice-project-accord-cluster-randomised-controlled-trial-protocol
#10
Danielle Mazza, Kirsten Black, Angela Taft, Jayne Lucke, Kevin McGeechan, Marion Haas, Heather McKay, Jeffery F Peipert
INTRODUCTION: The increased use of long-acting reversible contraceptives (LARCs), such as intrauterine devices and hormonal implants, has the potential to reduce unintended pregnancy and abortion rates. However, use of LARCs in Australia is very low, despite clinical practice guidance and statements by national and international peak bodies advocating their increased use. This protocol paper describes the Australian Contraceptive ChOice pRojet (ACCORd), a cluster randomised control trial that aims to test whether an educational intervention targeting general practitioners (GPs) and establishing a rapid referral service are a cost-effective means of increasing LARC uptake...
October 7, 2016: BMJ Open
https://www.readbyqxmd.com/read/27852708/choice-of-moisturiser-for-eczema-treatment-comet-feasibility-study-of-a-randomised-controlled-parallel-group-trial-in-children-recruited-from-primary-care
#11
Matthew J Ridd, Kirsty Garfield, Daisy M Gaunt, Sandra Hollinghurst, Niamh M Redmond, Kingsley Powell, Victoria Wilson, Richard H Guy, Nicola Ball, Lindsay Shaw, Sarah Purdy, Chris Metcalfe
OBJECTIVES: To determine the feasibility of a randomised controlled trial of 'leave on' emollients for children with eczema. DESIGN: Single-centre, pragmatic, 4-arm, observer-blinded, parallel, randomised feasibility trial. SETTING: General practices in the UK. PARTICIPANTS: Children with eczema aged 1 month to <5 years. OUTCOME MEASURES: Primary outcome-proportion of parents who reported use of the allocated study emollient every day for the duration of follow-up (12 weeks)...
November 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27849428/germline-polymorphisms-of-the-vegf-pathway-predict-recurrence-in-non-advanced-differentiated-thyroid-cancer
#12
Vincenzo Marotta, Concetta Sciammarella, Mario Capasso, Alessandro Testori, Claudia Pivonello, Maria Grazia Chiofalo, Claudio Gambardella, Marica Grasso, Antonio Antonino, Annamaria Annunziata, Paolo Emidio Macchia, Rosario Pivonello, Luigi Santini, Gerardo Botti, Simona Losito, Luciano Pezzullo, Annamaria Colao, Antongiulio Faggiano
CONTEXT: Angiogenesis is an hallmark of cancer and is mainly determined by genetic background, rather than environment. Germline single nucleotide polymorphisms (SNPs) of VEGF-pathway have demonstrated prognostic value in different tumours. OBJECTIVES: Main: testing prognostic value of germline SNPs of VEGF-pathway in non-advanced DTC. Secondary: correlating analyzed SNPs with microvessel density (MVD). DESIGN: Multicenter, retrospective, observational study...
November 16, 2016: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27846452/patterns-of-abuse-amongst-sri-lankan-women-returning-home-after-working-as-domestic-maids-in-the-middle-east-an-exploratory-study-of-medico-legal-referrals
#13
Kolitha Wickramage, Malintha De Silva, Sharika Peiris
OBJECTIVE: Migrant worker abuse is well recognised, but poorly characterised within the scientific literature. This study aimed to explore patterns of abuse amongst Sri Lankan women returning home after working as domestic maids. METHODS: Sri Lanka has over 2 million of its citizens employed overseas as international labor migrants. A cross-sectional study was conducted on Sri Lankan female domestic maids returning from the Middle East region who were referred for medico-legal opinion...
November 9, 2016: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/27843302/factors-influencing-access-to-education-decision-making-and-receipt-of-preferred-dialysis-modality-in-unplanned-dialysis-start-patients
#14
Anna Machowska, Mark Dominik Alscher, Satyanarayana Reddy Vanga, Michael Koch, Michael Aarup, Abdul Rashid Qureshi, Bengt Lindholm, Peter A Rutherford
OBJECTIVES: Unplanned dialysis start (UPS) leads to worse clinical outcomes than planned start, and only a minority of patients ever receive education on this topic and are able to make a modality choice, particularly for home dialysis. This study aimed to determine the predictive factors for patients receiving education, making a decision, and receiving their preferred modality choice in UPS patients following a UPS educational program (UPS-EP). METHODS: The Offering Patients Therapy Options in Unplanned Start (OPTiONS) study examined the impact of the implementation of a specific UPS-EP, including decision support tools and pathway improvement on dialysis modality choice...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27842728/-transferring-palliative-care-patients-from-hospital-to-community-care-a-qualitative-study
#15
Matías Correa-Casado, José Granero-Molina, José Manuel Hernández-Padilla, Cayetano Fernández-Sola
AIM: To know the experience of case-manager nurses with regard to transferring palliative-care patients from the hospital to their homes. DESIGN: Qualitative phenomenological study carried out in 2014-2015. SETTING: Poniente and Almería health districts, which referral hospitals are Poniente Hospital and Torrecárdenas Hospital, respectively. PARTICIPANTS: A purposive sample comprised of 12 case-manager nurses was recruited from the aforementioned setting...
November 11, 2016: Atencion Primaria
https://www.readbyqxmd.com/read/27829395/improving-the-care-pathway-for-women-who-request-caesarean-section-an-experience-based-co-design-study
#16
Sara L Kenyon, Nina Johns, Sandhya Duggal, Ruth Hewston, Nicola Gale
BACKGROUND: Maternal request for Caesarean section is controversial and yet the NICE Caesarean section Guideline recommends that that if this is requested, following discussion of the risks and benefits, women should be supported in their choice. There was a desire to improve the pathway at Birmingham Women's NHS Foundation Trust. METHODS: Experience-based co-design methodology uses service user and clinicians experiences collected using qualitative methods to jointly re-design services...
November 9, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27814437/patient-satisfaction-and-acceptability-a-journey-through-an-ambulatory-gynaecology-clinic-in-the-west-of-ireland
#17
I Uzochukwu, C Burke, M Ni Bhuinneain
Ambulatory Gynaecology allows a 'see-and-treat' approach to managing gynaecological conditions, providing a more streamlined, integrated care pathway than the traditional gynaecology clinic and inpatient care model. This study was designed to assess patient satisfaction and acceptability of Ambulatory Gynaecology services in Mayo University Hospital, Castlebar, Ireland. It also provided for feedback from patients as to how the service might be improved. Eighty questionnaires were appropriately completed. Outcomes revealed positive responses in 84% with respect to their experience before attending the clinic, 93% relating to the Ambulatory Gynaecology clinic environment, 96% for communication within the service, 91% for their experience during the procedure and 88% for aftercare information...
June 10, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27811869/orthodontic-referrals-why-do-gdps-get-it-wrong
#18
S Reddy, K A Derringer, L Rennie
Aim &objectives A clinical audit was carried out to assess suitability of orthodontic referrals at Kings College Hospital Orthodontic Department with the objective to investigate the reasons and seek solutions to inappropriate orthodontic referrals.Design and setting Prospective audits of consecutive new patient referrals to the King's College Hospital Orthodontic department diagnostic teaching clinics.Methodology Two hundred and twenty-eight patients referred to the orthodontic diagnostic teaching clinics over a 5-month period were assessed...
November 4, 2016: British Dental Journal
https://www.readbyqxmd.com/read/27806031/gynaecological-cancer-pathway-for-faster-cancer-treatment-a-clinical-audit
#19
Catherine Askew, Anand Gangji
: Gynaecological cancers make up 10% of cancer cases and 10% of female cancer deaths in New Zealand. The services for investigation and treatment of these women are regionally specific rather than centrally organised; hence we need appropriate standards of service and clear pathways for communication and management of these patients to ensure consistent care that is in line with the Ministry of Health goals for faster cancer treatment. AIM: The aim of this audit is to ensure faster gynaecological cancer management pathways for Northland patients...
October 28, 2016: New Zealand Medical Journal
https://www.readbyqxmd.com/read/27798000/multi-stakeholder-perspectives-of-locally-commissioned-enhanced-optometric-services
#20
H Baker, R A Harper, D F Edgar, J G Lawrenson
OBJECTIVES: To explore views of all stakeholders (patients, optometrists, general practitioners (GPs), commissioners and ophthalmologists) regarding the operation of community-based enhanced optometric services. DESIGN: Qualitative study using mixed methods (patient satisfaction surveys, semi-structured telephone interviews and optometrist focus groups). SETTING: A minor eye conditions scheme (MECS) and glaucoma referral refinement scheme (GRRS) provided by accredited community optometrists...
October 25, 2016: BMJ Open
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