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https://www.readbyqxmd.com/read/29330101/telephone-based-weight-loss-support-for-patients-with-knee-osteoarthritis-a-pragmatic-randomized-controlled-trial
#1
Kate M O'Brien, John Wiggers, Amanda Williams, Elizabeth Campbell, Rebecca K Hodder, Luke Wolfenden, Sze Lin Yoong, Emma K Robson, Robin Haskins, Steven J Kamper, Chris Rissel, Christopher M Williams
OBJECTIVE: To determine the effectiveness of telephone-based weight loss support in reducing the intensity of knee pain in patients with knee osteoarthritis, who are overweight or obese, compared to usual care. DESIGN: We conducted a parallel randomized controlled trial (RCT), embedded within a cohort multiple RCT of patients on a waiting list for outpatient orthopaedic consultation at a tertiary referral hospital in NSW, Australia. Patients with knee osteoarthritis, classified as overweight or obese (body mass index between ≥27kg/m2 and <40kg/m2) were randomly allocated to receive referral to an existing non-disease specific government funded 6-month telephone-based weight management and healthy lifestyle service or usual care...
January 9, 2018: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/29325764/self-management-model-in-the-scheduling-of-successive-appointments-in-rheumatology
#2
David Castro Corredor, José Luis Cuadra Díaz, Javier José Mateos Rodríguez, Joaquín Anino Fernández, María Dolores Mínguez Sánchez, Isabel María de Lara Simón, María Ángeles Tébar, Encarnación Añó, María Dolores Sanz, María Nieves Ballester
INTRODUCTION: The rheumatology service of Ciudad Real Hospital, located in an autonomous community of that same name that is nearly in the center of Spain, implemented a self-management model of successive appointments more than 10 years ago. Since then, the physicians of the department schedule follow-up visits for their patients depending on the disease, its course and ancillary tests. The purpose of this study is to evaluate and compare the self-management model for successive appointments in the rheumatology service of Ciudad Real Hospital versus the model of external appointment management implemented in 8 of the hospital's 15 medical services...
January 8, 2018: Reumatología Clinica
https://www.readbyqxmd.com/read/29322378/health-literacy-pain-intensity-and-pain-perception-in-patients-with-chronic-pain
#3
Philipp Johannes Köppen, Thomas Ernst Dorner, Katharina Viktoria Stein, Judit Simon, Richard Crevenna
BACKGROUND: Chronic pain poses a large burden for the healthcare system and the individuals concerned. The impact of health literacy (HL) on health status and health outcomes is receiving more and more attention. The aim of this study was to evaluate the association of HL with chronic pain intensity and pain perception. METHODS: A total of 121 outpatients suffering from chronic pain (pain duration >3 months) were evaluated. The HL was measured using the health literacy screening questions...
January 10, 2018: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29319723/characteristics-and-outcomes-of-intensive-care-unit-survivors-experience-of-a-multidisciplinary-outpatient-clinic-in-a-teaching-hospital
#4
Péricles A D Duarte, Jaquilene Barreto Costa, Silvana Trilo Duarte, Sheila Taba, Claudia Regina Felicetti Lordani, Erica Fernanda Osaku, Claudia Rejane Lima Macedo Costa, Dalas Cristina Miglioranza, Daniela Prochnow Gund, Amaury Cesar Jorge
OBJECTIVES: To describe the experience of an outpatient clinic with the multidisciplinary evaluation of intensive care unit survivors and to analyze their social, psychological, and physical characteristics in a low-income population and a developing country. METHODS: Retrospective cohort study. Adult survivors from a general intensive care unit were evaluated three months after discharge in a post-intensive care unit outpatient multidisciplinary clinic over a period of 6 years (2008-2014) in a University Hospital in southern Brazil...
December 2017: Clinics
https://www.readbyqxmd.com/read/29303002/physical-activity-participation-amongst-individuals-with-lower-limb-amputation
#5
Jennifer Langford, Michael P Dillon, Catherine L Granger, Chris Barr
PURPOSE: To examine physical activity participation amongst individuals with lower limb amputation. METHOD: Adults with lower limb amputation were convenience-sampled from a major metropolitan hospital outpatient amputee service and completed the International Physical Activity Questionnaire. RESULTS: Seventy-two individuals (65% male), mean age 53.6 (SD = 16.8) years, who were 10.8 (SD = 12.6) years post amputation (60% transtibial) participated in the study...
January 5, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29300703/do-high-fidelity-wraparound-services-for-youth-with-serious-emotional-disturbances-save-money-in-the-long-term
#6
Angela Snyder, James Marton, Susan McLaren, Bo Feng, Mei Zhou
BACKGROUND: Treating youth with serious emotional disturbances (SED) is expensive often requiring institutional care. A significant amount of recent federal and state funding has been dedicated to expanding home and community-based services for these youth as an alternative to institutional care. High Fidelity Wraparound (Wrap) is an evolving, evidence-informed practice to help sustain community-based placements for youth with an SED through the use of intensive, customized care coordination among parents, multiple child-serving agencies, and providers...
December 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/29300100/randomized-clinical-trial-evaluating-the-preliminary-effectiveness-of-an-integrated-anxiety-disorder-treatment-in-substance-use-disorder-specialty-clinics
#7
Kate Wolitzky-Taylor, Jennifer Krull, Richard Rawson, Peter Roy-Byrne, Richard Ries, Michelle G Craske
OBJECTIVE: Anxiety and substance use disorders are highly comorbid and mutually maintain each other. Treatments for anxiety disorders that are well integrated into substance use disorder treatment have the potential to improve both anxiety and substance use outcomes. METHOD: Ninety-seven individuals seeking treatment at a community-based, evidence-based intensive outpatient program for substance use disorders who also had anxiety disorders were randomized to either (a) usual care (UC) at the intensive outpatient program; or (b) UC + coordinated anxiety learning and management for addiction recovery centers (CALM ARC), a 7-session, group-based, computer-assisted but therapist-directed treatment for anxiety disorders adapted for individuals with anxiety disorder and substance use disorder comorbidity...
January 2018: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/29298104/associations-between-mild-cognitive-dysfunction-and-end-of-life-outcomes-in-patients-with-advanced-cancer
#8
Keiko Kurita, M Cary Reid, Eugenia L Siegler, Eli L Diamond, Holly G Prigerson
BACKGROUND: Cognitive function of patients with advanced cancer is frequently compromised. OBJECTIVE: To determine the extent that patients' cognitive screening scores was associated with their end-of-life (EoL) treatment preferences, advance care planning (ACP), and care. DESIGN: Patients were interviewed at baseline and administered a cognitive screen. Caregivers completed a postmortem assessment. SETTING/SUBJECTS: Patients with distant metastases and disease progression after first-line chemotherapy and their caregivers (n = 609) were recruited from outpatient clinics and completed baseline and postmortem assessments...
January 3, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29287035/the-differential-effects-of-insurance-mandates-on-health-care-spending-for-children-s-autism-spectrum-disorder
#9
Molly K Candon, Colleen L Barry, Andrew J Epstein, Steven C Marcus, Alene Kennedy-Hendricks, Ming Xie, David S Mandell
OBJECTIVES: There is substantial variation in treatment intensity among children with autism spectrum disorder (ASD). This study asks whether policies that target health care utilization for ASD affect children differentially based on this variation. Specifically, we examine the impact of state-level insurance mandates that require commercial insurers to cover certain treatments for ASD for any fully-insured plan. METHODS: Using insurance claims between 2008 and 2012 from three national insurers, we used a difference-in-differences approach to compare children with ASD who were subject to mandates to children with ASD who were not...
December 28, 2017: Medical Care
https://www.readbyqxmd.com/read/29273692/efficacy-of-intensive-aphasia-therapy-in-patients-with-chronic-stroke-a-randomised-controlled-trial
#10
Benjamin Stahl, Bettina Mohr, Verena Büscher, Felix R Dreyer, Guglielmo Lucchese, Friedemann Pulvermüller
OBJECTIVE: Recent evidence has fuelled the debate on the role of massed practice in the rehabilitation of chronic post-stroke aphasia. Here, we further determined the optimal daily dosage and total duration of intensive speech-language therapy. METHODS: Individuals with chronic aphasia more than 1 year post-stroke received Intensive Language-Action Therapy in a randomised, parallel-group, blinded-assessment, controlled trial. Participants were randomly assigned to one of two outpatient groups who engaged in either highly-intensive practice (Group I: 4 hours daily) or moderately-intensive practice (Group II: 2 hours daily)...
December 22, 2017: Journal of Neurology, Neurosurgery, and Psychiatry
https://www.readbyqxmd.com/read/29251652/post-discharge-light-intensity-physical-activity-predicts-rehospitalization-of-older-japanese-patients-with-heart-failure
#11
So Miyahara, Naoki Fujimoto, Kaoru Dohi, Emiyo Sugiura, Keishi Moriwaki, Taku Omori, Tetsushiro Takeuchi, Naoto Kumagai, Shiro Nakamori, Norikazu Yamada, Masaaki Ito
PURPOSE: Regular physical activity (PA) is recommended for patients with heart failure (HF). However, the clinical and social characteristics of older HF patients with low-level PA and the impact of light-intensity PA on 6-mo post-discharge adverse cardiovascular events are still unclear. METHODS: Forty-one older patients who had been admitted because of decompensated HF (American College of Cardiology [ACC]/American Heart Association [AHA] HF classification stage C/D: 76 ± 5 y) were prospectively enrolled...
December 14, 2017: Journal of Cardiopulmonary Rehabilitation and Prevention
https://www.readbyqxmd.com/read/29250758/refractory-facial-paralysis-a-case-report
#12
Yu-Wei Hsu, Jiunn-Tay Lee, Yi-Shu Liao, Shin Nieh, Chun-An Cheng, Chia-Kuang Tsai
PURPOSE: To present a case of salivary gland malignancy initially mimicking Bell's palsy. CASE REPORT: A 75-year-old woman with hypertension visited our neurological outpatient department,complaining of persistent right facial paralysis for more than a year after oral glucocorticoid therapy with recent development of vertigo and unsteady gait. She was previously diagnosed as having Bell's palsy and was prescribed oral glucocorticoid. However, her right facial muscles were still completely paralyzed, with no signs of improvement...
June 15, 2017: Acta Neurologica Taiwanica
https://www.readbyqxmd.com/read/29248568/comparison-of-indicators-for-achievement-of-pain-control-with-a-personalized-pain-goal-in-a-comprehensive-cancer-center
#13
Yuki Sumazaki Watanabe, Tomofumi Miura, Ayumi Okizaki, Keita Tagami, Yoshihisa Matsumoto, Maiko Fujimori, Tatsuya Morita, Hiroya Kinoshita
CONTEXT: The achievement of a personalized pain goal (PPG) is advocated as an individualized pain relief indicator. OBJECTIVES: Pain relief indicators, including PPG, pain intensity (PI), and interference with daily activities (Interference), were compared herein. METHODS: This was a single-center cross-sectional study. Adult cancer patients with opioid medications who visited the outpatient clinic at the National Cancer Center Hospital East between March and September 2015 were consecutively enrolled...
December 14, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29242752/out-of-pocket-expenditures-for-prevention-and-treatment-of-cardiovascular-disease-in-general-and-specialised-cardiac-hospitals-in-addis-ababa-ethiopia-a-cross-sectional-cohort-study
#14
Mieraf Taddesse Tolla, Ole Frithjof Norheim, Stéphane Verguet, Abebe Bekele, Kassahun Amenu, Senbeta Guteta Abdisa, Kjell Arne Johansson
Background: Cardiovascular disease poses a great financial risk on households in countries without universal health coverage like Ethiopia. This paper aims to estimate the magnitude and intensity of catastrophic health expenditure and factors associated with catastrophic health expenditure for prevention and treatment of cardiovascular disease in general and specialised cardiac hospitals in Addis Ababa. Methods and findings: We conducted a cross-sectional cohort study among individuals who sought cardiovascular disease care in selected hospitals in Addis Ababa during February to March 2015 (n=589, response rate 94%)...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29242699/motivation-precedes-goal-setting-in-prediction-of-cannabis-treatment-outcomes-in-adolescents
#15
Suzanne Spinola, Aesoon Park, Stephen A Maisto, Tammy Chung
Studies have shown that motivation to change is related to better substance use outcomes among treatment-seeking adolescents. Goal setting, which may be related to motivation, also has been shown to be associated with positive treatment outcomes. However, relationships between motivation and goal setting as mediators of change in cannabis use over time among treated youth have not been investigated. This study tested direct and indirect associations of motivation and goal setting with cannabis use frequency over 12 month follow-up among treated adolescents...
2017: Journal of Child & Adolescent Substance Abuse
https://www.readbyqxmd.com/read/29238095/increased-psychological-distress-among-individuals-with-spinal-cord-injury-is-associated-with-central-neuropathic-pain-rather-than-the-injury-characteristics
#16
Hila Gruener, Gabi Zeilig, Yocheved Laufer, Nava Blumen, Ruth Defrin
STUDY DESIGN: Cross-sectional study. OBJECTIVES: Central neuropathic pain (CNP) is common after spinal cord injury (SCI). The psychological impact of CNP is not clear. Previous studies reported depression and pain catastrophizing among patients with SCI and CNP; however, the lack of control groups prevented discerning whether these were attributed to CNP or to the SCI itself. The aim was to examine the psychological distress among individuals with SCI with and without CNP and controls to evaluate its impact and possible source...
December 14, 2017: Spinal Cord
https://www.readbyqxmd.com/read/29229430/self-guided-online-cognitive-behavioral-strategies-for-chemotherapy-induced-peripheral-neuropathy-a-multicenter-pilot-randomized-wait-list-controlled-trial
#17
Robert Knoerl, Ellen M L Smith, Debra L Barton, David A Williams, Janean E Holden, John C Krauss, Beth LaVasseur
The purpose of this pilot, parallel, randomized-controlled trial was to examine the efficacy of a self-guided online cognitive and behaviorally-based pain management intervention (PROSPECT) to reduce "worst" pain for individuals with chronic painful chemotherapy-induced peripheral neuropathy (CIPN). Secondary outcomes included "average" pain, non-painful CIPN symptom severity, impression of change, and pain interference. Sixty patients with chronic painful CIPN were recruited from five outpatient academic and community cancer centers...
December 8, 2017: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/29229056/determining-predictive-outcome-factors-for-a-multimodal-treatment-program-in-low-back-pain-patients-a-retrospective-cohort-study
#18
Rahmat Adnan, Jessica Van Oosterwijck, Barbara Cagnie, Evy Dhondt, Stijn Schouppe, Jens Van Akeleyen, Tine Logghe, Lieven Danneels
OBJECTIVE: The purpose of this study was to determine the factors predictive of outcomes in a multifaceted rehabilitation program for acute and chronic low back pain (LBP) patients. METHODS: A retrospective cohort study was performed on 565 LBP patients (153 acute and 412 chronic) who participated in a multimodal treatment program at an outpatient clinic in Belgium between 2007 and 2010. The predictive value of several factors, including age, sex, body mass index, fat percentage, Oswestry Disability Index score, Beck Depression Index score, Numeric Pain Rating Scale score for back and leg pain intensity, and Tampa Scale for Kinesiophobia score on favorable treatment outcomes was examined using logistic regression analysis...
November 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29228079/effect-of-high-intensity-treadmill-exercise-on-motor-symptoms-in-patients-with-de-novo-parkinson-disease-a-phase-2-randomized-clinical-trial
#19
Margaret Schenkman, Charity G Moore, Wendy M Kohrt, Deborah A Hall, Anthony Delitto, Cynthia L Comella, Deborah A Josbeno, Cory L Christiansen, Brian D Berman, Benzi M Kluger, Edward L Melanson, Samay Jain, Julie A Robichaud, Cynthia Poon, Daniel M Corcos
Importance: Parkinson disease is a progressive neurologic disorder. Limited evidence suggests endurance exercise modifies disease severity, particularly high-intensity exercise. Objectives: To examine the feasibility and safety of high-intensity treadmill exercise in patients with de novo Parkinson disease who are not taking medication and whether the effect on motor symptoms warrants a phase 3 trial. Design, Setting, and Participants: The Study in Parkinson Disease of Exercise (SPARX) was a phase 2, multicenter randomized clinical trial with 3 groups and masked assessors...
December 11, 2017: JAMA Neurology
https://www.readbyqxmd.com/read/29224843/evaluation-of-the-impact-of-preoperative-education-in-ambulatory-laparoscopic-cholecystectomy-a-prospective-double-blind-randomized-trial
#20
Helena Subirana Magdaleno, Aleidis Caro Tarragó, Carles Olona Casas, Alba Díaz Padillo, Mario Franco Chacón, Jordi Vadillo Bargalló, Judit Saludes Serra, Rosa Jorba Martín
INTRODUCTION: Outpatient laparoscopic cholecystectomy is a safe procedure and provides a better use of health resources and perceived satisfaction without affecting quality of care. Preoperative education has shown less postoperative stress, pain and nausea in some interventions. The principal objective of this study is to assess the impact of preoperative education on postoperative pain in patients undergoing ambulatory laparoscopic cholecystectomy. Secondary objectives were: to evaluate presence of nausea, morbidity, hospital admissions, readmissions rate, quality of life and satisfaction...
December 7, 2017: Cirugía Española
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