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Patient reported outcome measure

Balewgizie Sileshi Tegegne, Melkamu Merid Mengesha, Andreas A Teferra, Mamaru Ayenew Awoke, Tesfa Dejenie Habtewold
BACKGROUND: Diabetes mellitus (DM) poses a significant risk for the development of active tuberculosis (TB) and complicates its treatment. However, there is inconclusive evidence on whether the TB-DM co-morbidity is associated with a higher risk of developing multi-drug-resistant tuberculosis (MDR-TB). The aim of this meta-analysis was to summarize available evidence on the association of DM and MDR-TB and to estimate a pooled effect measure. METHODS: PubMed, Excerpta Medica Database (EMBASE), Web of Science, World Health Organization (WHO), and Global Health Library database were searched for all studies published in English until July 2018 and that reported the association of DM and MDR-TB among TB patients...
October 15, 2018: Systematic Reviews
Lorraine Johnson, Mira Shapiro, Jennifer Mankoff
Lyme disease is caused by the bacteria borrelia burgdorferi and is spread primarily through the bite of a tick. There is considerable uncertainty in the medical community regarding the best approach to treating patients with Lyme disease who do not respond fully to short-term antibiotic therapy. These patients have persistent Lyme disease symptoms resulting from lack of treatment, under-treatment, or lack of response to their antibiotic treatment protocol. In the past, treatment trials have used small restrictive samples and relied on average treatment effects as their measure of success and produced conflicting results...
October 12, 2018: Healthcare (Basel, Switzerland)
Dariusch Arbab, Katharina Kuhlmann, Christoph Schnurr, Christian Lüring, Dietmar König, Bertil Bouillon
BACKGROUND: Patient-reported outcome measures are a critical tool in evaluating the efficacy of orthopedic procedures. The intention of this study was to compare the psychometric properties of the Manchester-Oxford Foot Questionnaire (MOXFQ) and the Self-Reported Foot and Ankle Outcome Score (SEFAS) in patients with foot or ankle surgery. METHODS: 177 patients completed both scores and FAOS, Foot and Ankle Outcome Score (FAOS), Short Form 36 (SF-36) and numeric scales for pain and disability (NRS) before and after surgery...
February 9, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Yu-Jie Song, Ying-Hui Hua
BACKGROUND: To summarize available evidence and determine if tendon allograft is an effective treatment for chronic Achilles tendon rupture. METHODS: A search was performed in the PubMed, Web of Science, Embase and Cochrane Database from 1960 to April 2017 to identify relevant articles. Predefined inclusion and exclusion criteria were applied to identify all eligible articles. RESULTS: Total 186 articles were identified through our systematic search...
February 10, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Evelyn P Murphy, Niall P McGoldrick, Mark Curtin, Stephen R Kearns
BACKGROUND: The term osteochondral lesion (OCL) refers to a defect involving the chondral surface and or subchondral bone. These lesions are associated with ankle injuries with bony and soft tissue and cause pain, decreased range of motion, swelling and impact adversely on quality of life. To date the standard treatment has been isolated microfracture (BMS). The aim of this study was to compare the outcomes of BMS alone to BMS augmented with bone marrow aspirate concentrate (BMAC) in the treatment of ankle OCLs...
February 22, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
A-K Nilsdotter, M E Cöster, A Bremander, M C Cöster
BACKGROUND: Patients with hallux valgus deformity may require surgery but prospective patient-reported data is scarce. METHODS: We evaluated 53 patients with a mean age of 55.3years (SD 14.1, 50 women), who underwent surgery due to hallux valgus. They completed the PROMs SEFAS, EQ-5D and SF-36 before and 6, 12 and 24 months after surgery. RESULTS: All patient-reported outcomes improved at 6, 12 and 24months compared with the preoperative status...
March 6, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
K Koo, A D Liddle, P S Pastides, P F Rosenfeld
BACKGROUND: Modern designs of total ankle arthroplasty (TAA) have the potential to treat symptomatic ankle OA without adversely affecting ankle biomechanics. We present the mid-term results of a modern, mobile-bearing TAA design. METHODS: TAA was performed in 50 consecutive patients (55 ankles) in an independent, prospective, single-centre series. Implant survival, patient-reported outcome measures (PROMs) and radiographic outcomes are presented at a mean of five years (range 2-10...
April 16, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Sebastian Manegold, Serafim Tsitsilonis, Tobias Gehlen, Sebastian Kopf, Georg N Duda, Alison N Agres
BACKGROUND: Functional deficits after Achilles tendon (AT) ruptures are observed. The relationship between musculotendinous structural alterations and functional outcome is not clear. METHODS: Kinematic analyses (level walking, stair climbing), patient-reported outcome measures (PROMs), calf atrophy (maximum calf circumference (MCC)), and AT length were evaluated in patients after percutaneous AT repair with the Dresden instrument (n=20min. FOLLOW-UP: 24 months)...
April 14, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Mario Fuiano, Massimiliano Mosca, Silvio Caravelli, Simone Massimi, Maria Grazia Benedetti, Francesco Di Caprio, Salvatore Mosca, Stefano Zaffagnini
BACKGROUND: Plantar fibromatosis, or Ledderhose disease, is a benign and hyperproliferative disease of the plantar aponeurosis. There have been described different therapeutic options regarding plantar fibromatosis, both conservative and surgical. The aim of this review is to systematically analyze conservative and operative treatments of plantar fibromatosis described in literature, evaluating which procedure shows the highest success rate and best functional outcome. METHODS: A systematic review of PubMed, Google Scholar and Cochrane reviews computerized database was performed focusing on the different types of treatments for plantar fibromatosis...
June 11, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
J Kruidenier, L W van der Plaat, I N Sierevelt, D Hoornenborg, D Haverkamp
BACKGROUND: With longer follow-up, survival rate of total ankle replacements (TAR) diminishes. It is therefore important to have a reliable fall-back option in case of failed TAR. Revision arthroplasty is often impossible because of loss of bonestock or infection. Conversion to ankle fusion is then indicated. We investigated the clinical, radiographic and patient reported results for fusion after failed TAR in a consecutive group of patients. We concentrated on the influence of inflammatory joint disease (IJD) on union rate...
August 24, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Nicola Krähenbühl, Maxwell W Weinberg, Beat Hintermann, Justin M Haller, Charles L Saltzman, Alexej Barg
BACKGROUND: Chronic injuries of the distal tibio-fibular syndesmosis often present with non-specific clinical and radiographic findings. If chronic instability to the distal tibio-fibular syndesmosis is verified, various reconstruction options are available. The purpose of this article is to give a systematic review of current surgical treatment options in patients with chronic syndesmotic injury. METHODS: Three major medical databases were searched from inception through December 12, 2017: PubMed, ScienceDirect, and SpringerLink...
August 30, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Peter Langhorne, Janice M Collier, Patricia J Bate, Matthew Nt Thuy, Julie Bernhardt
BACKGROUND: Very early mobilisation (VEM) is performed in some stroke units and recommended in some acute stroke clinical guidelines. However, it is unclear whether very early mobilisation independently improves outcome after stroke. OBJECTIVES: To determine whether very early mobilisation (started as soon as possible, and no later than 48 hours after onset of symptoms) in people with acute stroke improves recovery (primarily the proportion of independent survivors) compared with usual care...
October 16, 2018: Cochrane Database of Systematic Reviews
Ashley A Wiedemann, Valentina Ivezaj, Rachel D Barnes
OBJECTIVE: Emotional overeating and loss-of-control eating are associated with poorer weight-related and psychiatric outcomes, yet our understanding of the relationship between these variables is limited, particularly among individuals in primary care. This study examined the frequency of emotional overeating and relationship with loss-of-control eating among patients with and without binge-eating disorder (BED) seeking weight loss treatment in primary care. METHOD: Participants were 131 adults (n = 105 female) with overweight/obesity seeking weight loss treatment in primary care...
September 12, 2018: General Hospital Psychiatry
Nitin Agarwal, William R Lariviere, Luke C Henry, Andrew Faramand, Jenna E Koschnitzky, Robert M Friedlander
BACKGROUND: Hydrocephalus patients experience symptoms related to hydrocephalus in an age-dependent manner. However, prevalence estimates of hydrocephalus symptoms in young and middle-aged (YMA) adult patients are rare and variable. Highlighting the importance of hydrocephalus symptom management, the persistence and intensity of headache or gait disturbance have been associated with signs of brain white matter integrity loss, including in treated YMA adult patients. Thus, it is important to ascertain which symptoms adult hydrocephalus patients report most to confirm their relative importance...
October 12, 2018: World Neurosurgery
Charles N de Leeuw, Michael A Vogelbaum
Background: Emerging evidence suggests survival benefit from resection beyond all MRI abnormalities present on T1-enhanced and T2-FLAIR modalities in glioma (supratotal resection); however, the quality of evidence is unclear. We addressed this question via systematic review of the literature. Methods: EMBASE, MEDLINE, Scopus, and Web of Science databases were queried. Case studies, reviews or editorials, non-English, abstract-only, brain metastases, and descriptive works were excluded...
October 15, 2018: Neuro-oncology
Norhidayah Mohd Tahir, Wan Nurazreena Wan Hassan, Roslan Saub
Objectives: The aim of this study was to compare vacuum-formed thermoplastic retainers (VFRs) constructed on stone models (VFR-CV) and those constructed on three-dimensional (3D) printed models (VFR-3D) based on patients' perspective and post-treatment stability. Study design: The research was designed as a crossover, randomized control trial. Materials and methods: Subjects comprised patients receiving fixed appliances at a teaching institution and indicated for VFRs...
October 12, 2018: European Journal of Orthodontics
Xiaoshuang Guo, Dali Mu, Wenshan Xing, Yaping Qu, Jie Luan
Background: Fat grafting has become a popular procedure in aesthetic and reconstructive surgeries due to its safety, minimal invasiveness, and favorable visual outcomes, although the volume retention rate is unpredictable. Objectives: A prospective clinical study on lipoaugmentation of the breast was conducted to compare fat retention rates in the pectoralis muscle and the periglandular area. Methods: This prospective study included 20 breasts from 11 patients who underwent primary lipoaugmentation...
October 15, 2018: Aesthetic Surgery Journal
Tengke Wang, Jiakai Lu, Qiang Li, Yao Chen, Qing Ye, Jie Gao, Dong Yang, Liyun Zhao, Jiapeng Huang, Jinglan Zhang
BACKGROUND: Pulmonary hypertension during pregnancy carries high mortality rate. The relatively long-acting, specific pulmonary vasodilator treprostinil has been used to improve survival in these parturients. Slow uptitration is performed in most cases, and rapid titration has not been reported in the postpartum period. METHODS: We retrospectively reviewed 17 pregnant patients with severe pulmonary arterial hypertension who were treated with intravenous treprostinil in our institution between 2014 and 2016...
October 12, 2018: Anesthesia and Analgesia
Jeffrey Jancuska, John Matthews, Tyler Miller, Melissa A Kluczynski, Leslie J Bisson
Background: The number of systematic reviews and meta-analyses published on the rotator cuff (RC) has increased markedly. Purpose: To quantify the number of systematic reviews and meta-analyses published on the RC and to provide a qualitative summary of the literature. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic search for all systematic reviews and meta-analyses pertaining to the RC published between January 2007 and September 2017 was performed with PubMed, MEDLINE, and the Cochrane Database of Systematic Reviews...
September 2018: Orthopaedic Journal of Sports Medicine
Dominic S Carreira, Matthew C Kruchten, Brendan R Emmons, Ashley N Startzman, RobRoy L Martin
Background: There is a paucity of prospectively collected data as they relate to nerve injuries after hip arthroscopic surgery. Studies describing the relationship of neurological injuries to portal placement and the duration and magnitude of traction force with regular and standardized patient follow-up protocols are limited. Purpose/Hypothesis: The purpose of this study was to characterize nerve deficits in a series of patients undergoing hip arthroscopic surgery as these deficits relate to axial traction and portal placement...
September 2018: Orthopaedic Journal of Sports Medicine
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