keyword
Keywords Patient quality of life outcom...

Patient quality of life outcomes following surgery

https://read.qxmd.com/read/38517527/conservative-treatment-of-3-and-4-part-proximal-humeral-fractures-can-poor-outcomes-be-predicted
#21
JOURNAL ARTICLE
George Matheron, Melissa Mahoney, Peter Domos
PURPOSE: 3- and 4-part proximal humeral fractures are frequently treated conservatively. This study aims to combine radiographic, and patient reported outcome data to identify factors leading to poor outcomes following conservative treatment. METHODS: A retrospective local database analysis identified 3- and 4-part fractures. Radiographic and functional outcomes including Oxford Shoulder Score (OSS), QuickDash (QD), Subjective Shoulder Score (SSV) and VAS pain scores were collected...
March 22, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38515197/clinical-efficacy-analysis-of-surgical-treatment-for-spinal-metastasis-under-the-multidisciplinary-team-using-the-noms-decision-system-combined-with-the-revised-tokuhashi-scoring-system-a-randomized-controlled-study
#22
JOURNAL ARTICLE
Xiao-Bing Xiang, Kai-Yin Gao, Wei-Wei Zhang, Cheng-Peng Li, Kai-Kai Feng, Guang-Ru Cao
OBJECTIVE: Despite advancements in spinal metastasis surgery techniques and the rapid development of multidisciplinary treatment models, we aimed to explore the clinical efficacy of spinal metastasis surgery performed by a combined NOMS decision system-utilizing multidisciplinary team and Revised Tokuhashi scoring system, compared with the Revised Tokuhashi scoring system. METHODS: Clinical data from 102 patients with spinal metastases who underwent surgery at three affiliated hospitals of Zunyi Medical University from December 2017 to June 2022 were analysed...
March 21, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38514445/comparison-of-clinical-efficacy-between-arthroscopic-and-open-surgery-for-ogden-type-1-2-peroneal-tendon-dislocation
#23
JOURNAL ARTICLE
Zhenyu Wang, Guo Zheng, Fangcheng Yang, Yuanqiang Li, Yang Liu, Xinyu Xie, Xu Tao
OBJECTIVE: While the incidence of peroneal tendon dislocation (PTD) is relatively low, it is frequently underdiagnosed in clinical practice, and the misdiagnosis or improper treatment of this condition may lead to a decline in patients' quality of life. Currently, the surgical treatment options for PTD mainly include open and arthroscopic surgery. However, in order to evaluate the advantages and disadvantages of these two surgical approaches, further comparative research is needed. Therefore, the aim of this study is to investigate the early clinical outcomes of arthroscopic and open surgery in the treatment of Ogden type 1-2 PTD...
March 21, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38514147/pancreatic-quantitative-sensory-testing-to-predict-treatment-response-of-endoscopic-therapy-or-surgery-for-painful-chronic-pancreatitis-with-pancreatic-duct-obstruction-study-protocol-for-an-observational-clinical-trial
#24
JOURNAL ARTICLE
Anna Evans Phillips, Elham Afghani, Venkata Sandeep Akshintala, Panayiotis Y Benos, Rohit Das, Asbjørn Mohr Drewes, Jeffrey Easler, Mahya Faghih, Charles Gabbert, Vivek Halappa, Mouen A Khashab, Søren Schou Olesen, Jami L Saloman, Biatta Sholosh, Adam Slivka, Tianxiu Wang, Dhiraj Yadav, Vikesh K Singh
INTRODUCTION: Treatment for abdominal pain in patients with chronic pancreatitis (CP) remains challenging in the setting of central nervous system sensitisation, a phenomenon of remodelling and neuronal hyperexcitability resulting from persistent pain stimuli. This is suspected to render affected individuals less likely to respond to conventional therapies. Endotherapy or surgical decompression is offered to patients with pancreatic duct obstruction. However, the response to treatment is unpredictable...
March 21, 2024: BMJ Open
https://read.qxmd.com/read/38512535/hip-specific-and-generic-patient-reported-outcome-measure-scores-after-primary-hip-replacement-are-associated-with-early-revision-surgery-a-national-registry-study
#25
JOURNAL ARTICLE
Ilana N Ackerman, Kara Cashman, Michelle Lorimer, Emma Heath, Ian A Harris
BACKGROUND: The ability to efficiently identify patients at higher risk of poor outcomes after joint replacement would enable limited resources for post-operative follow-up to be directed to those with the greatest clinical need. This is particularly important as joint replacement rates continue to grow internationally, stretching health system capabilities. Patient-reported outcome measures (PROMs) are routinely administered in many settings and offer an opportunity to detect suboptimal patient outcomes early...
March 21, 2024: Journal of Patient-Reported Outcomes
https://read.qxmd.com/read/38512463/totally-intracorporeal-colorectal-anastomosis-tica-versus-classical-mini-laparotomy-for-specimen-extraction-after-segmental-bowel-resection-for-deep-endometriosis-a-single-center-experience
#26
JOURNAL ARTICLE
Manuel Maria Ianieri, Alessandra De Cicco Nardone, Pierfrancesco Greco, Antonella Carcagnì, Federica Campolo, Fabio Pacelli, Giovanni Scambia, Francesco Santullo
PURPOSE: The surgical approach to bowel endometriosis is still unclear. The aim of the study is to compare TICA to conventional specimen extractions and extra-abdominal insertion of the anvil in terms of both complications and functional outcomes. METHODS: This is a single-center, observational, retrospective study conducted enrolling symptomatic women underwent laparoscopic excision of deep endometriosis with segmental bowel resection between September 2019 and June 2022...
March 21, 2024: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/38512270/decisional-conflict-and-decision-regret-in-head-and-neck-oncology-a-systematic-review-and-meta-analysis
#27
JOURNAL ARTICLE
Anne Nadine Heirman, Coralie Romé Arends, Dominique Valérie Clarence de Jel, Richard Dirven, Lisette van der Molen, Gyorgy Bela Halmos, Michiel Wilhelmus Maria van den Brekel, Martijn Matthias Stuiver
IMPORTANCE: Head and neck cancer (HNC) often requires treatment with a major impact on quality of life. Treatment decision-making is often challenging, as it involves balancing survival against the preservation of quality of life and choosing among treatments with comparable outcomes but variation in morbidity and adverse events; consequently, the potential for decisional conflict (DC) and decision regret (DR) is high. OBJECTIVES: To summarize the literature on DC and DR in HNC, to give an overview of its prevalence and extent, and to advise on clinical practice and future research...
March 21, 2024: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/38512076/surgical-versus-non-surgical-management-of-lateral-compression-type-1-pelvic-fracture-in-adults-60-years-and-older-the-l1fe-rct
#28
JOURNAL ARTICLE
Elizabeth Cook, Joanne Laycock, Dhanupriya Sivapathasuntharam, Camila Maturana, Catherine Hilton, Laura Doherty, Catherine Hewitt, Catriona McDaid, David Torgerson, Peter Bates
BACKGROUND: Lateral compression type-1 pelvic fractures are a common fragility fracture in older adults. Patients who do not mobilise due to ongoing pain are at greater risk of immobility-related complications. Standard treatment in the United Kingdom is provision of pain relief and early mobilisation, unlike fragility hip fractures, which are usually treated surgically based on evidence that early surgery is associated with better outcomes. Currently there is no evidence on whether patients with lateral compression type-1 fragility fractures would have a better recovery with surgery than non-surgical management...
March 2024: Health Technology Assessment: HTA
https://read.qxmd.com/read/38510609/patient-reported-outcome-from-minimal-invasive-surgery-compared-with-conventional-open-surgery-for-thoracolumbar-fractures-of-the-spine
#29
JOURNAL ARTICLE
Girts Murans, Laurynas Meska, Marius Gaurilcikas, Stig Mindedahl Jespersen, Martin Lindberg-Larsen
STUDY DESIGN: retrospective cohort study of prospectively collected data. OBJECTIVE: The treatment guidelines for thoracolumbar spinal fractures are controversial although minimally invasive surgery (MIS) is a popular alternative to the traditional open approach (TOA). Limited data exists about outcomes after MIS fracture treatment. The main aim of our study was to evaluate self-reported disability, health-related quality of life, pain, and satisfaction after MIS compared with TOA...
2024: Brain Spine
https://read.qxmd.com/read/38508486/ex-vivo-lung-perfusion-in-donation-after-circulatory-death-a-post-hoc-analysis-of-the-novel-trial
#30
JOURNAL ARTICLE
Doug A Gouchoe, Pablo G Sanchez, Jonathan D'Cunha, Christian A Bermudez, Mani A Daneshmand, Robert D Davis, Matthew G Hartwig, Thomas C Wozniak, Zachary N Kon, Bartley P Griffith, William R Lynch, Tiago N Machuca, Michael J Weyant, Michael E Jessen, Michael S Mulligan, Frank D'Ovidio, Phillip C Camp, Edward Cantu, Bryan A Whitson
OBJECTIVE: Donation after circulatory death (DCD) donors offer the ability to expand the lung donor pool and ex vivo lung perfusion (EVLP) further contributes to this ability by allowing for additional evaluation and resuscitation of these extended criteria donors. We sought to determine the outcomes of recipients receiving organs from DCD EVLP donors in a multi-center setting. METHODS: This was an unplanned post-hoc analysis of a multicenter, prospective, non-randomized trial that took place in 2011-2017 with 3-years of follow up...
March 18, 2024: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38506884/cost-effectiveness-of-parathyroid-cryopreservation-and-autotransplantation
#31
JOURNAL ARTICLE
C Corbin Frye, Janessa Sullivan, Sai Anusha Sanka, Eileen R Smith, Brian Goetz, L Michael Brunt, William Gillanders, Taylor C Brown, John A Olson, Bruce Hall, T K Pandian
IMPORTANCE: Delayed autotransplantation of cryopreserved parathyroid tissue (DACP) is the only surgical treatment for permanent postoperative hypoparathyroidism. Studies suggest that only a small minority of cryopreserved samples are ultimately autotransplanted with highly variable outcomes. For these reasons, many have questioned the economic utility of the process, although, to the authors' knowledge, this has never been formally studied. OBJECTIVE: To report the clinical outcomes of parathyroid cryopreservation and DACP at a large academic institution and to determine the cost-effectiveness of this treatment...
March 20, 2024: JAMA Surgery
https://read.qxmd.com/read/38506343/prophylactic-corticosteroids-for-cardiopulmonary-bypass-in-adult-cardiac-surgery
#32
REVIEW
Riccardo Giuseppe Abbasciano, Guido Maria Olivieri, Rachel Chubsey, Francesca Gatta, Nathan Tyson, Keertana Easwarakumar, Daniel P Fudulu, Roberto Marsico, Markus Kofler, Ghazi Elshafie, Florence Lai, Mahmoud Loubani, Simon Kendall, Mustafa Zakkar, Gavin J Murphy
BACKGROUND: Cardiac surgery triggers a strong inflammatory reaction, which carries significant clinical consequences. Corticosteroids have been suggested as a potential perioperative strategy to reduce inflammation and help prevent postoperative complications. However, the safety and effectiveness of perioperative corticosteroid use in adult cardiac surgery is uncertain. This is an update of the 2011 review with 18 studies added. OBJECTIVES: Primary objective: to estimate the effects of prophylactic corticosteroid use in adults undergoing cardiac surgery with cardiopulmonary bypass on the: - co-primary endpoints of mortality, myocardial complications, and pulmonary complications; and - secondary outcomes including atrial fibrillation, infection, organ injury, known complications of steroid therapy, prolonged mechanical ventilation, prolonged postoperative stay, and cost-effectiveness...
March 20, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38506231/treatment-outcome-toxicity-and-quality-of-life-of-patients-with-bronchus-associated-lymphoid-tissue-lymphoma
#33
JOURNAL ARTICLE
Lin-Rui Gao, Xinyue Wang, Yunpeng Wu, Xiao-Li Feng, Wei Rao, Xin Liu, Yong-Wen Song, Hui Fang, Bo Chen, Jing Jin, Yue-Ping Liu, Hao Jing, Yuan Tang, Ning-Ning Lu, Ning Li, Wen-Wen Zhang, Yirui Zhai, Shu-Lian Wang, Shu-Nan Qi, Ye-Xiong Li
The disease failure patterns and optimal treatment of bronchus-associated lymphoid tissue (BALT) lymphoma are unknown. This retrospective study involved 71 patients with primary BALT lymphoma who had received radiotherapy (RT), surgery, immunochemotherapy (IC), or observation. The median follow-up time was 66 months. The 5-year overall survival and lymphoma-specific survival were 91.2% and 96.1%, respectively, and were not significantly different among treatments. The 5-year cumulative incidence of overall failure for RT, surgery, IC, and observation was 0%, 9...
March 20, 2024: Leukemia & Lymphoma
https://read.qxmd.com/read/38505209/effective-risk-assessment-for-distal-radius-fractures-a-rigorous-multivariable-regression-analysis-using-a-novel-8-item-modified-frailty-index
#34
JOURNAL ARTICLE
David Momtaz, Abdullah Ghali, Farhan Ahmad, Rishi Gonuguntla, Travis Kotzur, Rebecca J Wang, Umar Ghilzai, Adam Abbas, Chia Wu
Introduction  Distal radius fractures (DRFs) are among the most common orthopaedic injuries. The prevalence of DRFs is increasing across all age groups but remains the second most common fracture in the elderly. The modified frailty index (MFI) often predicts morbidity and mortality in orthopaedic injuries. This study aims to determine the predictive value of MFI on complication rates following DRF and the patient length of stay and discharge outcomes. Methods  We utilized our MFI to perform a retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program database...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505062/dietary-habits-and-nutrition-status-in-esophageal-cancer-patients-after-esophageal-reconstruction
#35
JOURNAL ARTICLE
Yan He, Ya-Ya Wu, Wan Wei, Yong-Bo Yang, Yao Lin, Liang Dai
BACKGROUND: Surgery is the cornerstone of the treatment of esophageal cancer (EC). This study is to evaluate the dietary habits and nutrition status in EC patients who underwent esophagectomy followed by esophageal reconstruction. METHODS: This retrospective study included patients with EC who underwent esophagectomy followed by esophageal reconstruction in the Department of Thoracic Surgery I of Peking University Cancer Hospital between February 2014 and December 2018...
February 29, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38504604/quality-of-life-following-perioperative-optimization-with-nutritional-supplements-in-patients-undergoing-gastrointestinal-surgery-for-cancer-a-randomized-placebo-controlled-feasibility-clinical-trial
#36
JOURNAL ARTICLE
Christopher D Griffiths, Daniel D'Souza, Felipe Rodriguez, Lily J Park, Pablo E Serrano
BACKGROUND: Up to two thirds of patients presenting for abdominal cancer surgery are malnourished pre-operatively. Perioperative nutritional supplementation has been proposed to improve surgical outcomes, though its effect on quality of life (QoL) is not yet understood. METHODS: A randomized controlled feasibility trial for perioperative nutrition among patients undergoing major abdominal cancer surgery was conducted. Participants in the intervention group received supplements for 30 days before surgery...
March 20, 2024: Journal of Surgical Oncology
https://read.qxmd.com/read/38504036/validation-of-the-postoperative-quality-of-recovery-15-questionnaire-after-emergency-surgery-and-association-with-quality-of-life-at-three-months
#37
JOURNAL ARTICLE
Victoria Le Bescond, Jonathan Petit-Phan, Maëva Campfort, Claire Nicolleau, Mathieu Conté, Guillaume Bouhours, Louis Rony, Sigismond Lasocki, Maxime Léger
PURPOSE: The Quality of Recovery-15 (QoR-15) tool, validated for measuring postoperative recovery following scheduled surgeries, has not been psychometrically assessed in emergency contexts. Moreover, the QoR-15's associations with long-term outcomes remain underexplored. This study aimed to confirm the validity and reliability of the QoR-15 following emergency surgery and assess its association with three-month postoperative quality of life. METHODS: We conducted a prospective cohort study (August 2021-April 2022) on adult patients who underwent emergency surgery...
March 19, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38502048/what-is-the-relationship-between-body-image-and-the-quality-of-life-of-women-who-underwent-surgery-for-breast-cancer-a%C3%A2-scoping-review
#38
REVIEW
Camila Zanella Battistello, Nathália Weschenfelder da Silva, Eduardo Remor
PURPOSE: This review aimed to identify, characterize, map, and summarize existing knowledge about the relationship of perceived body image with the quality of life (QoL) of women who have undergone surgical treatment for breast cancer. METHODS: A scoping review was conducted following the PRISMA-ScR guidelines. PubMed, PsycINFO and Scopus databases were searched, and articles published until August 2022 were included. RESULTS: The search resulted in 796 records, and 51 articles were included for analysis...
March 2024: Psycho-oncology
https://read.qxmd.com/read/38501741/hydrogel-based-matrix-associated-autologous-chondrocyte-implantation-shows-greater-substantial-clinical-benefit-at-24-months-follow-up-than-microfracture-a-propensity-score-matched-pair-analysis
#39
JOURNAL ARTICLE
Christoph Gaissmaier, Peter Angele, Robert C Spiro, Annette Köhler, Alexandra Kirner, Philipp Niemeyer
OBJECTIVE: To compare substantial clinical benefit (SCB) of a hydrogel-based, matrix-associated autologous chondrocyte implantation (M-ACI) method versus microfracture (MFx) in the treatment of knee cartilage defects. DESIGN: Propensity score matched-pair analysis, using the MFx control group of a phase III study as comparator for M-ACI treatment in a single-arm phase III study, resulting in 144 patients in the matched-pair set. RESULTS: Groups were comparable regarding baseline Knee Injury and Osteoarthritis Outcome Score (KOOS), sex, age, body mass index, symptom duration, smoking status, and previous knee surgeries...
March 19, 2024: Cartilage
https://read.qxmd.com/read/38499875/modified-valente-technique-for-cauliflower-ear-outcomes-in-children-at-two-year-follow-up-new-surgical-technique-for-cauliflower-ear
#40
JOURNAL ARTICLE
Luca D'Ascanio, Eleonora Gostoli, Giampietro Ricci, Pietro De Luca, Gino Latini, Michael J Brenner, Arianna Di Stadio
BACKGROUND: Cauliflower ear deformity, a common sequela of auricular trauma, presents an esthetic and reconstructive challenge. Existing surgical techniques have limitations, including complexity, donor site morbidity, and variable long-term outcomes. MATERIALS AND METHODS: In this case series, we present a novel and minimally invasive surgical approach for the correction of cauliflower ear deformity that adapts the Valente otoplasty technique; it combines cartilage debulking with helical rim release and Mustardé mattress stitches to restore ear contour and reduce the risk of recurrence...
March 18, 2024: Aesthetic Plastic Surgery
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