scholarly journals In search of a gold standard for objective clinical outcome: using dynamic biplane radiography to measure knee kinematics

2021 ◽  
Author(s):  
W. Anderst ◽  
J. J. Irrgang ◽  
F. H. Fu ◽  
S. Tashman ◽  
J. Karlsson ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Gold Standard ◽  
Knee Kinematics

scholarly journals Our Early Experience in Surgical and Clinical Outcome on Endoscopic Cubital Tunnel Release: A Preliminary Result

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Philip Ian Barlaan ◽  
Josephine Wing-Yuk Ip
Keyword(s):  
Minimally Invasive Surgery ◽  
Conservative Treatment ◽  
Clinical Outcome ◽  
Gold Standard ◽  
Surgical Intervention ◽  
Early Experience ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Tunnel Syndrome ◽  
The Common

Cubital tunnel syndrome is one of the common upper extremity problem encountered. A mild syndrome can be often treated without surgery, but a failure of conservative treatment with constant symptoms or muscle atrophy and weakness requires surgical intervention. Despite the fact that is the second most common nerve entrapment in the upper limb, there is no accepted gold standard in the surgical management. But with the new technique in minimally invasive surgery and available endoscope, it addresses all potential compression sites with good visualisation but with small surgical exposure. The procedure is safe and reliable way to address this problem.

scholarly journals Arteriovenous Malformations in the Pediatric Population: Review of the Existing Literature

2016 ◽  
Vol 5 (3-4) ◽  
pp. 218-225 ◽  
Author(s):  
Mohammad El-Ghanem ◽  
Tareq Kass-Hout ◽  
Omar Kass-Hout ◽  
Yazan J. Alderazi ◽  
Krishna Amuluru ◽  
...  
Keyword(s):  
Adjuvant Therapy ◽  
Clinical Outcome ◽  
Gold Standard ◽  
Arteriovenous Malformations ◽  
Multidisciplinary Approach ◽  
Treatment Approach ◽  
Pediatric Population ◽  
Age Groups ◽  
Optimal Management ◽  
Microsurgical Resection

Arteriovenous malformations (AVMs) in the pediatric population are relatively rare but reportedly carry a higher rate of rupture than in adults. This could be due to the fact that most pediatric AVMs are only detected after rupture. We aimed to review the current literature regarding the natural history and the clinical outcome after multimodality AVM treatment in the pediatric population, as optimal management for pediatric AVMs remains controversial. A multidisciplinary approach using multimodality therapy if needed has been proved to be beneficial in approaching these lesions in all age groups. Microsurgical resection remains the gold standard for the treatment of all accessible pediatric AVMs. Embolization and radiosurgery should be considered as an adjunctive therapy. Embolization provides a useful adjunct therapy to microsurgery by preventing significant blood loss and to radiosurgery by decreasing the volume of the AVM. Radiosurgery has been described to provide an alternative treatment approach in certain circumstances either as a primary or adjuvant therapy.

Letter to the Editor

PEDIATRICS ◽  
1982 ◽  
Vol 70 (4) ◽  
pp. 662-663
Author(s):  
Stephen G. Pauker ◽  
John C. Leonidas ◽  
Anna Binkiewicz ◽  
R. Michael Scott
Keyword(s):  
High Risk ◽  
Clinical Outcome ◽  
Head Trauma ◽  
Gold Standard ◽  
Basic Question ◽  
Skull Fractures ◽  
Letter To The Editor ◽  
Skull Radiography

We appreciate the thoughtful comments of Groner and Charney regarding the value of routine skull radiography in mild head trauma in children. They would be satisfied with less than perfect sensitivity in an algorithm designed to select children at high risk for fractures. If, as well may be the case, skull fractures are themselves poor predictors of clinical outcome, then one must raise an even more basic question—why try to detect skull fractures? Why use the presence of a fracture as a gold standard for performance?

FRI0335 An Evaluation of Clinical Outcome Measures for Musculoskeletal Lupus Using Ultrasound as A Gold Standard: Table 1

2016 ◽  
Vol 75 (Suppl 2) ◽  
pp. 556.1-556 ◽  
Author(s):  
K. Mahmoud ◽  
A. Zayat ◽  
C.J. Edwards ◽  
M.Y. Md Yusof ◽  
H. Cassamoali ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Outcome Measures ◽  
Gold Standard ◽  
Standard Table

scholarly journals Laparoscopic Intraoperative Cholangiography Interpretation by Surgeons versus Radiologists, A Comparative Study and Review of 200 Cholangiographies

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Hany M. El-Hennawy ◽  
Eihab A. El-Kahlout ◽  
Elsaid M. Bedair ◽  
Ibrahem M. El Omari ◽  
Ashraf A. Abdel Aziz ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Clinical Outcome ◽  
Comparative Study ◽  
Clinical Significance ◽  
Gold Standard ◽  
Community Hospital ◽  
Intraoperative Cholangiography ◽  
Senior Consultant ◽  
Medical Centers ◽  
Significant Difference

Introduction. In some medical centers, LIOC are exclusively interpreted by surgeons. The degree of accuracy of surgeon’s interpretation compared to that of radiologist (gold standard) and its clinical significance are not well studied. Objective. study whether surgeons are accurate in interpreting IOC or not by comparing the interpretation of LIOC by surgeons to the postoperative interpretation of same cholangiograms by radiologists, and study its clinical significance. Methods. A retrospective study of 200 consecutive patients who underwent selective LIOC in Al-Khor community hospital in Qatar during the period from May 2005 till December 2011. A radiology senior consultant blindly reviewed the cholangiograms (Reading B) then we compared these findings (ductal dilatation, defects of filling and passage of contrast into duodenum) to LIOC results that were reported intraoperatively by surgeons for the same patients (Reading A). Results. Ductal dilatation was found in (27.5%) of Reading A compared to 19% in Reading B. filling defects were reported in (20.5%) of Reading A compared to 14.5% in Reading B. Conclusion. there is significant difference of LIOC interpretation between surgeons and radiologist specially in the detection of defects of fillings although this variability did not affect the clinical outcome.

scholarly journals Clinical and Radiological Outcomes after Knee Arthroplasty with Patient-Specific versus Off-the-Shelf Knee Implants: A Systematic Review

2021 ◽  
Vol 11 (7) ◽  
pp. 590
Author(s):  
Céline Saphena Moret ◽  
Benjamin Luca Schelker ◽  
Michael Tobias Hirschmann
Keyword(s):  
Systematic Review ◽  
Clinical Outcome ◽  
Knee Kinematics ◽  
Current Data ◽  
Patient Specific ◽  
Patient Specific Implants ◽  
Clinical And Radiological Outcome ◽  
Tomography Data ◽  
Long Term Studies

Customised, patient-specific implants (PSI) manufactured based on computed tomography data are intended to improve the clinical outcome by restoring more natural knee kinematics as well as providing a better fit and a more precise positioning. The aim of this systematic review is to investigate the effect of these PSI on the clinical and radiological outcome compared to standard, off-the-shelf (OTS) implants. Thirteen comparative studies including a total of 2127 knee implants were identified. No significant differences in clinical outcome assessed with the range of motion, the Knee Society Score (KSS), and the Forgotten Joint Score (FJS-12) were found between PSI and OTS implants. PSI showed fewer outliers from the neutral limb axis and a better implant fit and positioning. Whether these radiological differences lead to long-term advantages in terms of implant survival cannot be answered based on the current data. Patients receiving PSI could be discharged home earlier at the same or at an even lower total cost. The effective overall superiority of PSI has yet to be proven in long-term studies.

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