Long-term comparative outcome between laparoscopic total Nissen and Toupet fundoplication: Symptomatic relief, patient satisfaction and quality of life

2007 ◽  
Vol 22 (4) ◽  
pp. 1048-1053 ◽  
Author(s):  
B. Sgromo ◽  
L. A. Irvine ◽  
A. Cuschieri ◽  
S. M. Shimi
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Symptomatic Relief ◽  
Toupet Fundoplication

Surgical Repair of Ileovesical Fistulas: Long-term Complications, Quality of Life, and Patient Satisfaction

2014 ◽  
Vol 80 (12) ◽  
pp. 1207-1211 ◽  
Author(s):  
Jeffrey W. Hastings ◽  
Malika Garg ◽  
Elizabeth T. Lynn ◽  
Celia M. Divino
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Statistical Significance ◽  
Retrospective Chart Review ◽  
Administrative Database ◽  
Low Incidence ◽  
Assess Quality

Ileovesical fistulas (IVFs) are an uncommon complication of Crohn's disease. The aim of this study is to compare long-term surgical outcomes, assess quality of life, and quantify patient satisfaction after IVF repair. A retrospective chart review followed by a prospective survey was carried out. Survey questions focused on patient satisfaction and quality of life after repair of IVF. Fifty-one patients were identified from an administrative database. Mean follow-up was 4.3 years with a response rate of 51 per cent. At the time of the study, 0 per cent mortality and 16 per cent morbidity were recorded. No recurrence was noted. There was no statistical significance in incidence of complications between laparoscopic and open surgery. Statistically significant differences in single-stage versus multistage operations were found in postoperative day of discharge ( P < 0.001) and patient satisfaction ( P = 0.049). Ninety-eight per cent of patients reported extreme satisfaction with their surgery and an improvement in quality of life. A low incidence of morbidity and recurrence supports early surgical intervention in IVFs.

Quality of Life and Patient Satisfaction after Reoperation for Primary Hyperparathyroidism: Analysis of Long-term Results

2002 ◽  
Vol 26 (8) ◽  
pp. 1029-1036 ◽  
Author(s):  
Christian Hasse ◽  
Helmut Sitter ◽  
Melanie Brune ◽  
Ina Wollenteit ◽  
Christoph Nies ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Primary Hyperparathyroidism ◽  
Long Term Results

scholarly journals Complications or rather side effects? Quantification of patient satisfaction and complications after orthognathic surgery—a retrospective, cross-sectional long-term analysis

2020 ◽  
Author(s):  
Daniel G. E. Thiem ◽  
Daniel Schneider ◽  
Michael Hammel ◽  
Bassam Saka ◽  
Bernhard Frerich ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Postoperative Complications ◽  
Orthognathic Surgery ◽  
Cross Sectional ◽  
Lower Lip ◽  
Early Postoperative Complications ◽  
Preoperative Patient

Abstract Objectives The aim of this clinical analysis was to evaluate intraoperative and early postoperative complications as well as late findings and the overall patient satisfaction following orthognathic surgery. Materials and Methods In a retrospective, cross-sectional study, 119 patients after orthognathic surgery were included. Surgical approaches were single bilateral sagittal split osteotomy (BSSO (n = 52)), single LeFort-I osteotomy (n = 5) and bimaxillary osteotomy (LeFort-I + BSSO (n = 62)). Intraoperative and early (0–4 weeks postoperative) complications were investigated retrospectively (n = 119), whereas late findings and quality of life were assessed via clinical follow-up and survey (mean: 59 months postoperative) on 48 patients. Results Bad split (n = 4/114) was the most common intraoperative complication followed by one case of severe bleeding. Regarding early postoperative complications, temporary damage of the inferior alveolar nerve after BSSO was most common (n = 33/114), followed by facial nerve dysfunction (n = 3), failed osteosynthesis (n = 2) and one case of postoperative dyspnoea. Permanent hypaesthesia of the lower lip was the most prevalent (n = 28/45(BSSO and LeFort-I + BSSO)) late finding with varying extent, followed by temporomandibular dysfunction (TMD) (n = 25/48). Skeletal relapse mostly occurred after class II treatment, followed by class III, posterior crossbite and open bite. Overall, the surgery improved the patients’ self-perception (85.4%), with 60.4% of patients opting for surgery again. Conclusions Long-term complications after orthognathic surgery occurred more frequently than commonly described in the literature, and analyses of the quality of life show the need for more comprehensive preoperative patient education. Clinical relevance Hypaesthesia of the lower lip presented less as complication but rather as side effect following BSSO. As orthognathic surgery is mostly elective, preoperative patient education is of pivotal importance and should include proactive risk stratification.

Exploring Patient Satisfaction with Long-Term Warfarin for the Treatment of Atrial Fibrillation.

Blood ◽  
2005 ◽  
Vol 106 (11) ◽  
pp. 2245-2245 ◽  
Author(s):  
Miranda Murray ◽  
Diane Wild ◽  
Matt Reaney
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Patient Satisfaction ◽  
Drug Interactions ◽  
Warfarin Therapy ◽  
Psychological Impact ◽  
Dietary Restrictions ◽  
Frequent Monitoring

Abstract Prevention of stroke in patients with atrial fibrillation (AF) requires long-term anticoagulation therapy, and warfarin is currently the only option. Previous studies have indicated that patients are generally satisfied with long-term warfarin therapy; however, this research is mostly limited to simple questions, or modified Likert scales. Psychometric research on measuring satisfaction with medical treatment has indicated that multi-dimensional measures are generally more reliable and sensitive to treatment differences. This qualitative study, conducted in the US, UK, and Spain, was performed to explore the specific treatment satisfaction domains related to warfarin therapy. Interviews were conducted with patients (N=28) who were receiving long-term warfarin therapy for the prevention of stroke in AF, or had discontinued therapy. The interviews, developed from conceptual models, focussed on the patients’ experiences and satisfaction with warfarin therapy. Patients received warfarin for an average of 6 years, with 22% receiving treatment for >5 years. Warfarin therapy was reported to reduce patients’ quality of life, with 28% reporting an impact on their work, 32% an effect on their ability to travel, and 57% experiencing effects on their leisure activities, often because of alcohol restrictions. Domains that were important to patient satisfaction were identified, including monitoring, bruising/bleeding, and the psychological impact of therapy. The requirement for frequent monitoring was a burden in nearly half of the patients (43%); in the majority of these patients (57%), this was due to the amount of time spent attending the clinic. Unsurprisingly, working patients reported monitoring as more of a burden than those who did not work (65% vs 31%). The location and frequency of monitoring affected patients’ perceptions of the burden; patients attending anticoagulation clinics (rather than primary care surgeries), and those attending more than once a month, reported greater inconvenience. However, many patients, particularly those who had been taking warfarin for longer, felt reassured by monitoring. Bruising and/or bleeding was a worry to 17% of patients, with 28% reporting being embarrassed by it, and many patients choosing clothes that covered their bruises. The psychological impact of warfarin therapy was illustrated by the number of patients reporting concern about drug interactions (50%), with one-fifth (21%) worried about the warfarin dose they had been prescribed. Knowledge that their warfarin therapy required alcohol and dietary restrictions was demonstrated by 39% and 28% of patients, respectively; however, some patients thought that dietary restrictions were to encourage weight loss, and 15% of patients reported that the restrictions were a burden. Furthermore, many elderly patients, particularly in the UK and Spain, were unaware that the purpose of their warfarin therapy was for stroke prevention. Patients that had discontinued treatment gave reasons including a feeling of dependence on warfarin, bruising and bleeding, monitoring, and diet and alcohol restrictions. Patients in this study recognized that warfarin is currently the only therapy available to them, and made adjustments to their lifestyles accordingly. However, warfarin adversely affects the quality of life of patients with AF because of the practicalities and psychological impact of therapy. An anticoagulant that does not require frequent monitoring, with limited food and drug interactions would represent a significant advance for patients with AF.

scholarly journals Long-term patient satisfaction and durability of laparoscopic anti-reflux surgery in a large Danish cohort: study protocol for a retrospective cohort study with development of a novel scoring system for patient selection

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e034257
Author(s):  
Jonas Sanberg Ljungdalh ◽  
Katrine Hass Rubin ◽  
Jesper Durup ◽  
Kim Christian Houlind
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Patient Satisfaction ◽  
Retrospective Cohort Study ◽  
Reflux Disease ◽  
Retrospective Cohort ◽  
Patient Reported

IntroductionLaparoscopic anti-reflux surgery is standard of care in surgical treatment of gastro-oesophageal reflux disease and is not without risks of adverse effects, including disruption of the fundoplication and postfundoplication dysphagia, in some cases leading to reoperation. Non-surgical factors such as pre-existing anxiety or depression influence postoperative satisfaction and symptom relief. Previous studies have focused on a short-term follow-up or only certain aspects of disease, such as reoperation or postoperative quality of life. The aim of this study is to evaluate long-term patient-satisfaction and durability of laparoscopic anti-reflux surgery in a large Danish cohort using a comprehensive multimodal follow-up, and to develop a clinically applicable scoring system usable in selecting patients for anti-reflux surgery.Methods and analysisThe study is a retrospective cohort study utilising data from patient records and follow-up with patient-reported quality of life as well as registry-based data. The study population consists of all adult patients having undergone laparoscopic anti-reflux surgery at The Department of Surgery, Kolding Hospital, a part of Lillebaelt Hospital Denmark in an 11-year period. From electronic records; patient characteristics, preoperative endoscopic findings, reflux disease characteristics and details on type of surgery, will be identified. Disease-specific quality of life and dysphagia will be collected from a patient-reported follow-up. From Danish national registries, data on comorbidity, reoperative surgery, use of pharmacological anti-reflux treatment, mortality and socioeconomic factors will be included. Primary outcome of this study is treatment success at follow-up.Ethics and disseminationStudy approval has been obtained from The Danish Patient Safety Agency, The Danish Health Data Authority and Statistics Denmark, complying to Danish and EU legislation. Inclusion in the study will require informed consent from participating subjects. The results of the study will be published in peer-reviewed medical journals regardless of whether these are positive, negative or inconclusive.Trial registration numberClinicaltrials.gov (NCT03959020).

Peri-implant disease part 1: diagnosis and assessment parameters

Dental Update ◽  
2019 ◽  
Vol 46 (10) ◽  
pp. 978-985
Author(s):  
Alex Daly ◽  
Giles McCracken
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Dental Implants ◽  
Clinical Relevance ◽  
Assessment Criteria ◽  
Maintenance Care ◽  
Long Term Follow Up

Where suitable, dental implants are praised as a method of providing fixed solutions with good longevity, and providing greatly improved retention for removable prostheses, resulting in increased levels of patient satisfaction and quality of life. However, with increasing evidence of long-term follow-up, there is a growing recognition of the susceptibility of dental implants to peri-implant diseases; peri-mucositis and peri-implantitis. This paper discusses the features of peri-implant disease and important aspects of assessment criteria. CPD/Clinical Relevance: This paper highlights the importance of supportive maintenance care for patients with dental implants, as well as the features and assessment of peri-implant disease.

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