scholarly journals Quality of life and surgical outcome of ABBA versus EndoCATS endoscopic thyroid surgery: a single center experience

2021 ◽  
Author(s):  
Ulrich Wirth ◽  
Thomas von Ahnen ◽  
Josef Hampel ◽  
Josefine Schardey ◽  
Peter Busch ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Thyroid Surgery ◽  
Surgical Patients ◽  
Single Center ◽  
Perioperative Outcome ◽  
Endoscopic Thyroid Surgery ◽  
Significant Difference ◽  
German Standard

Abstract Background Thyroid surgery is often performed, especially in young female patients. As patient satisfaction become more and more important, different extra-cervical “remote” approaches have evolved to avoid visible scars in the neck for better cosmetic outcome. The most common remote approaches are the transaxillary and retroauricular. Aim of this work is to compare Endoscopic Cephalic Access Thyroid Surgery (EndoCATS) and axillo-bilateral-breast approach (ABBA) to standard open procedures regarding perioperative outcome and in addition to control cohorts regarding quality of life (QoL) and patient satisfaction. Methods In a single center, 59 EndoCATS und 52 ABBA procedures were included out of a 2 years period and compared to 225 open procedures using propensity-score matching. For the endoscopic procedures, cosmetic outcome, patient satisfaction and QoL (SF-12 questionnaire) were examined in prospective follow-up. For QoL a German standard cohort and non-surgically patients with thyroid disease were used as controls. Result The overall perioperative outcome was similar for all endoscopic compared to open thyroid surgeries. Surgical time was longer for endoscopic procedures. There were no cases of permanent hypoparathyroidism and no significant differences regarding temporary or permanent recurrent laryngeal nerve (RLN) palsies between open and ABBA or EndoCATS procedures (χ2; p = 0.893 and 0.840). For ABBA and EndoCATS, 89.6% and 94.2% of patients were satisfied with the surgical procedure. Regarding QoL, there was an overall significant difference in distribution for physical, but not for mental health between groups (p < 0.001 and 0.658). Both endoscopic groups performed slightly worse regarding physical health, but without significant difference between the individual groups in post hoc multiple comparison. Conclusion Endoscopic thyroid surgery is safe with comparable perioperative outcome in experienced high-volume centers. Patient satisfaction and cosmetic results are excellent; QoL is impaired in surgical patients, as they perform slightly worse compared to German standard cohort and non-surgical patients.

scholarly journals Comparing quality of life between patients undergoing trans-areola endoscopic thyroid surgery and trans-oral endoscopic thyroid surgery

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shuang Shen ◽  
Xiaochi Hu ◽  
Rui Qu ◽  
Youming Guo ◽  
Libo Luo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Thyroid Surgery ◽  
Short Form ◽  
Endoscopic Thyroidectomy ◽  
Operation Time ◽  
Endoscopic Thyroid Surgery ◽  
Sf 36 ◽  
Areola Approach ◽  
High Level

Abstract Background Compared with conventional open surgery, endoscopic thyroidectomy via the oral vestibular approach (ETVOA) and endoscopic thyroidectomy via the areola approach (ETAA) avoided scarring of the skin, which may help patients achieve a better quality of life (QOL). However, the benefit of the QOL from this technique has not been adequately investigated, therefore this study compared the QOL outcomes between ETVOA and ETAA. Methods 131 patients were enrolled in this study. ETAA surgery and ETVOA surgery were performed in 74 patients and 57 patients, respectively. These patients were followed up at 2 weeks, 4 weeks, and 8 weeks, and their QOL was evaluated using a thyroid surgery-specific questionnaire and a short-form health survey (SF-36). Results There were no differences in clinical characteristics such as gender, age, body mass index (BMI), and tumor size between the two groups. The volume of intraoperative blood loss, cost of hospitalization, and complications between the two procedures showed no differences. Compared with ETAA, ETVOA has a longer operation time, no drainage, and shorter hospital stay. In the QOL questionnaire, several parameters in ETVOA were better. The satisfaction scores of patients undergoing ETVOA were higher. In addition, the cosmetic satisfaction in patients who received ETOVA was significantly better than that of patients who underwent ETAA. The degree of neck movement disorder in patients with ETVOA was milder. Patients who received ETVOA had higher score on the SF-36. Conclusions The trans-oral endoscopic approach can acquire better cosmetic results and achieved high-level QOL.

scholarly journals Assessment of the quality of life of orthodontic and surgical patients. Analysis of the factors that motivate the initiation of treatment within the masticatory system

2021 ◽  
Vol 11 (6) ◽  
pp. 120-136
Author(s):  
Justyna Oliwia Szpyt ◽  
Magdalena Gębska
Keyword(s):  
Quality Of Life ◽  
Open Bite ◽  
Surgical Patients ◽  
Control Group ◽  
Self Confidence ◽  
Lower Canine ◽  
Significant Difference ◽  
The Face ◽  
Masticatory System

IntroductionAccording to Angle's classification, a correct bite should have, inter alia, the following regularities: the median line of the face should coincide with the line between the central incisors of the upper and lower arches, the lower incisors should be overlapped by the incisal edges of the upper incisors, the top of the canine in the upper arch is inserted between the lower canine and the tangent premolar, each tooth is in contact with two opposing teeth, adjacent teeth both in the upper and lower arch are in contact with each other. Any deviation from these rules may indicate the presence of a malocclusion. We can distinguish here, for example: posteroclusion, open bite, retrusive occlusion, protrusive occlusion, supraclusion bite. They seem to be important not only in terms of functionality, but also psychology. Research shows that the correction of mandibular prognathism increases the level of self-confidence and self-acceptance, which may improve the quality of life of patients.Purpose of researchThe aim of the study was to check the quality of life of orthodontic and surgical patients as well as what factors motivate these people to start treatment in the area of the masticatory system.Material and methods208 people aged 18 to 55 participated in the survey. They were both people with malocclusion and no malocclusion, who constituted the control group. The questionnaire was created on the basis of standardized OQLQ and OHIP-14 questionnaires. It also included questions about the factors that motivate to start treatment in the masticatory system.ResultsThe most common malocclusion among the respondents was progenia (58.8%), followed by retrogenia (34.3%), then open bite (4%) and posteroclusion (2.9%). According to the OHIP-14 form, statistically significant (p <.0001) higher quality of life was seen in people without a masticatory organ defect, compared to people with the malocclusion. A statistically significant difference (p <.0001) between people with present or recent malocclusion (M = 54.29, SD = 16.71) and people without malocclusion (M = 31.93, SD = 18.31) was also visible in the study with using the OQLQ questionnaire.ConclusionsA malocclusion worsens the comfort and quality of life.Incorrect bite, face and smile aesthetics as well as psychological aspects are the most important factors motivating to undertake surgical and orthodontic treatment.Bruxism and facial pain are not factors prompting the initiation of treatment of malocclusion.

scholarly journals Evaluation of quality of life, depression and satisfaction in patients treated at the Physiotherapy teaching clinic of the State University of Northern Paraná (Uenp)

2019 ◽  
Vol 32 ◽  
Author(s):  
Jéssica Maria Marcusso Orsini ◽  
Joyce Karla Machado da Silva ◽  
Marcos da Cunha Lopes Virmond ◽  
Camila Costa de Araujo
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Depressive Symptoms ◽  
Care Quality ◽  
State University ◽  
Important Indicator ◽  
Teaching Clinic ◽  
Sf 36 ◽  
Significant Difference

Abstract Introduction: Patient satisfaction is an important indicator of care quality and can be used to set goals and identify areas for improvement. Objective: To evaluate the satisfaction, quality of life and depressive symptoms of patients at the Uenp (State University of Northern Paraná) Physiotherapy teaching clinic. Method: Cross-sectional, quantitative descriptive study. Sixty-one patients completed a sociodemographic questionnaire, the “Instrument to assess patient satisfaction with physical therapy in the public health system”, the short-form-36 health survey (SF-36) to evaluate quality of life, and the Beck Depression Inventory (BDI) to determine the presence of depression. For statistical analysis, data were described using means and standard deviations, the Shapiro-Wilk test was applied to assess normality, and the variables were analyzed by Pearson’s correlation coefficient, with p ≤ 0.05 considered statistically significant. Results: The patient-therapist relationship was largely classified as “excellent”; the most common response for the item “respect and interest shown to patients” was also “excellent”. Patients scored well on the SF-36, indicating good quality of life; the highest scores were obtained in the “mental health” domain (65.04 ± 23.25). Regarding the depression, most patients (52.44%) displayed depressive symptoms. Correlation between satisfaction and the BDI showed a statistically significant difference in twelve dimensions. Comparison between the SF-36 and BDI indicated a statistically significant difference in eight domains. Conclusion: Patients are satisfied with the treatment received and the competence of the health care team at the clinic.

scholarly journals Comparison of quality of life between patients undergoing trans-oral endoscopic thyroid surgery and conventional open surgery

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Pornthep Kasemsiri ◽  
Srongpaun Trakulkajornsak ◽  
Piyapong Bamroong ◽  
Kanokkarn Mahawerawat ◽  
Patorn Piromchai ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Thyroid Surgery ◽  
Open Surgery ◽  
Endoscopic Thyroid Surgery ◽  
Conventional Open Surgery

Health-Related Quality of Life and Functional Outcome in Cardiac Surgical Patients Aged 80 Years and Older: A Prospective Single Center Study

2013 ◽  
Vol 29 (1) ◽  
pp. 14-21 ◽  
Author(s):  
Marcus-André Deutsch ◽  
Markus Krane ◽  
Lisa Schneider ◽  
Michael Wottke ◽  
Matthias Kornek ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Functional Outcome ◽  
Surgical Patients ◽  
Health Related Quality ◽  
Single Center ◽  
Single Center Study ◽  
Related Quality ◽  
Health Related ◽  
Center Study

Quality of life and clinical outcome after thyroid surgery in children: A 13years single center experience

2015 ◽  
Vol 50 (10) ◽  
pp. 1701-1706 ◽  
Author(s):  
Eva Stokhuijzen ◽  
Alida F.W. van der Steeg ◽  
Els J. Nieveen van Dijkum ◽  
Hanneke M. van Santen ◽  
A.S. Paul van Trotsenburg
Keyword(s):  
Quality Of Life ◽  
Clinical Outcome ◽  
Thyroid Surgery ◽  
Single Center ◽  
Single Center Experience

scholarly journals Care coordination in the Emergency Department: improving outcomes for older patients

2005 ◽  
Vol 29 (1) ◽  
pp. 43 ◽  
Author(s):  
Helen M Corbett ◽  
Wen K Lim ◽  
Sandra J Davis ◽  
Ann M Elkins
Keyword(s):  
Quality Of Life ◽  
Emergency Department ◽  
Patient Satisfaction ◽  
Care Coordination ◽  
Baseline Measure ◽  
Significant Difference ◽  
Before And After ◽  
Patient Health ◽  
Related Quality

This study aimed to evaluate the effectiveness of the care coordination (CC) program operating in the Emergency Department (ED) of The Northern Hospital in improving outcomes for older people and reducing ED admissions and re-presentations. This was achieved by comparing admissions from ED to wards pre and post commencement of the CC program, and measuring patient health-related quality of life pre and post CC intervention. Patient readmission rates and staff and patient satisfaction with the service were also investigated. Results indicate a statistically significant reduction in the proportion of patients admitted from the ED to a ward since the inception of the program, a significant difference in the mean-related quality of life scores before and after intervention by care coordination, and staff and patient satisfaction with the service. The readmission data collected in the present evaluation will serve as a baseline measure for future evaluations.

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