scholarly journals Sociodemographic, personal, and disease-related determinants of referral to patient-reported outcome-based follow-up of remote outpatients: a prospective cohort study

2020 ◽  
Vol 29 (5) ◽  
pp. 1335-1347 ◽  
Author(s):  
Liv Marit Valen Schougaard ◽  
Annette de Thurah ◽  
Jakob Christensen ◽  
Kirsten Lomborg ◽  
Helle Terkildsen Maindal ◽  
...  
Keyword(s):  
Cohort Study ◽  
Health Literacy ◽  
Prospective Cohort Study ◽  
Self Efficacy ◽  
Prospective Cohort ◽  
General Health ◽  
Patient Activation ◽  
Well Being ◽  
Patient Reported

Abstract Purpose We examined the association between sociodemographic, personal, and disease-related determinants and referral to a new model of health care that uses patient-reported outcomes (PRO) measures for remote outpatient follow-up (PRO-based follow-up). Methods We conducted a prospective cohort study among outpatients with epilepsy at the Department of Neurology at Aarhus University Hospital, Denmark. Included were all persons aged ≥ 15 years visiting the department for the first time during the period from May 2016 to May 2018. Patients received a questionnaire containing questions about health literacy, self-efficacy, patient activation, well-being, and general health. We also collected data regarding sociodemographic status, labour market affiliation, and co-morbidity from nationwide registers. Associations were analysed as time-to-event using the pseudo-value approach. Missing data were handled using multiple imputations. Results A total of 802 eligible patients were included in the register-based analyses and 411 patients (51%) responded to the questionnaire. The results based on data from registers indicated that patients were less likely to be referred to PRO-based follow-up if they lived alone, had low education or household income, received temporary or permanent social benefits, or if they had a psychiatric diagnosis. The results based on data from the questionnaire indicated that patients were less likely to be referred to PRO-based follow-up if they reported low levels of health literacy, self-efficacy, patient activation, well-being, or general health. Conclusion Both self-reported and register-based analyses indicated that socioeconomically advantaged patients were referred more often to PRO-based follow-up than socioeconomically disadvantaged patients.

scholarly journals Program specific admission testing and dropout for sports science students: a prospective cohort study.

2014 ◽  
Vol 9 (17) ◽  
pp. 55-70
Author(s):  
Lotte Dyhrberg O'Neill ◽  
Mette Krogh Christensen ◽  
Maria Cecilie Vonsild ◽  
Birgitta Wallstedt
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Self Efficacy ◽  
Prospective Cohort ◽  
Demographic Variables ◽  
Science Students ◽  
Sports Science ◽  
Early Dropout ◽  
University Setting

Recent research in medical education suggests that program specific admission testing could have a protective effect against early dropout. Little is known about the effect of program specific admission testing on dropout in other areas of higher education. The aim of this paper was to examine if admission strategy was also independently associated with dropout for sports science students in a university setting. The study design was a prospective cohort study with a 2 year follow-up. The population was 449 sports science students admitted to a university in the years 2002-2007. The analysis used was multivariate logistic regression and the predictors examined were: admission group (grade-based or admission tested) as well as educational and socio-demographic variables. The outcome was dropout within 2 years of study start. Admission testing offered superior protection against dropout compared to grade-based admission. This result may fit with elements of previous dropout theory, student-environment fit theory and perhaps also with self-efficacy theory. Nyere forskning inden for medicinsk uddannelse indikerer at uddannelsesspecifikke optagelsesprøver kan have en beskyttende effekt i forhold til tidligt studiefrafald, men for andre universitetsuddannelser end Medicin synes denne sammenhæng endnu ikke at være blevet grundigt belyst. Formålet med dette studie var derfor at undersøge, om optagelsesprøver også beskyttede mod tidligt frafald blandt idrætsstuderende på universitetet. Studiedesignet var et prospektivt kohortestudie med to års opfølgning. Populationen var 449 idrætsstuderende, som blev optaget på Syddansk Universitet i årene 2002-2007. Data blev analyseret med multivariat logistisk regression, og følgende typer af prædiktorer for frafald blev undersøgt: Optagelseskvote (kvote 1 eller kvote 2 udprøvede), andre uddannelsesrelaterede variable samt udvalgte socio-demografiske variable. Effektmålet var studiestatus (frafaldet/ikke-frafaldet) to år efter studiestart. Vi fandt, at optagelsesprøver (kvote 2 udprøvning) virkede beskyttende i forhold til tidligt studiefrafald på idrætsstudiet sammenlignet med karakterbaseret optagelse (kvote 1 optagelse). Dette resultat kunne være i overensstemmelse med dele af allerede eksisterende frafaldsteorier, student-environment fit teori og måske også med self-efficacy teori.   

scholarly journals Effects of health literacy on frailty status at two-year follow-up in older adults: A prospective cohort study

2021 ◽  
Vol 58 (1) ◽  
pp. 101-110
Author(s):  
Kazuki Uemura ◽  
Minoru Yamada ◽  
Tsukasa Kamitani ◽  
Atsuya Watanabe ◽  
Hiroshi Okamoto
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Health Literacy ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Frailty Status

Assessment of Patient Satisfaction With Appearance, Psychological Well-Being, and Aging Appraisal After Upper Blepharoplasty: A Multicenter Prospective Cohort Study

2021 ◽  
Author(s):  
Ileen Domela Nieuwenhuis ◽  
Kim Phi Luong ◽  
Lieke C M Vissers ◽  
Stefan Hummelink ◽  
Harm P Slijper ◽  
...  
Keyword(s):  
Cohort Study ◽  
Patient Satisfaction ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Well Being ◽  
Facial Appearance ◽  
Psychological Well Being ◽  
Cosmetic Procedure ◽  
Patient Reported ◽  
Upper Blepharoplasty

Abstract Background To determine the success of an upper blepharoplasty, a popular cosmetic procedure, it is essential to measure outcomes from the patient perspective, these often outweigh objective outcomes. Objectives This study aimed to assess patient-reported satisfaction with facial appearance, psychological well-being, and aging appraisal after upper blepharoplasty with validated questionnaires. Methods This prospective cohort study included upper blepharoplasty patients from eight outpatient clinics. Patient-reported satisfaction was assessed using the FACE-Q at intake, six and twelve months postoperative. Results 2134 patients were included. High satisfaction with outcome and decision to undergo treatment were measured six months postoperative. Large improvements in FACE-Q scores (range, 0 - 100) between intake and six months postoperative were seen for satisfaction with appearance (mean, effect size; eyes +48, 2.6; upper eyelids +48, 3.1; facial appearance overall +26, 1.4), psychological well-being (+11, 0.56) and aging appraisal (+22, 1.0). Patients reported to appear 3.3 years younger (SD, ±5.2) postblepharoplasty. No clinically relevant changes were seen between six and twelve months. Additionally, improvements in appearance were not dependent on their intake scores, whereas improvements in psychological well-being and aging appraisal were smaller in patients with higher intake scores. Satisfaction with treatment outcome was strongly correlated with appearance satisfaction but not with aging appraisal. Conclusions Significant improvements in patient satisfaction regarding appearance, psychological well-being, and aging appraisal can be seen 6 months after blepharoplasty, and outcomes remain stable up to 12 months postoperative. These data may be used to inform patients and clinicians and improve the overall quality of care.

scholarly journals Outcomes after slipped capital femoral epiphysis: a population-based study with three-year follow-up

2018 ◽  
Vol 12 (5) ◽  
pp. 434-443 ◽  
Author(s):  
B. Herngren ◽  
M. Stenmarker ◽  
K. Enskär ◽  
G. Hägglund
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Slipped Capital Femoral Epiphysis ◽  
Safe Procedure ◽  
Number Of Patients ◽  
Patient Reported ◽  
Hip Function ◽  
Physeal Closure

Purpose To evaluate outcomes three years after treatment for slipped capital femoral epiphysis (SCFE): development of avascular necrosis (AVN), subsequent surgery, hip function and the contralateral hip. Methods This prospective cohort study included a total national population of 379 children treated for SCFE between 2007 and 2013. A total of 449 hips treated for SCFE and 151 hips treated with a prophylactic fixation were identified. The Barnhöft questionnaire, a valid patient-reported outcome measure (PROM), was used. Results In all, 90 hips had a severe slip, 61 of these were clinically unstable. AVN developed in 25 of the 449 hips. Six of 15 hips treated with capital realignment developed AVN. A peri-implant femur fracture occurred in three slipped hips and in two prophylactically pinned hips. In three of these five hips technical difficulties during surgery was identified. In 43 of 201 hips scheduled for regular follow-up a subsequent SCFE developed in the contralateral hip. Implant extraction after physeal closure was performed in 156 of 449 hips treated for SCFE and in 51 of 151 prophylactically fixed hips. Children with impaired hip function could be identified using the Barnhöft questionnaire. Conclusion Fixation in situ is justified to remain as the primary treatment of choice in SCFE. Overweight is more common in children with SCFE than in the average population. Prophylactic fixation is a safe procedure when performed using a correct technique. The number of patients who developed AVN after capital realignment is of concern. We recommend rigorous follow-up of both hips, including PROM evaluation, until physeal closure. Level of Evidence II - prospective cohort study

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