Self-reported satisfaction with life and physical health in long-term cancer survivors and a matched control group

1995 ◽  
Vol 31 (5) ◽  
pp. 340-345 ◽  
Author(s):  
K. Bjordal ◽  
A. Mastekaasa ◽  
S. Kaasa
2021 ◽  
Author(s):  
Jonathon Lo ◽  
Kieran Ballurkar ◽  
Simonie Fox ◽  
kate Tynan ◽  
Nghiep Luu ◽  
...  

Abstract Purpose:Return-to-work (RTW) is a key unmet need for working age cancer survivors. This study sought to evaluate RTW outcomes of a multidisciplinary intervention provided as routine employee support.Method:In a retrospective cohort analysis, patients with cancer and more than 3 months absent from work were provided an intervention consisting of digital resources and calls with a health coach. A logit regression model was used to calculate a propensity score using covariates of age, gender, insurance benefit type, date of cancer diagnosis and time from diagnosis derived from insurance-claims data and captured as standard business practice. Participants were matched on a 1:1 basis using the nearest-neighbor method without replacement to create a matched control group from a further 1,856 participants who did not receive the intervention.Results:220 participants enrolled in the intervention, of which 125 met the criteria for analysis. The median follow-up from cancer diagnosis was 79 weeks (IQR 60-106). In the matched control group, 22 returned to work (17.6%) compared with 38 (30.4%) in the intervention group (P=.02). Nineteen matched controls died prior to claim closure (15.2%) compared with 13 in the intervention group (10.4%; P=.26). Cox model estimated median time for the first 15% of the cohorts to RTW was 87.1 weeks for the matched control (CI 60.0-109.1 weeks) compared with 70.6 weeks for the intervention (CI 52.6-79.6 weeks; P=.08).Conclusion:A digitally delivered coaching program in a real-world setting for patients diagnosed with cancer improves the likelihood of RTW.Implications for cancer survivors: a remotely delivered coaching program in a real-world setting for cancer survivors can improve the likelihood of RTW.


Author(s):  
Mike Shipley

The landmark paper discussed in this chapter is ‘Primary fibromyalgia (fibrositis): Clinical study of 50 patients with matched normal controls’, published by Yunus et al. in 1981. Over the years, long-term pain has had a confusing variety of names and, to some extent, that confusion persists. Chronic pain can be defined as pain which persists beyond the time expected for healing. Yunus et al. were the first to define fibromyalgia (fibrositis), as they called it, developing evidence-based diagnostic guidelines by comparing a group of patients with a pain-free matched control group. Based on their work, they also suggested a series of pain management approaches which remain valid today.


1969 ◽  
Vol 3 (3) ◽  
pp. 137-144 ◽  
Author(s):  
R. W. Medlicott ◽  
P. A. W. Medlicott

Inpatient suicides (twelve cases) in a private psychiatric hospital between 1882 and 1968 are studied as to age, sex, marital status, diagnosis, time in hospital, stage of illness, physical health, previous threats, previous attempts and method of suicide. They are also divided into a pre-1947 group, when the hospital was primarily custodial, and a post-1947 group, when the hospital became an active treatment unit. Known ex-patient suicides (forty-nine cases) in the post-1947 era are discussed under similar categories and compared both with a matched control group and with the inpatient suicides. Special mention is made of suicides in patients with personality disorders.


2000 ◽  
Vol 34 (1) ◽  
pp. 114-121 ◽  
Author(s):  
Neil Joseph Preston ◽  
Sam Fazio

Objective: The study attempted to identify whether chronic mentally ill persons after receiving intensive case management (ICM) could demonstrate improved inpatient service utilisation compared with a matched control group cohort. Costings were measured to observe whether the increase in providing intensive outpatient contacts would be offset by savings in reduced inpatient service utilisation. Method: Eighty ICM patients were matched on ICD-9 diagnosis, age, gender, length of illness, age at first inpatient and outpatient contact, marital status, educational level, employment status, country of birth, year of arrival to Australia and religion. Inpatient bed-days and outpatient contacts were recorded and compared 12 months prior to ICM treatment, 12 and 24 months after ICM using within/between group repeated measures analysis of variance. Results: The ICM group demonstrate significant reductions in inpatient service utilisation both within the 12- and 24-month period after receiving ICM treatment. The cost differential by 24 months of treatment was $801 475 in favour of the ICM model. The increase in costs of outpatient contacts were offset by a significant reduction in inpatient service utilisation. Conclusion: When outpatient contacts averaged one contact a week for the duration of the study period no significant reductions in inpatient service utilisation was recorded, as demonstrated by comparison with the matched control group. By increasing outpatient contacts by 3–4 contacts a week, inpatient contacts reduced by 36.8%. ICM is an efficacious and cost effective way to implement community-based services to the chronically long-term mentally ill.


Author(s):  
Raphael Vogel ◽  
Vilijam Zdravkovic ◽  
Michael Badulescu ◽  
Gábor J. Puskás ◽  
Bernhard Jost

Abstract Introduction Handball is a contact sport which involves throwing and jumping, exposing players to serious physical stress. There is a high risk of injuries leading to possible long-term sequelae. The aim of this study was to assess the incidence of musculoskeletal injuries in elite male handball players compared with an age-matched control group. Patients and methods Former elite handball players, who had played on the Swiss national team between 1980 and 1985, answered a questionnaire about injuries, surgical interventions and their current health status. A total of 34 athletes were compared with 58 age-matched volunteers, who only engaged in recreational sports or no sports at all. Results The mean age of the athletes was 58.4 years (range 52–68 years) and did not differ significantly from the mean age of the control group of 58.7 years (range 53–69 years). In the control group, 70 % engaged in recreational sports. There was no statistical difference regarding the life-long incidence of shoulder injuries and surgical interventions, sequelae or persistent shoulder pain. Athletes had more interventions after elbow injuries (0.09 vs. 0, p = 0.047), but the difference with respect to chronic pain or late sequelae was not statistically significant. For knee injuries, there were no significant differences regarding the incidence of injuries or interventions, the prevalence of secondary consequences or persistent pain. Concerning the foot and ankle, there was a significantly higher incidence of injuries (0.5 vs. 0.03, p < 0.001) and interventions (0.5 vs. 0.09, p < 0.001) in athletes, but no statistical difference regarding sequelae or persistent pain. Overall quality of life had identical ratings in both groups (athletes mean 85.9 %, controls mean 85.8 %). Discussion Top handball players did not sustain more shoulder or knee injuries than the age-matched control group. The elbow was more at risk in these top athletes, but long-term consequences appeared to be less severe. The most distinctive difference was seen in foot and ankle injuries. Conclusions A career as an elite handball player had no adverse effect on the overall quality of life of elite handball players 25 to 30 years after retiring from professional sports.


2021 ◽  
Author(s):  
Jonathon Lo ◽  
Kieran Ballurkar ◽  
Simonie Fox ◽  
Kate Tynan ◽  
Nghiep Luu ◽  
...  

BACKGROUND Returning to work is a key unmet need for working-age cancer survivors. OBJECTIVE This study sought to evaluate return-to-work outcomes of a multidisciplinary intervention provided as routine employee support. METHODS In a retrospective cohort analysis, patients with cancer and more than 3 months of absence from work were provided with an intervention consisting of digital resources and calls with a health coach. Propensity score matching was used to define a similar cohort of cancer patients absent from work, who were not offered the coaching intervention. The return-to-work rate as a percentage of all participants and secondary outcomes, such as the rate of death, were measured. The median time to return to work was compared between the cohorts using the Kaplan-Meier method. RESULTS A total of 220 participants were enrolled in the intervention, of which 125 met the criteria for analysis. The median follow-up from cancer diagnosis was 79 weeks (IQR 60-106 weeks). In the matched control group, 22 (17.6%) participants returned to work compared with 38 (30.4%) in the intervention group (<i>P</i>=.02). Additionally, 19 (15.2%) matched controls died prior to claim closure compared with 13 (10.4%) in the intervention group (<i>P</i>=.26). The Kaplan-Meier estimated median time for the first 15% of the cohort to return to work was 87.1 weeks (95% CI 60.0-109.1 weeks) for the matched control group compared with 70.6 weeks (95% CI 52.6-79.6 weeks; <i>P</i>=.08) for the intervention group. CONCLUSIONS Patients receiving a remotely delivered coaching program in a real-world setting returned to work at a higher frequency than did control participants receiving usual care.


Author(s):  
Arthur F. Kramer ◽  
John T. Coyne ◽  
David L. Strayer

The effects of altitude on human performance and cognition were evaluated in a field study performed on Mount Denali in Alaska during the summer of 1990. Climbers performed a series of perceptual, cognitive, and sensory-motor tasks before, during, and after climbing the West Buttress route on Denali. Relative to a matched control group that performed the tasks at sea level, the climbers showed deficits of learning and retention in perceptual and memory tasks. Furthermore, climbers performed more slowly on most tasks than did the control group, suggesting long-term deficits that may be attributed to repeated forays to high altitudes


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