Prospective study of the quality of life after treatment of mandibular fractures

Background and objectives: Due to the fact that the mandible is the only movable bone in the face, it is often exposed to the influence of external forces. The incidence of trismus and posttraumatic pain in unilateral mandibular corpus fractures may be related to the occurrence of complications. There is a decrease in the quality of life of these patients. The aim was to study the relationship of the preoperative pain and trismus with the incidence of complications, as well as to investigate the quality of life. Materials and Methods: A prospective study on 60 patients with isolated mandibular fractures was performed, with a follow-up period of six months. The level of preoperative pain was measured on a 0–10 scale, while the mouth opening was measured with a caliper. All patients were treated surgically on the third day after the fracture. The University of Washington Quality of Life (UW-QOL v4) questionnaire was used to analyze the quality of life. Results: The most common types of complications were the occlusal derangement and facial asymmetry. The majority of complications were treated with counseling and physical therapy. The degree of preoperative pain was significantly positively related to the onset of complications (rs = 0.782, p = 0.004). The interincisal distance showed a significant inverse relation with the incidence of complications (rs = −0.722, p < 0.001). The patients regarded the pain, appearance and mood issues as the most important issues during the first postoperative month. Conclusions: The degree of inflammatory symptoms may be positively related to the onset of complications occurring after the rigid fixation of mandibular fractures. The postoperative health-related and overall quality of life was unsatisfactory in nearly half of the patients.

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72: Quality of Life and Patient Satisfaction of Care Among Women with Urinary Incontinence: A Prospective Study

The Journal of Urology ◽

10.1016/s0022-5347(18)30337-9 ◽

2007 ◽

Vol 177 (4S) ◽

pp. 25-26

Author(s):

Simon Kim ◽

Rodney L. Dunn ◽

Edward J. McGuire ◽

John O.L. DeLancey ◽

John T. Wei

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Patient Satisfaction ◽

Prospective Study ◽

A Prospective Study

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Quality of Life Before and After Endovascular and Open Repair of Asymptomatic AAAs: A Prospective Study

Journal of Endovascular Therapy ◽

10.1583/1545-1550(2000)007<0372:qolbaa>2.0.co;2 ◽

2000 ◽

Vol 7 (5) ◽

pp. 372-379 ◽

Cited By ~ 17

Author(s):

Martin Malina ◽

Marie Nilsson ◽

Jan Brunkwall ◽

Krasnodar Ivancev ◽

Timothy Resch ◽

...

Keyword(s):

Quality Of Life ◽

Prospective Study ◽

Open Repair ◽

Before And After ◽

A Prospective Study

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The Impact of Self-Stigma, Role Strain, and Diabetes Distress on Quality of Life and Glycemic Control in Women With Diabetes: A 6-Month Prospective Study

Biological Research For Nursing ◽

10.1177/10998004211009606 ◽

2021 ◽

pp. 109980042110096

Author(s):

Ruey-Hsia Wang ◽

Chia-Chin Lin ◽

Shi-Yu Chen ◽

Hui-Chun Hsu ◽

Chiu-Ling Huang

Keyword(s):

Quality Of Life ◽

Glycemic Control ◽

Prospective Study ◽

Structural Equation ◽

Role Strain ◽

Diabetes Distress ◽

Equation Modeling ◽

Disease Characteristics ◽

The Impact

Purposes: Women with diabetes (WD) are more severely impacted by the consequence of suboptimal diabetes control. This study aims to examine the impact of demographic and disease characteristics, baseline self-stigma, role strain, diabetes distress on Hemoglobin A1C (A1C) levels, quality of life (D-QoL) and 6-month A1C levels in younger WD. Methods: This study was a 6-month prospective study. In total, 193 WD aged 20–64 years were selected by convenience sampling from three outpatient clinics in Taiwan. Demographic and disease characteristics, self-stigma, role strain, diabetes distress, A1C levels, and D-QoL were collected at baseline. A1C levels were further collected 6 months later. Structural equation modeling was conducted to test the hypothesized model. Results: The final model supported that higher baseline D-QoL directly associated with lower concurrent A1C levels and indirectly associated with lower 6-month A1C levels through baseline A1C levels. Higher baseline self-stigma, role strain, and diabetes distress directly associated with lower baseline D-QoL, and indirectly associated with higher 6-month A1C levels through D-QoL. Conclusion: Improving self-stigma, role strain, and diabetes distress should be considered as promising strategies to improve D-QoL in young WD. D-QoL plays a mediation role between baseline self-stigma, role strain, diabetes distress and subsequent glycemic control in younger WD. Enhancing baseline D-QoL is fundamental to improve subsequent glycemic control.

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Impact of malnutrition on health-related quality of life in persons receiving dialysis: a prospective study

British Journal Of Nutrition ◽

10.1017/s000711452100249x ◽

2021 ◽

pp. 1-24

Author(s):

Daniela Viramontes-Hörner ◽

Zoe Pittman ◽

Nicholas M Selby ◽

Maarten W Taal

Keyword(s):

Quality Of Life ◽

Prospective Study ◽

Health Related Quality ◽

Poor Hrqol ◽

Sf 36 ◽

Related Quality ◽

Health Related ◽

The Impact ◽

Over Time

Abstract Health-related quality of life (HRQoL) is severely impaired in persons receiving dialysis. Malnutrition has been associated with some measures of poor HRQoL in cross-sectional analyses in dialysis populations, but no studies have assessed the impact of malnutrition and dietary intake on change in multiple measures of HRQoL over time. We investigated the most important determinants of poor HRQoL and the predictors of change in HRQoL over time using several measures of HRQoL. We enrolled 119 haemodialysis and 31 peritoneal dialysis patients in this prospective study. Nutritional assessments (Subjective Global Assessment [SGA], anthropometry and 24-hour dietary recalls) and HRQoL questionnaires (Short Form-36 [SF-36] mental [MCS] and physical component scores [PCS] and European QoL-5 Dimensions [EQ5D] health state [HSS] and visual analogue scores [VAS]) were performed at baseline, 6 and 12 months. Mean age was 64(14) years. Malnutrition was present in 37% of the population. At baseline, malnutrition assessed by SGA was the only factor independently (and negatively) associated with all four measures of HRQoL. No single factor was independently associated with decrease in all measures of HRQoL over 1 year. However, prevalence/development of malnutrition over one year was an independent predictor of 1-year decrease in EQ5D HSS and 1-year decrease in fat intake independently predicted the 1-year decline in SF-36 MCS and PCS, and EQ5D VAS. These findings strengthen the importance of monitoring for malnutrition and providing nutritional advice to all persons on dialysis. Future studies are needed to evaluate the impact of nutritional interventions on HRQoL and other long-term outcomes.

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