Retrospective Cohort Study to Assess Outcomes, Cost-Effectiveness, and Patient Satisfaction in Primary Vaginal Ovarian Cystectomy versus the Laparoscopic Approach

2016 ◽  
Vol 23 (2) ◽  
pp. 252-256 ◽  
Author(s):  
Wai Yoong ◽  
Michael G. Fadel ◽  
Sophie Walker ◽  
Sophie Williams ◽  
Beena Subba
Keyword(s):  
Cohort Study ◽  
Patient Satisfaction ◽  
Cost Effectiveness ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Laparoscopic Approach ◽  
Ovarian Cystectomy

Primary laparoscopic approach to repair perforated peptic ulcer. A retrospective cohort study

2020 ◽  
Vol 75 (6) ◽  
Author(s):  
Gianrocco Manco ◽  
Stefania Caramaschi ◽  
Giovanni Rolando ◽  
Marzio Malagoli ◽  
Giuliana Zanelli ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Laparoscopic Approach ◽  
Perforated Peptic Ulcer

scholarly journals How effective and cost-effective is water fluoridation for adults? Protocol for a 10-year retrospective cohort study

BDJ Open ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Deborah Moore ◽  
Thomas Allen ◽  
Stephen Birch ◽  
Martin Tickle ◽  
Tanya Walsh ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cost Effectiveness ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Dental Treatment ◽  
Age Groups ◽  
Cost Effective ◽  
Tooth Decay ◽  
Service Utilisation ◽  
Water Fluoridation

Abstract Background Tooth decay can cause pain, sleepless nights and loss of productive workdays. Fluoridation of drinking water was identified in the 1940s as a cost-effective method of prevention. In the mid-1970s, fluoride toothpastes became widely available. Since then, in high-income countries the prevalence of tooth decay in children has reduced whilst natural tooth retention in older age groups has increased. Most water fluoridation research was carried out before these dramatic changes in fluoride availability and oral health. Furthermore, there is a paucity of evidence in adults. The aim of this study is to assess the clinical and cost-effectiveness of water fluoridation in preventing invasive dental treatment in adults and adolescents aged over 12. Methods/design Retrospective cohort study using 10 years of routinely available dental treatment data. Individuals exposed to water fluoridation will be identified by sampled water fluoride concentration linked to place of residence. Outcomes will be based on the number of invasive dental treatments received per participant (fillings, extractions, root canal treatments). A generalised linear model with clustering by local authority area will be used for analysis. The model will include area level propensity scores and individual-level covariates. The economic evaluation will focus on (1) cost-effectiveness as assessed by the water fluoridation mean cost per invasive treatment avoided and (2) a return on investment from the public sector perspective, capturing the change in cost of dental service utilisation resulting from investment in water fluoridation. Discussions There is a well-recognised need for contemporary evidence regarding the effectiveness and cost-effectiveness of water fluoridation, particularly for adults. The absence of such evidence for all age groups may lead to an underestimation of the potential benefits of a population-wide, rather than targeted, fluoride delivery programme. This study will utilise a pragmatic design to address the information needs of policy makers in a timely manner.

scholarly journals Patient Satisfaction and Hand Performance Following Fingertip Reconstruction: A Retrospective Cohort Study

2017 ◽  
Vol 02 (01) ◽  
pp. e78-e82
Author(s):  
Daisuke Kaji ◽  
Shohei Omokawa ◽  
Akito Nakanishi ◽  
Kenji Kawamura ◽  
Takamasa Shimizu ◽  
...  
Keyword(s):  
Cohort Study ◽  
Patient Satisfaction ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Pinch Strength ◽  
Digital Artery ◽  
Flap Surgery ◽  
Performance Score ◽  
Hand Performance ◽  
Fingertip Reconstruction

Introduction Hand performance tests that evaluate hand dexterity and use in daily living have been frequently used to evaluate outcomes in patients with various hand disorders but not in patients with fingertip injuries. The present study aimed to evaluate patient satisfaction and hand performance following digital artery flap reconstruction for fingertip injury and identify factors associated with these outcomes. Methods This retrospective cohort study included 25 patients with amputation injuries at our institution between 2003 and 2013. Patients with amputations at the Tamai 1 or 2 zone of their index (14 patients) or middle finger (11 patients) who underwent digital artery flap surgery and were followed up for > 1 year were included. Follow-up evaluations were conducted at an average of 44 months postoperatively (range, 12–105 months). The primary outcomes were patient satisfaction and hand performance determined by a 4-grade Likert scale and the Purdue Pegboard test, respectively. Secondary outcomes were recovery of sensitivity measured by Semmes–Weinstein monofilaments, total active finger motion (TAM), and tip pinch strength. Results There were no postoperative complications. Patient satisfaction was rated as fair, good, and excellent, in 1, 15, and 9 patients, respectively. The average hand performance test scores were significantly lower in the affected finger than the adjacent finger (22 vs. 30, respectively; p < 0.05). The mean ± standard deviation (SD) sensitivity test score was 3.5 ± 1.6 (range, 2.4–4.0). The average percentage TAM and tip pinch strength compared with the contralateral hand were 82 (range, 45–100%) and 82% (range, 60–112%), respectively. The hand performance score significantly correlated with the recovery of sensitivity and age (r = – 0.42 and 0.43, respectively; both p < 0.05). Patient satisfaction was significantly correlated with TAM (r = 0.42, p < 0.05) and tended to correlate with the recovery of sensitivity (r = – 0.395, p = 0.051). Conclusion Although reconstructed fingers had a lower performance score than the adjacent fingers, patient satisfaction with flap surgery was relatively high. Recovery of finger sensitivity contributed to patient satisfaction and enhanced dexterity of motor skill activities following fingertip reconstruction.

Complications Associated With Midline Incision for Insertional Achilles Tendinopathy

2020 ◽  
Vol 41 (12) ◽  
pp. 1502-1509 ◽  
Author(s):  
Hubert Hörterer ◽  
Sebastian Felix Baumbach ◽  
Sonja Oppelt ◽  
Wolfgang Böcker ◽  
Norbert Harrasser ◽  
...  
Keyword(s):  
Cohort Study ◽  
Patient Satisfaction ◽  
Complication Rate ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Achilles Tendinopathy ◽  
Midline Incision ◽  
Minor Complication ◽  
Insertional Achilles Tendinopathy

Background: The midline-incision trans-achillary approach (MITA) is frequently used for addressing all pathologies of insertional Achilles tendinopathy (IAT). The aim of this study was to assess the complication rate and possible influencing factors following a MITA for IAT treatment. Methods: Presented is a retrospective cohort study with current follow-up. Patients treated surgically by a MITA, addressing all pathologies of IAT, between January 2010 and October 2016 at a single reference center with at least 12 months of follow-up were included. General demographics (age, sex, and body mass index), medical history, surgical details (individual and sum of pathologies addressed), and duration of in-hospital stay were assessed. Patient satisfaction, shoe conflict, current employment status, time to return to sports, and type of sports were recorded using a custom questionnaire. Standard statistics, chi-square, and t tests were performed using SPSS. A total of 118 patients (follow-up, 63.4%) with a mean age (± SD) of 50 ± 12 years and a mean final follow-up time (± SD) of 4.2 ± 2.1 were included. Results: Fourteen percent of patients had a minor complication, the majority (75%) of which were surgical site infections. Forty-one percent were limited in their shoe selection, and 32% reported a shoe conflict. Seventy-eight percent were very satisfied, and 89% would recommend the surgery. Neither the individual surgical procedures, their sum, nor any other parameter showed a significant influence on the complication rate. The only factor negatively affecting patient satisfaction was a shoe conflict ( P < .001). Conclusion: The MITA for IAT treatment showed a moderate minor complication rate with good midterm patient satisfaction. However, the approach might predispose patients to shoe conflict, which negatively influences their satisfaction. Level of Evidence: Level IV, retrospective cohort study.

scholarly journals Patient satisfaction and amenorrhea rate after endometrial ablation by ThermaChoice III or NovaSure: a retrospective cohort study

2015 ◽  
Vol 12 (2) ◽  
pp. 81-87 ◽  
Author(s):  
I. Muller ◽  
J. van der Palen ◽  
D. Massop-Helmink ◽  
R. Vos-de Bruin ◽  
J. M. Sikkema
Keyword(s):  
Cohort Study ◽  
Patient Satisfaction ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Endometrial Ablation
Sign in / Sign up

Export Citation Format

Share Document