Chronic abdominal wall pain in referral practice: long-term outcome

Objective Primary aldosteronism (PA) is the most common endocrine form of arterial hypertension. The German Conn’s Registry’s purpose is to improve treatment outcomes of PA. We assessed whether key clinical, biochemical and epidemiological characteristics of newly diagnosed PA cases have changed over time, potentially indicating a different screening and referral practice in Germany evolving from 2008 to 2016. Design The German Conn’s Registry is a multicenter database prospectively analyzing morbidity and long-term outcome of patients with PA. Methods Phenotypic changes between three year periods were calculated using Mann–Whitney U tests and Kruskal–Wallis tests for independent variables. Results Over three time periods from 2008 to 2016, we noted a relative decrease of unilateral PA cases (67 vs 43%). Significantly more females were diagnosed with PA (33 vs 43%). Median daily defined drug doses decreased (3.1 vs 2.0) in the presence of unchanged SBP (150 vs 150 mmHg), plasma aldosterone (199 vs 173 ng/L) and PRC (3.2 vs 3.2 U/L). Median ARR values decreased (70 vs 47 ng/U) and median potassium levels at diagnosis (3.5 vs 3.7 mmol/L) increased as the percentage of normokalemic patients (25 vs 41%), indicating milder forms of PA. Conclusions Our results are in accordance with an increased screening intensity for PA. We identified a trend toward diagnosing milder forms, increasingly more females and less unilateral cases of PA.

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Combined submuscular tissue expansion and anterior component separation technique for abdominal wall reconstruction: Long-term outcome analysis

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2017.01.018 ◽

2017 ◽

Vol 70 (6) ◽

pp. 752-758 ◽

Cited By ~ 2

Author(s):

Brendan Alleyne ◽

Cemile Nurdan Ozturk ◽

Antonio Rampazzo ◽

Jeffrey Johnson ◽

Raffi Gurunluoglu

Keyword(s):

Abdominal Wall ◽

Abdominal Wall Reconstruction ◽

Tissue Expansion ◽

Component Separation ◽

Separation Technique ◽

Outcome Analysis ◽

Term Outcome ◽

Long Term Outcome ◽

Anterior Component Separation

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Long-term Follow-up of Trigger Point Injections for Abdominal Wall Pain

Canadian Journal of Gastroenterology ◽

10.1155/2005/274181 ◽

2005 ◽

Vol 19 (9) ◽

pp. 561-565 ◽

Cited By ~ 27

Author(s):

Jose Nazareno ◽

Terry Ponich ◽

Jamie Gregor

Keyword(s):

Abdominal Pain ◽

Abdominal Wall ◽

Diagnostic Tests ◽

Primary Outcome ◽

Trigger Point ◽

Long Term Outcome ◽

Abdominal Wall Pain ◽

Secondary Analyses

OBJECTIVE: Abdominal wall pain (AWP) is a common yet often overlooked source of abdominal pain. Trigger point injections (TPI) into the abdominal wall have been tried in the past. Few studies have looked at the long-term outcome from these injections.METHODS: A retrospective chart review was performed on 110 consecutive patients who received TPI for abdominal pain at the University of Western Ontario, London, Ontario. Outcomes from patients whose pain was due to AWP were determined. AWP was defined as fixed or localized pain and superficial or point tenderness (less than 2.5 cm diameter) or a positive Carnett sign (increased pain with tensing abdomen). The primary outcome was long-term efficacy of TPI. The number of diagnostic tests ordered to exclude AWP and the cost of investigating it were determined. Secondary analyses were done to determine if there were significant predictors of response to TPI.RESULTS: Eighty-nine of 110 patients who received TPI met the criteria for AWP. In those who met the criteria for AWP, the average age was 42 years, 84% were female, and the average length of follow-up was 25 months. The primary outcome shows that, at follow-up, 77% had some or complete relief and 23% had no relief. An average of 4.3 diagnostic tests per patient were ordered to exclude other causes of abdominal pain. Secondary analyses show that meeting the criteria for AWP ( P<0.0005), the absence of gastrointestinal symptoms ( P<0.025), and an upper abdominal location of pain ( P<0.025) were statistically significant predictors of a positive response to TPI.CONCLUSIONS: This study demonstrates that TPI, in patients who meet criteria for AWP, are effective over the long term.

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LONG-TERM OUTCOME OF SUBCUTANEOUSLY PRESERVED AUTOLOGOUS CRANIOPLASTY

Neurosurgery ◽

10.1227/01.neu.0000350870.69891.86 ◽

2009 ◽

Vol 65 (3) ◽

pp. 505-510 ◽

Cited By ~ 41

Author(s):

Alireza Shoakazemi ◽

Thomas Flannery ◽

Robert Scott McConnell

Keyword(s):

Glasgow Coma Scale ◽

Abdominal Wall ◽

Decompressive Craniectomy ◽

Glasgow Coma Scale Score ◽

Bone Flap ◽

Term Outcome ◽

Long Term Outcome ◽

The Mean

Abstract OBJECTIVE Decompressive craniectomy for intracranial hypertension mandates later cranioplasty. Autologous cranioplasties can be preserved either by freezing or placement in a subcutaneous pocket. There are few data on the long-term follow-up of patients treated in such a fashion. METHODS A retrospective study was conducted on 100 consecutive patients who underwent decompressive craniectomy and placement of the bone flap in a subcutaneous pocket in the abdominal wall between 2000 and 2005. Initial diagnosis, Glasgow Coma Scale score on admission, complications, and Glasgow Outcome Score were recorded. RESULTS Of the 100 patients who underwent autocranioplasty, the primary diagnosis was traumatic brain injury (76%), subarachnoid hemorrhage (17%), primary intracerebral hemorrhage (3%), and tumor (4%). The mean age of the sample was 39 years (age range, 10–72 years). The mean follow-up duration was 25 months. The average Glasgow Coma Scale score on admission was 7. Eight patients died before replacement of the bone flap. The average time between craniectomy and replacement of bone flap was 42 days. The mean Glasgow Outcome Score was 4 at the time of the 1-year follow-up evaluation. Seven of the 79 patients (9%) for whom 1-year review data were available had a cosmetic result that was unacceptable and required removal of the flap (bone flap infections in 5 patients, unacceptable bone flap resorption in 2 patients) CONCLUSION Our study indicates that storage of a cranioplasty flap in a subcutaneous pouch in the abdominal wall has a favorable long-term outcome.

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