Agreement between IBD patients' self-report and chart reviews on key clinical characteristics

2001 ◽  
Vol 120 (5) ◽  
pp. A234-A234
Author(s):  
R HILSDEN ◽  
M VERHOEF ◽  
A BEST ◽  
R ENNS
Keyword(s):  
Clinical Characteristics ◽  
Self Report

scholarly journals Evaluation of the quality of life of patients with oral cancer in Brazil

2006 ◽  
Vol 20 (4) ◽  
pp. 290-296 ◽  
Author(s):  
Fabiana Paula de Andrade ◽  
José Leopoldo Ferreira Antunes ◽  
Marcelo Doria Durazzo
Keyword(s):  
Quality Of Life ◽  
Oral Cancer ◽  
Clinical Characteristics ◽  
Posterior Part ◽  
Self Report ◽  
Life Questionnaire ◽  
Longitudinal Assessment ◽  
The Impact

This study performed a field trial of a Portuguese version of the University of Washington quality of life questionnaire (UW-QOL, 3rd version), aiming at appraising its ability to identify different patterns of health-related quality of life of patients with oral cancer in Brazil. Patients (N = 100) were interviewed as they were undergoing treatment for oral squamous cell carcinoma at a large Brazilian hospital ("Hospital das Clínicas", School of Medicine, University of São Paulo). The results were compared based on categories of socio-demographic and clinical characteristics of the patients. At a one-year follow-up, 20 patients had died, and 24 were considered dropouts. The remaining patients accounted for the longitudinal assessment of modifications in the self report of quality of life. Patients with larger tumours and neoplasms in the posterior part of the mouth presented significantly (p < 0.05) poorer indications of quality of life. Chewing was the poorest rated domain (35.0/100.0), and presented the highest proportion of complaints both at the baseline and at the follow-up assessments. The questionnaire allowed the identification of important contrasts (while comparing clinical characteristics) and similarities (while comparing socio-demographic status) among subsets of respondents, and it can contribute to reduce the impact of treatments and improve subsequent patient management.

Agreement between IBD patients' self-report and chart reviews on key clinical characteristics

2001 ◽  
Vol 120 (5) ◽  
pp. A234 ◽  
Author(s):  
Robert J. Hilsden ◽  
Marja J. Verhoef ◽  
Alan Best ◽  
Robert Enns
Keyword(s):  
Clinical Characteristics ◽  
Self Report

Adherence Rates and Associations with Nonadherence in Patients with Rheumatoid Arthritis Using Disease Modifying Antirheumatic Drugs

2009 ◽  
Vol 36 (10) ◽  
pp. 2164-2170 ◽  
Author(s):  
BART J.F. van den BEMT ◽  
FRANK H.J. van den HOOGEN ◽  
BART BENRAAD ◽  
YECHIEL A. HEKSTER ◽  
PIET L.C.M. van RIEL ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Risk Factors ◽  
Side Effects ◽  
Clinical Characteristics ◽  
Coping Styles ◽  
Self Report ◽  
Disease Modifying Antirheumatic Drugs ◽  
Antirheumatic Drugs ◽  
Potential Risk Factors ◽  
Disease Modifying

Objective.Nonadherence in patients with rheumatoid arthritis (RA) using disease modifying antirheumatic drugs (DMARD) may result in unnecessarily high levels of disease activity and function loss. The aim of this descriptive study was to assess adherence rates with self-report measures in a large random population, and to identify potential risk factors for nonadherence.Methods.A randomly selected sample of 228 patients with RA using DMARD was invited for a standardised interview. For each medicine, the patients were asked about adherence, consumption and perceived (side) effects. After the interview, the patients received self-report questionnaires to assess adherence [Compliance Questionnaire on Rheumatology (CQR) and the Medication Adherence Scale (MARS)], coping, beliefs about medicines, satisfaction about medicine information, and physical functioning. Subsequently, associations between adherence and demographics, clinical characteristics, and patient attitudes were examined.Results.Depending on the instrument used, 68% (CQR) and 60% (MARS) of the patients were adherent to DMARD. Nonadherence was not associated with demographic and clinical characteristics, satisfaction about information, medication concerns, and coping styles. The disease duration, the number of perceived side-effects, and beliefs about the necessity of the medicine were weakly associated with adherence.Conclusion.In this large study with a random RA population, 32%–40% of the patients did not adhere to their DMARD prescription. As none of the possible risk factors was strongly related to adherence, no general risk factor seems to be powerful enough as a possible screening tool or target for adherence-improving interventions. This implies that nonadherence barriers should be assessed on an individual basis.

scholarly journals Clinical Characteristics of Adolescents Undergoing Psychotherapy.

2021 ◽  
Author(s):  
E. Tsamadou ◽  
Polychronis Voultsos ◽  
A. Emmanouilidis ◽  
E. Demertzi ◽  
G. Ampatzoglou
Keyword(s):  
Mental Disorders ◽  
Sleep Disorders ◽  
Clinical Characteristics ◽  
Underlying Disease ◽  
Tertiary Hospital ◽  
Outpatient Setting ◽  
Child And Adolescent Psychiatry ◽  
Drop Out ◽  
Self Report ◽  
Cross Sectional

Abstract Background: Adolescents with mental disorders often have difficulty engaging in ongoing treatment. Drop out from treatment is common.Aim: This paper aims to explore the clinical characteristics of adolescents with mental disorders who were stably and actively undergoing psychotherapy over a long period of time.Method: A single-centre cross-sectional cohort survey was conducted. A sample of fifty participants was recruited from the Child and Adolescent Psychiatry outpatient setting of a tertiary hospital of Thessaloniki, the second largest city in Greece. An intelligence test (Wechsler Intelligence Scale for Children, WISC III) and a self-report measure of depression (Beck Depression Inventory, BDI II) were used. All the participants underwent a rigorous clinical assessment of their mental health status in both initial and ongoing psychotherapy. The initial diagnosis was reconfirmed during the course of therapy. Mental disorders were defined and diagnosed using the ICD-10 (1992) (International Classification of Diseases).Results: The largest percentage of adolescents (44,9%) were found to suffer from mood (affective) disorders, while 20,4% suffered from neurotic disorders. We also high prevalences of pessimism (32,7%), reduction of energy (28,6%) and difficulty in concentration (32,7%). A total of 22,4% of adolescents reported sleep disorders. A limited interest in sex was noted, which was in contrast with international and Greek data, where interest and experimentation around sex seems to preoccupy a high percentage of adolescents. Furthermore, sleep disorders, either as a symptom of an underlying disease or as an independent clinical condition, seem to preoccupy adolescents, and this may be a motive for them to seek treatment.Conclusion: For the most part, the findings of this study were consistent with the findings of prior studies; however, previous studies did not exclusively include adolescents engaging in ongoing psychotherapy. As we identified some inconsistencies with prior studies related to interest in sex and sleep disorders, further research is recommended for the investigation of possible correlations between these findings and ongoing psychotherapy engagement rates.

scholarly journals Psychological Characteristics of Patients with Takotsubo Syndrome and Patients with Acute Coronary Syndrome: An Explorative Study toward a Better Personalized Care

2022 ◽  
Vol 12 (1) ◽  
pp. 38
Author(s):  
Alessandra Gorini ◽  
Federica Galli ◽  
Mattia Giuliani ◽  
Antonia Pierobon ◽  
José Pablo Werba ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Cardiac Event ◽  
Clinical Characteristics ◽  
Traumatic Event ◽  
Self Report ◽  
Takotsubo Syndrome ◽  
Personalized Care ◽  
Coronary Syndrome ◽  
Acute Cardiac Event ◽  
The Impact

During an acute cardiac event, Takotsubo Syndrome (TTS) and Acute Coronary Syndrome (ACS) apparently share very similar clinical characteristics. Since only a few inconsistent studies have evaluated the psychological features that characterize these different patients, the aim of the present explorative research was to investigate if post-recovery TTS and ACS patients present different psychological profiles. We also investigated whether the occurrence of acute psychological stressful episodes that had occurred prior to the cardiac event could be found in either syndrome. Twenty TTS and twenty ACS female patients were recruited. All patients completed self-report questionnaires about anxiety and depressive symptoms, perceived stress, type-D personality and post-traumatic symptoms. Results showed that only three subscales of health anxiety (i.e., Fear of Death/Diseases, Interference and Reassurance) significantly differed between the two groups, while no differences were found in the other psychological measurements. Moreover, personality traits seem to not be associated with the impact of the cardiac traumatic event. Finally, only TTS patients reported the presence of a significant emotional trigger preceding the acute cardiac event. In conclusion, post-recovery TTS patients differ from ACS patients in their level of concern about their health and in their need of reassurance and information only, probably as a result of the different clinical characteristics of the two illnesses.

scholarly journals Super and Non-responders To Catheter Ablation for Atrial Fibrillation: A Quality-of-Life Assessment Using Patient Reported Outcomes

2021 ◽  
Author(s):  
Medhat Farwati ◽  
Oussama M. Wazni ◽  
Khaldoun G. Tarakji ◽  
Mohamed Diab ◽  
Anna Scandinaro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Patient Reported Outcomes ◽  
Clinical Characteristics ◽  
Self Report ◽  
Life Assessment ◽  
Clinical Recurrence ◽  
Af Ablation ◽  
Patient Reported

Background - Atrial fibrillation (AF) ablation targets improvement in quality of life (QoL). Data is scarce on predictors of QoL improvement following ablation. We aimed to investigate the clinical characteristics underlying differential response in QoL after AF ablation (with or without arrhythmia recurrence). Methods - All patients undergoing AF ablation (2013-2016) at our center were prospectively enrolled in a fully automated patient-reported outcomes registry. A large number of variables were collected including AF symptom severity scale (AFSSS) and AF burden (as indicated by AF frequency and duration scores). Patients were divided into 3 groups based on self-report of QoL improvement: remarkable (super responders), mild/moderate, and unchanged or worse (non-responders). Univariable and multivariable logistic regression models assessed clinical characteristics and QoL outcomes. Results - A total of 956 patients were included (25% females, mean age 63.9). Most patients (~80%) were super responders (n=761), 138 (14.4%) had mild/moderate improvement, and 57 (5.9%) were non-responders. The strongest predictors of remarkable QoL improvement were freedom of arrhythmia recurrence (OR 2.42, 95% CI 1.27-4.59, p-value = 0.007), and lower AF burden at 12 months. Similarly, higher AF burden was significantly associated with clinical "non-response". In patients with observed clinical recurrence-QoL mismatch, changes in AF burden at 12 months were the main predictors of QoL outcome, with lower burden predicting higher improvement in QoL and vice versa. Conclusions - Most patients derive significant QoL benefit from AF ablation. Freedom from arrhythmia recurrence and lower AF burden predict remarkable QoL improvement following ablation.

Clinical characteristics and functions of non-suicide self-injury in youth

2014 ◽  
Vol 29 (8) ◽  
pp. 503-508 ◽  
Author(s):  
O. Rodav ◽  
S. Levy ◽  
S. Hamdan
Keyword(s):  
Mental Health ◽  
Emotion Regulation ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Clinical Characteristics ◽  
Social Influences ◽  
Self Report ◽  
Community Settings ◽  
The Past ◽  
Self Injury

AbstractPurposeLittle is known about the clinical characteristics and motivations for engaging in non-suicide self-injury (NSSI) behaviors in adolescence. The aim of this study was to examine the prevalence, characteristics and functions of NSSI among adolescents in community settings, and to explore risk factors related to this behavior.Subjects and methodsTwo hundred and seventy-five adolescents aged 12 to 17 were recruited randomly from different High Schools in Israel. They completed self-report questionnaires assessing NSSI (Ottawa Self-Injury Inventory), depression (Children's Depression Inventory – CDI) and impulsivity (Barratt Impulsiveness Scale – BIS-II).ResultsIn the past year, 20.7% of the participants reported engaging NSSI at least once. Among them, 42.1% declared they are still engaging in NSSI at the present. Motives for NSSI were internal emotion regulation reasons, external emotion regulation reasons for social influences. In addition, the NSSI group reported significantly higher levels of depressive, impulsivity and suicidal ideations. Depressive symptoms were found as significant predictors of NSSI in the future.Discussion and conclusionsHigh rates of NSSI among community adolescents were found. Depression, impulsivity and suicidal ideation were found significantly related to NSSI. Mental health professionals in schools and in primary care should routinely assess NSSI among adolescents.

scholarly journals Perioperative cannabis use: a longitudinal study of associated clinical characteristics and surgical outcomes

2020 ◽  
pp. rapm-2020-101812
Author(s):  
Jenna McAfee ◽  
Kevin F Boehnke ◽  
Stephanie M Moser ◽  
Chad M Brummett ◽  
Jennifer F Waljee ◽  
...  
Keyword(s):  
Surgical Outcomes ◽  
Clinical Characteristics ◽  
Sleep Disturbances ◽  
Clinical Symptoms ◽  
Elective Surgery ◽  
Cannabis Use ◽  
Self Report ◽  
Opioid Use ◽  
Benzodiazepine Use ◽  
Pain Symptoms

BackgroundDespite increases in cannabis use generally and for pain management, data regarding cannabis use in patients undergoing surgery are lacking. This study examined the prevalence of cannabis use among patients undergoing elective surgery and explored differences in clinical characteristics and surgical outcomes between cannabis users and non-cannabis users.MethodsThis prospective study included 1335 adults undergoing elective surgery. Participants completed self-report questionnaires preoperative and at 3-month and 6-month postsurgery to assess clinical characteristics and surgical outcomes.ResultsOverall, 5.9% (n=79) of patients reported cannabis use (53.2% medical, 19.0% recreational and 25.3% medical and recreational). On the day of surgery, cannabis users reported worse pain, more centralized pain symptoms, greater functional impairment, higher fatigue, greater sleep disturbances and more symptoms of anxiety and depression versus non-cannabis users (all p<0.01). Additionally, a larger proportion of cannabis users reported opioid (27.9%) and benzodiazepine use (19.0%) compared with non-cannabis users (17.5% and 9.2%, respectively). At 3 and 6 months, cannabis users continued to report worse clinical symptoms; however, both groups showed improvement across most domains (p≤0.05). At 6 months, the groups did not differ on surgical outcomes, including surgical site pain (p=0.93) or treatment efficacy (p=0.88).ConclusionsCannabis use is relatively low in this surgical population, yet cannabis users have higher clinical pain, poorer scores on quality of life indicators, and higher opioid use before and after surgery. Cannabis users reported similar surgical outcomes, suggesting that cannabis use did not impede recovery.

Clinical characteristics of adults with Asperger's Syndrome assessed with self-report questionnaires

2011 ◽  
Vol 5 (1) ◽  
pp. 185-190 ◽  
Author(s):  
Chieko Kanai ◽  
Akira Iwanami ◽  
Haruhisa Ota ◽  
Hidenori Yamasue ◽  
Eisuke Matsushima ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Asperger's Syndrome ◽  
Asperger’S Syndrome ◽  
Self Report

Attitudes and preferences toward fecal microbiota transplantation among patients with cancer

2020 ◽  
Author(s):  
Rujun Zheng ◽  
Zhiying Yue ◽  
Yan Fu ◽  
Qiufen Xiang ◽  
Jiang Zhu ◽  
...  
Keyword(s):  
Adverse Effects ◽  
Clinical Characteristics ◽  
Fecal Microbiota Transplantation ◽  
Healthcare Providers ◽  
Tumor Stage ◽  
Fecal Microbiota ◽  
Self Report ◽  
Cancer Center ◽  
West China Hospital ◽  
Patients With Cancer

Abstract Background: To investigate the attitudes and preferences toward fecal microbiota transplantation (FMT) among patients with cancer, during anti-tumor treatment in the hospital.Methods: A self-report questionnaire was administered to survey 101 patients with cancer at the Cancer Center of West China Hospital during their hospitalization and treatment. The patients were asked about their willingness to undergo FMT, and their preferences and attitudes regarding the donor, route, expenditure, and possible adverse effects. Results: Most of the patients were willing to accept FMT. Patients with younger adults (OR = 0.92, 95% CI = 0.853-0.985, P = 0.018), a higher educational level (OR, 0.24; 95% CI, 0.101-0.576; P = 0.001) and later tumor stage (OR, 0.18; 95% CI, 0.058-0.568; P = 0.003) were more likely to select FMT as a treatment option. PS score was one of the most important factors that affecting the patients’ choice of donor for FMT (χ2 = 8.69, P = 0.013), willingness to pay for FMT (χ2 = 13.02, P = 0.005), and concerns about adverse effects for FMT (χ2 = 12.18, P = 0.002). Conclusions: Clinical characteristics of patients with cancer may influence whether they choose FMT as therapy, and if willing, attitudes regarding donor, route, expenditure, and adverse effects. Nurses and other healthcare providers should assess the demographic and clinical characteristics of patients with cancer to help them make appropriate medical decisions.

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