scholarly journals Overlooked Long-Term Complications of Colorectal Surgery

2019 ◽  
Vol 32 (03) ◽  
pp. 204-211 ◽  
Author(s):  
Matthew Giglia ◽  
Sharon Stein
Keyword(s):  
Quality Of Life ◽  
Colorectal Surgery ◽  
Treatment Strategies ◽  
Autonomic Nerve ◽  
Complication Rates ◽  
Low Anterior Resection Syndrome ◽  
Colon And Rectum ◽  
Surgical Field ◽  
The Impact

AbstractWhile colorectal surgery has been documented to have some of the highest complication rates in the surgical field, some of the more common, functional complications are often overlooked in the literature and in discussion with patients. Urinary, sexual, and defecatory dysfunction are common after colorectal surgery, especially after pelvic dissections, and may severely impact the postoperative quality of life for patients. These complications include urinary retention, erectile dysfunction, retrograde ejaculation, dyspareunia, infertility, and low anterior resection syndrome. The majority is rooted in autonomic nerve damage, both sympathetic and parasympathetic, that occurs during mobilization and resection of the sigmoid colon and rectum. While not all of these postoperative complications are preventable, treatment strategies have been developed to ameliorate the impact on quality of life. Given the high incidence and direct effect on patients, clinicians should be familiar with the etiology, prevention, and treatment strategies of these complications to provide the highest quality of care.

Introduction: The Impact of Continuous Levodopa Infusion in the Treatment of Parkinson's Disease

CNS Spectrums ◽  
2008 ◽  
Vol 13 (S7) ◽  
pp. 3-3 ◽  
Author(s):  
Erik Wolters
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Treatment Strategies ◽  
Resting Tremor ◽  
Endogenous Dopamine ◽  
Dopamine Signaling ◽  
The Impact ◽  
Dopaminergic Stimulation

Parkinson's disease was first described in 1817 by James Parkinson. Based on his observation of only six individuals, Parkinson accurately described the resting tremor and festinate gait, bradykinesia, and postural instability associated with the disease today. Parkinson's disease primarily affects people >50 years of age and causes progressive neurological degeneration, physical disability, and worsening quality of life.Consequently, most currently available drugs aim to restore striatal dopamine signaling. This can be best reached by increasing the supply of dopamine with oral levodopa (L-dopa), but also by stimulating dopamine receptors directly using dopamine agonists, or by inhibiting the reuptake of endogenous dopamine. Unfortunately, mainly due to the short half-life of L-dopa and the erratic absorption of oral L-dopa (causing pulsatile dopaminergic stimulation) these treatment strategies become increasingly ineffective in the course of this disease, and motor complications may further reduce the quality of life in these patients.

scholarly journals Knowledge, Attitude and Behavior of Women toward Abnormal Menstrual Bleeding and Its Impact on Quality of Life

2015 ◽  
Vol 7 (1) ◽  
pp. 5-9
Author(s):  
Harpreet Kaur ◽  
Sushmita Sharma ◽  
SPS Goraya
Keyword(s):  
Quality Of Life ◽  
Treatment Strategies ◽  
Abnormal Uterine Bleeding ◽  
Menstrual Bleeding ◽  
Treatment Modalities ◽  
Patient’S Satisfaction ◽  
Abnormal Bleeding ◽  
And Behavior ◽  
The Impact

ABSTRACT Abnormal menstrual bleeding (AMB) is a common gynecological complaint. It may have serious repercussions on women's quality of life. Most of the studies on abnormal menstrual bleeding focus on the quantity of blood loss with little emphasis on the effect, it has on the quality of women's life. Recent research in the area of abnormal menstrual bleeding has recognized the importance of the ‘patient experience’ as an outcome that should be measured. So, it is very important to know about women's perception about the problem so that the healthcare professional can provide them appropriate care. The present study was undertaken to assess effect of AMB on various aspects of women's life and to assess their knowledge toward causes and management of AMB and its health impacts. Though majority of women know about abnormal bleeding as something serious, but still they lack in depth understanding of its consequences and various treatment modalities available. Significance for public research The article gives us valuable inputs regarding patient's viewpoint about abnormal uterine bleeding. Knowing the patients perceptions, their attitude toward abnormal menstrual bleeding and various social factors affecting it may be very helpful for the health professionals and researchers in knowing the impact of abnormal bleeding on quality of life and hence selecting the treatment strategies that will improve patient's satisfaction. How to cite this article Kaur H, Sharma S, Goraya SPS. Knowledge, Attitude and Behavior of Women toward Abnormal Menstrual Bleeding and Its Impact on Quality of Life. J South Asian Feder Obst Gynae 2015;7(1):5-9.

Risk-reducing surgery by skin-sparing mastectomy (SSM) and immediate implant-based reconstruction with and without titanized meshes and quality of life.

2012 ◽  
Vol 30 (27_suppl) ◽  
pp. 48-48
Author(s):  
Mahdi Rezai ◽  
Andre Scherag ◽  
Stefanie Kessel ◽  
Rainer Kimmig ◽  
Peter Kern
Keyword(s):  
Quality Of Life ◽  
Breast Reconstruction ◽  
Positive Impact ◽  
Reduction Mammaplasty ◽  
Complication Rates ◽  
Immediate Reconstruction ◽  
The Impact ◽  
Risk Reducing ◽  
Tiloop Bra

48 Background: The impact of risk-reducing surgery with skin sparing mastectomy and immediate reconstruction on quality of life using new textured implants and titanized meshes (Tiloop bra) has not beed evaluated by standardized quality of life questionnaires (EORTC) with regards to surgery-related morbidity and patients' satisfaction. Methods: This large case cohort trial (n=197) evaluates safety, aesthetic outcome and patient's satisfaction with immediate reconstruction with and without the use of titanized a mesh versus a corial flap after SSM. Results: This large retrospective case cohort trial analysed 197 skin sparing mastectomies (SSM) in 161 patients (45 bilateral cases) and immediate breast reconstruction (IBR). We used a double-plane technique covering the implant by the submuscular pouch in its cranial half and a corial-fat-flap or titanized mesh (Tiloop bra) for covering its lower pole or a de-epithelized corial flap in breasts with macromastia following an inferior-pedicled reduction mammaplasty pattern according to Ribeiro in the modification of Rezai. Conclusions: 163 women, with a median age of 41 years, with a total of 197 SSMs were evaluated. The majority did not experience pain and expressed satisfaction with volume, symmetry, aesthesis and quality of life in general. Partner interaction after breast reconstruction was normal. The use of titanized meshes was perceived as favourable with regards to better fitting of the breast in the bra and clothing and yielded low complication rates. The rating of patients in terms of self-perception after the reconstruction was good. Immediate reconstruction has a significant positive impact and gives the patient a considerable physical and psychological support.The oncological safety of the method is high with 2 recurrences only in this cohort of 163 women (1.2% ) and a follow-up of up to 6 years.

The impact of colorectal surgery on health-related quality of life in older functionally dependent patients with cancer – A longitudinal follow-up study

2019 ◽  
Vol 10 (5) ◽  
pp. 724-732 ◽  
Author(s):  
Esteban T.D. Souwer ◽  
Simone Oerlemans ◽  
Lonneke V. van de Poll-Franse ◽  
Felice N. van Erning ◽  
Frederiek van den Bos ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Colorectal Surgery ◽  
Health Related Quality ◽  
Patients With Cancer ◽  
Follow Up Study ◽  
Related Quality ◽  
Health Related ◽  
The Impact

scholarly journals Health-Related Quality of Life after Cystectomy and Urinary Diversion for Bladder Cancer

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Cheryl Shih ◽  
Michael P. Porter
Keyword(s):  
Quality Of Life ◽  
Bladder Cancer ◽  
Urinary Diversion ◽  
Future Research ◽  
Complication Rates ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Impact

With multiple options for urinary diversion after radical cystectomy for bladder cancer that have comparable cancer control and complication rates, health-related quality of life (HRQOL) has become an important consideration. This article reviews the methods for defining HRQOL, the challenges in measuring HRQOL in bladder cancer, and the literature comparing HRQOL after various methods of urinary diversion. Recent contributions include the validation of HRQOL instruments specific to bladder cancer and the publication of several prospective studies measuring HRQOL outcomes after cystectomy and urinary diversion. There is no convincing evidence from existing literature that any particular method of urinary diversion offers superior HRQOL outcomes. Rather, there is growing evidence that good HRQOL can be achieved with patient education and consideration of each patient's clinical and psychosocial situation. Future research should utilize the validated bladder cancer specific HRQOL instruments and perhaps explore the impact of preoperative counseling on postoperative HRQOL.

scholarly journals Quality of life after different surgical procedures for the treatment of spinal metastases: results of a single-center prospective case series

2017 ◽  
Vol 42 (1) ◽  
pp. E17 ◽  
Author(s):  
Godard C. W. de Ruiter ◽  
Claudine O. Nogarede ◽  
Jasper F. C. Wolfs ◽  
Mark P. Arts
Keyword(s):  
Quality Of Life ◽  
Surgical Procedures ◽  
Spinal Metastases ◽  
Case Series ◽  
Complication Rates ◽  
Surgical Evaluation ◽  
Stabilization Procedure ◽  
Prospective Case Series ◽  
The Impact

OBJECTIVE The performance of surgery for spinal metastases is rapidly increasing. Different surgical procedures, ranging from stabilization alone to stabilization combined with corpectomy, are thereby performed for various indications. Little is known about the impact of these different procedures on patient quality of life (QOL), but this factor is crucial when discussing the various therapeutic options with patients and their families. Thus, the authors of this study investigated the effect of various surgical procedures for spinal metastases on patient QOL. METHODS The authors prospectively followed a cohort of 113 patients with spinal metastases who were referred to their clinic for surgical evaluation between July 2012 and July 2014. Quality of life was assessed using the EQ-5D at intake and at 3, 6, 9, and 12 months after treatment. RESULTS Nineteen patients were treated conservatively, 41 underwent decompressive surgery with or without stabilization, 47 underwent a piecemeal corpectomy procedure with stabilization and expandable cage reconstruction, and 6 had a stabilization procedure without decompression. Among all surgical patients, the mean EQ-5D score was significantly increased from 0.44 pretreatment to 0.59 at 3 months after treatment (p < 0.001). Mean EQ-5D scores at 1 year after surgery further increased to 0.84 following decompression with stabilization, 0.74 after corpectomy with stabilization, and 0.94 after stabilization without decompression. Frankel scores also improved after surgery. There were no significant differences in improvements in EQ-5D scores and Frankel grades among the different surgical procedures. In addition, mortality and complication rates were similar. CONCLUSIONS Quality of life can improve significantly after various extensive and less extensive surgical procedures in patients with spinal metastases. The relatively invasive corpectomy procedure, as compared with alternative less invasive techniques, does not negatively affect outcome.

The Impact of Preoperative Double-J Stent on Perioperative Complications, Recurrence, and Quality of Life in Adult Patients Undergoing Pyeloplasty

2021 ◽  
pp. 1-8
Author(s):  
Mike Wenzel ◽  
Benedikt Hoeh ◽  
Marieke J. Krimphove ◽  
Clara Buchholz ◽  
Matthias Müller ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Perioperative Complications ◽  
Complication Rates ◽  
Recurrence Rates ◽  
Double J Stent ◽  
Robotic Pyeloplasty ◽  
Subgroup Analyses ◽  
The Impact

<b><i>Purpose:</i></b> This study aimed to evaluate the impact of preoperative double-J stent (DJ) in pyeloplasty patients on perioperative complications, recurrence, and quality of life (QoL). <b><i>Methods:</i></b> Pyeloplasties due to ureteropelvic junction obstructions between January 2010 and December 2020 were consecutively identified. A standardized follow-up questionnaire was used. Tabulation was made according to preoperative DJ versus no DJ. Subgroup analyses addressed primary robotic pyeloplasties. <b><i>Results:</i></b> Of 95 pyeloplasty patients, 62% received a preoperative DJ. Patients with preoperative DJ exhibited higher rates of Clavien-Dindo (CD) 2 (22 vs. 11%) complications, but not of CD3 (8.5 vs. 8.3%, <i>p</i> = 0.5). After a median follow-up of 61 months, 9 patients exhibited a recurrence, of whom 7 had a preoperative DJ. In QoL assessment, comparable findings were made between patients with and without preoperative DJ. In robotic pyeloplasty patients (<i>n</i> = 73), patients with preoperative DJ (58%, <i>n</i> = 42) experienced higher CD3 complication rates, compared to patients without preoperative DJ (12 vs. 6.5%). Moreover, higher rates of recurrences were observed in preoperative DJ patients (12 vs. 3.2%). <b><i>Conclusion:</i></b> In a contemporary pyeloplasty cohort, the midterm success rate was good with 91%. Our findings suggest that preoperative DJ is associated with higher recurrence rates. However, QoL did not differ between patients with and without preoperative DJ.

scholarly journals The Impact of Cochlear Implantation: Cognitive Function, Quality of Life, and Frailty in Older Adults

2021 ◽  
Vol 42 (04) ◽  
pp. 342-351
Author(s):  
Eric E. Babajanian ◽  
Neil S. Patel ◽  
Richard K. Gurgel
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Cochlear Implantation ◽  
Positive Impact ◽  
Strong Association ◽  
Complication Rates ◽  
Life Outcomes ◽  
The Impact ◽  
The Relationship

AbstractThis review examines the relationship between cochlear implantation and cognition and quality of life in older adults, as well as how frailty affects outcomes for older patients with cochlear implants. A growing body of evidence suggests that there is a strong association between hearing loss and cognitive impairment. Preliminary studies suggest that cochlear implantation in older adults may be protective against cognitive decline. While studies have observed a positive impact of cochlear implantation on quality of life, currently it is unclear what factors contribute the most to improved quality of life. Frailty, as a measurement of general health, likely plays a role in complication rates and quality-of-life outcomes after cochlear implantation, though larger prospective studies are required to further elucidate this relationship.

Self-Compassion and Quality of Life in Adults Who Stutter

2020 ◽  
Vol 29 (4) ◽  
pp. 2097-2108
Author(s):  
Robyn L. Croft ◽  
Courtney T. Byrd
Keyword(s):  
Quality Of Life ◽  
Social Connectedness ◽  
The Self ◽  
Future Research ◽  
Self Compassion ◽  
Adults Who Stutter ◽  
And Gender ◽  
Relationship Of ◽  
The Impact

Purpose The purpose of this study was to identify levels of self-compassion in adults who do and do not stutter and to determine whether self-compassion predicts the impact of stuttering on quality of life in adults who stutter. Method Participants included 140 adults who do and do not stutter matched for age and gender. All participants completed the Self-Compassion Scale. Adults who stutter also completed the Overall Assessment of the Speaker's Experience of Stuttering. Data were analyzed for self-compassion differences between and within adults who do and do not stutter and to predict self-compassion on quality of life in adults who stutter. Results Adults who do and do not stutter exhibited no significant differences in total self-compassion, regardless of participant gender. A simple linear regression of the total self-compassion score and total Overall Assessment of the Speaker's Experience of Stuttering score showed a significant, negative linear relationship of self-compassion predicting the impact of stuttering on quality of life. Conclusions Data suggest that higher levels of self-kindness, mindfulness, and social connectedness (i.e., self-compassion) are related to reduced negative reactions to stuttering, an increased participation in daily communication situations, and an improved overall quality of life. Future research should replicate current findings and identify moderators of the self-compassion–quality of life relationship.

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