The Schulthess local Shoulder Arthroplasty Registry (SAR): cohort profile

PurposeClinical registries are essential for evaluation of surgical outcomes. The Schulthess Shoulder Arthroplasty Registry (SAR) was established in 2006 to evaluate safety, function, quality-of-life and patient satisfaction in patients undergoing shoulder arthroplasty.ParticipantsAdult patients undergoing anatomic or reverse shoulder joint replacement at the Schulthess Klinik, a high-volume, leading orthopaedic surgery centre in Zürich, Switzerland.Findings to dateBetween March 2006 and December 2019, the registry covered 98% of eligible operations. Overall, 2332 patients were enrolled with a total of 2796 operations and 11 147 person-years of follow-up. Mean age at baseline was 71 (range: 20–95), 65% were women. Most common indication was rotator cuff tears with osteoarthritis (42%) and the mean preoperative Constant Score was 31 (±15). The most frequent arthroplasty type was reverse, increasing from 61% in 2006–2010 to 86% in 2015–2019. Functional recovery peaked at 12-month postoperatively and did not show a clinically relevant deterioration during the first ten follow-up years. Since its establishment, the registry was used to address multiple pertinent clinical and methodological questions. Primary focus was on comparing different implant configurations (eg, glenosphere diameter) and surgical techniques (eg, latissimus dorsi transfer) to maximise functional recovery. Additionally, the cohort contributed to the determination of the clinical relevance and validity of radiological monitoring of cortical bone resorption and scapular notching. Finally, SAR data helped to demonstrate that returning to sports was among key patient expectations after reverse shoulder arthroplasty.Future plansAs first patients are approaching the 15 years follow-up landmark, the registry will continue providing essential data on long-term functional outcomes, implant stability, revision rates and aetiologies as well as patient satisfaction and quality-of-life. In addition to research and quality-control, the cohort data will be brought back to the patients by bolstering real-time clinical decision support.

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QUALITY OF LIFE IN PATIENTS WHO HAVE UNDERGONE REVERSE SHOULDER ARTHROPLASTY

Acta Ortopédica Brasileira ◽

10.1590/1413-785220192705222929 ◽

2019 ◽

Vol 27 (5) ◽

pp. 269-272

Author(s):

Luiz Marcelo Bastos Leite ◽

Liliane Lins-Kusterer ◽

Paulo Santoro Belangero ◽

Gyoguevara Patriota ◽

Benno Ejnisman

Keyword(s):

Quality Of Life ◽

Retrospective Study ◽

Shoulder Arthroplasty ◽

Short Form ◽

Reverse Shoulder Arthroplasty ◽

Bodily Pain ◽

Level Of Evidence ◽

Related Quality

ABSTRACT Objective: To evaluate the health-related quality of life (HRQoL) of patients who have undergone reverse shoulder arthroplasty (RSA) for rotator cuff arthropathy (RCA). Methods: A retrospective study with 35 patients who underwent RSA from August 2007 to July 2015. We collected clinical data and applied the 36-item Short Form Health Survey (SF-36). Results: Of the 35 patients, 29 (82.9%) were female, and mean age was 75.71 years, ranging from 50 to 89 years. The dominant side was frequently affected (68.6%), and most of the cases were Hamada type 3 (57.1%). The Mackenzie approach was used in 30 patients (85.7%). Physical and mental HRQoL was not associated with severity of RCA before RSA. Lower scores for Physical Functioning, Role Physical, Bodily Pain, and Physical Component Summary (PCS) were associated with other orthopedic comorbidities. Vitality, Role Emotional, Mental Health, and Mental Component Summary (MCS) were significantly higher in patients without depression. Orthopedic comorbidity and depression predicted lower PCS and longer follow-up time predicted better PCS scores. Depression was also a predictor of the MCS. Conclusion: Patients who had undergone RSA for RCA had good HRQoL. Longer follow-up time was associated with better HRQoL. Good results were maintained over the follow-up period. Level of evidence II, retrospective study.

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Faculty Opinions recommendation of Long-term follow-up after laser vision correction in physicians: quality of life and patient satisfaction.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718293989.793492928 ◽

2014 ◽

Author(s):

Karl Stonecipher

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Vision Correction ◽

Long Term Follow Up ◽

Laser Vision

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Long-Term Patient Satisfaction and Quality of Life After Breast-Conserving Therapy: A Prospective Study Using the BREAST-Q

Annals of Surgical Oncology ◽

10.1245/s10434-021-10377-4 ◽

2021 ◽

Author(s):

Ilona Stolpner ◽

Jörg Heil ◽

Fabian Riedel ◽

Markus Wallwiener ◽

Benedikt Schäfgen ◽

...

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Patient Satisfaction ◽

Repeated Measures ◽

Aesthetic Surgery ◽

Well Being ◽

Breast Conserving Therapy ◽

Patient Reported

Abstract Background Poor patient-reported satisfaction after breast-conserving therapy (BCT) has been associated with impaired health-related quality of life (HRQOL) and subsequent depression in retrospective analysis. This prospective cohort study aimed to assess the HRQOL of patients who have undergone BCT using the BREAST-Q, and to identify clinical risk factors for lower patient satisfaction. Methods Patients with primary breast cancer undergoing BCT were asked to complete the BREAST-Q preoperatively (T1) for baseline evaluation, then 3 to 4 weeks postoperatively (T2), and finally 1 year after surgery (T3). Clinicopathologic data were extracted from the patients’ charts. Repeated measures analysis of variance (ANOVA) was used to determine significant differences in mean satisfaction and well-being levels among the test intervals. Multiple linear regression was used to evaluate risk factors for lower satisfaction. Results The study enrolled 250 patients. The lowest baseline BREAST-Q score was reported for “satisfaction with breast” (mean, 61 ± 19), but this increased postoperatively (mean, 66 ± 18) and was maintained at the 1 year follow-up evaluation (mean, 67 ± 21). “Physical well-being” decreased from T1 (mean, 82 ± 17) to T2 (mean, 28 ± 13) and did not recover much by T3 (mean, 33 ± 13), being the lowest BREAST-Q score postoperatively and in the 1-year follow-up evaluation. In multiple regression, baseline psychosocial well-being, body mass index (BMI), and type of incision were risk factors for lower “satisfaction with breasts.” Conclusion Both the aesthetic/surgery-related and psychological aspects are equally important with regard to “satisfaction with breasts” after BCT. The data could serve as the benchmark for future studies.

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Quality of Life and Patient Satisfaction at 7-Year Follow-up of Antibiotic Therapy vs Appendectomy for Uncomplicated Acute Appendicitis

JAMA Surgery ◽

10.1001/jamasurg.2019.6028 ◽

2020 ◽

Vol 155 (4) ◽

pp. 283 ◽

Cited By ~ 3

Author(s):

Suvi Sippola ◽

Jussi Haijanen ◽

Lauri Viinikainen ◽

Juha Grönroos ◽

Hannu Paajanen ◽

...

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Acute Appendicitis ◽

Antibiotic Therapy ◽

Uncomplicated Acute Appendicitis

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Surgical Repair of Ileovesical Fistulas: Long-term Complications, Quality of Life, and Patient Satisfaction

The American Surgeon ◽

10.1177/000313481408001221 ◽

2014 ◽

Vol 80 (12) ◽

pp. 1207-1211 ◽

Cited By ~ 3

Author(s):

Jeffrey W. Hastings ◽

Malika Garg ◽

Elizabeth T. Lynn ◽

Celia M. Divino

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Statistical Significance ◽

Retrospective Chart Review ◽

Administrative Database ◽

Low Incidence ◽

Assess Quality

Ileovesical fistulas (IVFs) are an uncommon complication of Crohn's disease. The aim of this study is to compare long-term surgical outcomes, assess quality of life, and quantify patient satisfaction after IVF repair. A retrospective chart review followed by a prospective survey was carried out. Survey questions focused on patient satisfaction and quality of life after repair of IVF. Fifty-one patients were identified from an administrative database. Mean follow-up was 4.3 years with a response rate of 51 per cent. At the time of the study, 0 per cent mortality and 16 per cent morbidity were recorded. No recurrence was noted. There was no statistical significance in incidence of complications between laparoscopic and open surgery. Statistically significant differences in single-stage versus multistage operations were found in postoperative day of discharge ( P < 0.001) and patient satisfaction ( P = 0.049). Ninety-eight per cent of patients reported extreme satisfaction with their surgery and an improvement in quality of life. A low incidence of morbidity and recurrence supports early surgical intervention in IVFs.

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Composite reverse shoulder arthroplasty can provide good function and quality of life in cases of malignant tumour of the proximal humerus

International Orthopaedics ◽

10.1007/s00264-017-3538-7 ◽

2017 ◽

Vol 41 (12) ◽

pp. 2619-2625 ◽

Cited By ~ 7

Author(s):

Cyril Lazerges ◽

Louis Dagneaux ◽

Benjamin Degeorge ◽

Nicolas Tardy ◽

Bertrand Coulet ◽

...

Keyword(s):

Quality Of Life ◽

Shoulder Arthroplasty ◽

Proximal Humerus ◽

Reverse Shoulder Arthroplasty ◽

Malignant Tumour ◽

Good Function

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Health-related quality of life and functionality after reverse shoulder arthroplasty

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2013.01.020 ◽

2013 ◽

Vol 22 (12) ◽

pp. 1639-1649 ◽

Cited By ~ 35

Author(s):

Roberto Castricini ◽

Giorgio Gasparini ◽

Francesco Di Luggo ◽

Massimo De Benedetto ◽

Marco De Gori ◽

...

Keyword(s):

Quality Of Life ◽

Shoulder Arthroplasty ◽

Reverse Shoulder Arthroplasty ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Assessment of pain control, quality of life, and predictors of success after gamma knife surgery for the treatment of trigeminal neuralgia

Neurosurgical FOCUS ◽

10.3171/foc.2005.18.5.9 ◽

2005 ◽

Vol 18 (5) ◽

pp. 1-7 ◽

Cited By ~ 29

Author(s):

Ajay Jawahar ◽

Rishi Wadhwa ◽

Caglar Berk ◽

Gloria Caldito ◽

Allyson Delaune ◽

...

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Pain Relief ◽

Trigeminal Neuralgia ◽

Gamma Knife ◽

Pain Control ◽

Gamma Knife Surgery ◽

Patient Satisfaction Score

Object There are various surgical treatment alternatives for trigeminal neuralgia (TN), but there is no single scale that can be used uniformly to assess and compare one type of intervention with the others. In this study the objectives were to determine factors associated with pain control, pain-free survival, residual pain, and recurrence after gamma knife surgery (GKS) treatment for TN, and to correlate the patients' self-reported quality of life (QOL) and satisfaction with the aforementioned factors. Methods Between the years 2000 and 2004, the authors treated 81 patients with medically refractory TN by using GKS. Fifty-two patients responded to a questionnaire regarding pain control, activities of daily living, QOL, and patient satisfaction. The median follow-up duration was 16.5 months. Twenty-two patients (42.3%) had complete pain relief, 14 (26.9%) had partial but satisfactory pain relief, and in 16 patients (30.8%) the treatment failed. Seven patients (13.5%) reported a recurrence during the follow-up period, and 25 (48.1%) reported a significant (> 50%) decrease in their pain within the 1st month posttreatment. The mean decrease in the total dose of pain medication was 75%. Patients' self-reported QOL scores improved 90% and the overall patient satisfaction score was 80%. Conclusions The authors found that GKS is a minimally invasive and effective procedure that yields a favorable outcome for patients with recurrent or refractory TN. It may also be offered as a first-line surgical modality for any patients with TN who are unsuited or unwilling to undergo microvascular decompression.

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P-OGC21 Patient perspectives on symptoms of importance and preferences for follow-up after major upper gastro-intestinal cancer surgery

British Journal of Surgery ◽

10.1093/bjs/znab430.149 ◽

2021 ◽

Vol 108 (Supplement_9) ◽

Author(s):

Philip Pucher ◽

Annie Coombes ◽

Orla Evans ◽

Joanna Taylor ◽

Jonathan Moore ◽

...

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Gastrointestinal Symptoms ◽

Symptomatic Patient ◽

Patient Survey ◽

Gastric Surgery ◽

Cancer Surgery ◽

Electronic Survey

Abstract Background Long-lasting symptoms and reductions in quality of life are common after oesophago-gastric surgery. Post-operative follow-up has traditionally focussed on tumour recurrence and survival, but there is a growing need to also identify and treat functional sequelae to improve patients’ recovery. Methods An electronic survey was circulated via a British national charity for patients undergoing oesophago-gastric surgery and their families. Patients were asked about post-operative symptoms they deemed important to their quality of life, as well as satisfaction and preferences for post-operative follow-up. Differences between satisfied and dissatisfied patients with reference to follow-up were assessed. Results Among 362 respondents with a median follow-up of 58 months since surgery (range 3-412), 36 different symptoms were reported as being important to recovery and quality of life after surgery, with a median 13 symptoms per patient. Most (84%) respondents indicated satisfaction with follow-up. Unsatisfied patients were more likely to have received shorter follow-up than 5 years (27% among unsatisfied patient vs. 60% among satisfied patients, p < 0.001and were less likely to have seen a dietitian as part of routine follow-up (37% vs. 58%, p = 0.005). Conclusions This patient survey highlights preferences with regard to follow-up after oesophago-gastrectomy. Longer follow-up and dietician involvement improved patient satisfaction. Patients reported being concerned by a large number of gastrointestinal and non-gastrointestinal symptoms, highlighting the need for multidisciplinary input and a consensus on how to manage the poly-symptomatic patient.

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