Improved Overall Well-Being After Breast Conserving Therapy Using Three-Dimensional Bioabsorbable Markers and Tissue Rearrangement, a Single Institution’s Preliminary Experience

Tissue rearrangement (TR) is a basic oncoplastic technique to reshape the breast after breast conserving therapy (BCT). Tissue rearrangement can be combined with three-dimensional bioabsorbable markers (3DBM) as an easily adaptable technique to provide volume replacement and focused radiation. Since 3DBM can take time for absorption and symptoms related to its use have not been fully assessed, we evaluate patient’s overall satisfaction and well-being after TR with 3DBM is performed. We surveyed patients receiving BCT with adjuvant radiotherapy using BREAST-QTM BCT satisfaction and physical well-being surveys comparing patients receiving BCT alone to BCT with TR and/or 3DBM. Of 68 patients, 56 underwent BCT alone, 10 had BCT with TR + 3DBM, and 2 had BCT with TR. No significant difference was seen in physical well-being ( P = .39), while overall satisfaction was significantly improved following TR + 3DBM ( P = .0088). In summary, TR with use of 3DBM provides basic oncoplastic options to improve patient satisfaction without significantly changing symptoms.

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Seven Lessons in Partnership: How a Hospital and a Happiness Organization Teamed to Decrease Practitioner Burnout, Increase Practitioner Well-Being and Improve Patient Satisfaction

Interdisciplinary Journal of Partnership ◽

10.24926/ijps.v3i2.131 ◽

2016 ◽

Vol 3 (2) ◽

Cited By ~ 1

Author(s):

Nancy O'Brien ◽

Linda Saggau

Keyword(s):

Emergency Department ◽

Patient Satisfaction ◽

Medical Center ◽

Signs And Symptoms ◽

Well Being ◽

Urgent Care ◽

Improve Patient Satisfaction ◽

Hennepin County ◽

Improve Patient

Nancy O’Brien and Linda Saggau, co-founders of Experience Happiness, LLC., and co-developers of The Happiness Practice™ (THP), share key discoveries derived from the partnership between Hennepin County Medical Center (HCMC) and Experience Happiness (EH) which focused on using THP as an intervention to increase Emergency Department and Urgent Care practitioner well-being and happiness in order to reduce the signs and symptoms of burnout and improve patient experience and satisfaction. This article includes a case study demonstrating the efficacy of the 6-month THP intervention, as well as an overview of THP and seven valuable partnership lessons to encourage and guide successful partnerships in healthcare and other systems.

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DBS-Edmonton app, a tool to “manage” patient expectations of DBS in Parkinson’s disease

Neurology Clinical Practice ◽

10.1212/cpj.0000000000000962 ◽

2020 ◽

pp. 10.1212/CPJ.0000000000000962

Author(s):

Kevin Yen ◽

Janis M. Miyasaki ◽

Michelle Waldron ◽

Lin Yu ◽

Tejas Sankar ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Patient Satisfaction ◽

Computer Application ◽

Functional Improvement ◽

Invasive Treatment ◽

Patient Centered ◽

Improve Patient Satisfaction ◽

Significant Difference ◽

Improve Patient

AbstractBackground:After Deep Brain Stimulation (DBS) for Parkinson’s disease (PD), patients often do not report the level of satisfaction anticipated. This misalignment can relate to patients’ expectations for an invasive treatment, and insufficient knowledge of DBS’s effectiveness in relieving motor and non-motor symptoms (NMS). Patient satisfaction depends on expectations and goals for treatment. We hypothesized that improving patient education with a patient-centered shared decision-making tool emphasizing autonomy would improve patient satisfaction and clinical outcome.Method:We developed a computer application (DBS-Edmonton app), allowing PD patients to input their symptoms, and to learn how effective DBS addresses their prioritized symptoms. Sixty-two volunteers referred for DBS used the DBS-Edmonton app. DBS-related knowledge and patient-perceptions of the DBS-Edmonton app were assessed with pre- and post-use questionnaires. Fourteen of 24 patients who proceeded to DBS achieved optimization at 6 months. Perceived functional improvement was assessed and compared with 12 control DBS patients who did not use the DBS-Edmonton app.Results:All 62 volunteers considered the DBS-Edmonton app helpful and would recommend it to others. There was improved knowledge about how NMS and axial symptoms respond to DBS. Post-operatively, there was no significant difference in symptoms improvement assessed by standard scales between groups. Volunteers who used DBS-Edmonton app had greater satisfaction (P=0.014).Conclusion:This interventional study showed that DBS-Edmonton app improved DBS-related knowledge and patient satisfaction, independent of objective motor outcome. It may assist patients in deciding to proceed to DBS, and can be easily incorporated into practice to improve patient satisfaction post-DBS.

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Use of Complementary and Alternative Medical Services by HMO Members, 1995-1996

Complementary health practice review ◽

10.1177/153321010100700202 ◽

2001 ◽

Vol 7 (2) ◽

pp. 85-98 ◽

Cited By ~ 1

Author(s):

Evelyn P. Whitlock

Keyword(s):

Multivariate Analysis ◽

Patient Satisfaction ◽

Health Status ◽

Service Users ◽

Improve Patient Satisfaction ◽

Kaiser Permanente ◽

Reported Health ◽

Self Reported Health Status ◽

Improve Patient ◽

Complementary And Alternative

We investigated HMO members' use of complementary and alternative medicine (CAM) providers outside the HMO in 1995-1996. A random 2% survey of Kaiser Permanente Northwest members addressed HMO service satisfaction, self-reported health status and behaviors, and HMO utilization. Among respondents, 15.7% (n = 380) used CAM providers (chiropractors, naturopaths, acupuncturists, others) in the prior 12 months, while 35% were ever users. Multivariate analysis found that those more likely to consult CAM providers were females, more educated, and more dissatisfied with the HMO. These results suggest that HMOs may wish to focus efforts to improve patient satisfaction among CAM service users.

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Hyaluronic acid dermal fillers: can adjunctive lidocaine improve patient satisfaction without decreasing efficacy or duration?

Patient Preference and Adherence ◽

10.2147/ppa.s11251 ◽

2011 ◽

pp. 133 ◽

Cited By ~ 1

Author(s):

Kimberly Cockerham ◽

Smith

Keyword(s):

Patient Satisfaction ◽

Hyaluronic Acid ◽

Dermal Fillers ◽

Improve Patient Satisfaction ◽

Improve Patient

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A Pilot Study Evaluation of Three-Dimensional Imaging in Cosmetic Breast Augmentation: Results of a Single Surgeon 3.5 Year Retrospective Study Using the BREAST-Q Questionnaire

Aesthetic Surgery Journal Open Forum ◽

10.1093/asjof/ojab005 ◽

2021 ◽

Author(s):

Lauren E Hutchinson ◽

Andrea D Castaldo ◽

Cedar H Malone ◽

Nicole Z Sommer ◽

Ashley N Amalfi

Keyword(s):

Patient Satisfaction ◽

Breast Augmentation ◽

3D Imaging ◽

Breast Implant ◽

Three Dimensional ◽

Well Being ◽

Three Dimensional Imaging ◽

Size Selection ◽

Implant Size ◽

Implant Selection

Abstract Background Traditional methods of breast implant size selection provide limited ability to demonstrate postoperative outcomes. Three-dimensional imaging provides an opportunity for improved patient evaluation, surgical planning, and evaluation of postoperative breast appearance. Objectives We hypothesized that preoperative 3D imaging for patients undergoing breast augmentation would improve patient satisfaction and understanding of expected surgical outcomes. Methods A retrospective review of patients undergoing breast augmentation by a single surgeon over a 3.5-year period was performed. Patients presenting after the VECTRA was purchased had preoperative 3D imaging, while patients presenting before this did not. Eligible patients received a BREAST-Q questionnaire designed for postoperative evaluation of breast augmentation. They also received a second survey that evaluated expected versus actual breast outcomes. Results 120 surveys were mailed and 61 patients (50.8%) returned the survey. The 3D imaged group had improved BREAST-Q scores regarding satisfaction with outcome, surgeon, and physical well-being compared to the group that did not. The imaged group also had higher size, shape, and overall breast correlation scores, confidence in implant size selection scores, and communication with surgeon scores. The differences between the two groups were not statistically significant. Conclusions Three-dimensional imaging is a valuable tool in breast surgery. Although our study showed improvement in patient satisfaction and predicted outcome scores in the 3D imaged group, our results were not statistically significant. With the majority of patients reporting they would choose 3D imaging, it appears to instill confidence in patients regarding both surgeon and implant selection.

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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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