scholarly journals Patient satisfaction after mini-incision brachioplasty

2016 ◽  
Vol 25 (4) ◽  
pp. 254-257
Author(s):  
Ahmed Hassan El-Sabbagh
Keyword(s):  
Patient Satisfaction ◽  
Patient Education ◽  
Type Ii ◽  
Common Procedure ◽  
Post Surgery ◽  
Question Survey ◽  
Mini Incision

Brachioplasty is a common procedure performed by plastic surgeons, with type II brachioplasty being the most regularly performed procedure in the clinic. This study evaluates patient satisfaction after mini-incision brachioplasty using a five-question survey. We administered the survey to 26 patients six months after they had undergone mini-incision brachioplasty to correct type II deformity. Most of the patients considered the improvement by surgery acceptable (53.8%), while 84.6% reported a decrease of at least two clothing sizes post-surgery. More than half (57.7%) were satisfied with body symmetry following surgery, while 69.2% accepted the resultant scar. However, only 30.8% would recommend this type of operation without reservations. The results of this study indicate that adequate patient education prior to mini-incision brachioplasty is key to optimal patient satisfaction.

scholarly journals Current situation of complications related to reconstructive surgery for pelvic organ prolapse: a multicenter study

2021 ◽  
Author(s):  
Zhi-jing Sun ◽  
Tao Guo ◽  
Xiu-qi Wang ◽  
Jing-he Lang ◽  
Tao Xu ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Pelvic Organ Prolapse ◽  
Pelvic Floor ◽  
Reconstructive Surgery ◽  
Tissue Repair ◽  
Pelvic Organ ◽  
Native Tissue Repair ◽  
Post Surgery ◽  
Management Of Complications ◽  
Surgery Delay

Abstract Introduction and hypothesis This study aimed to investigate the evaluation and management of complications after pelvic floor reconstructive surgery for pelvic organ prolapse in China. Methods Complications of pelvic floor reconstructive surgery for pelvic organ prolapses from 27 institutions were reported from November 2017 to October 2019. All complications were coded according to the category-time-site system proposed by the International Urogynecological Association (IUGA) and the International Continence Society (ICS). The severity of the complications was graded by the Clavien-Dindo grading system. Four scales were used to evaluate patient satisfaction and quality of life after management of the complications: the Patient Global Impression of Improvement (PGI-I), the Pelvic Floor Impact Questionnaire Short Form (PFIQ-7), the Pelvic Organ Prolapse Symptom Score (POP-SS), and a 5-point Likert-type scale that evaluated the patient’s choice of surgery. Results Totally, 256 cases were reported. The occurrence of complications related to transvaginal mesh (TVM) and laparoscopic sacrocolpopexy (LSC) had a significantly longer post-surgery delay than those of native tissue repair surgery (p < 0.001 and p = 0.010, respectively). Both PFIQ-7 and POP-SS score were lower after management of complications (p < 0.001). Most respondents (81.67%) selected very much better, much better, or a little better on the PGI-I scale. Only 13.3% respondents selected unlikely or highly unlikely on the 5-point Likert-type scale. Conclusions The occurrence of complications related to TVM surgery and LSC had a longer post-surgery delay than native tissue repair surgery. Long-term regular follow-up was vital in complication management. Patient satisfaction with the management of TVM complications was acceptable.

scholarly journals Short Plate with Screw Angle over 20 Degrees Improves the Radiologic Outcome in ACDF: Clinical Study

2021 ◽  
Vol 10 (9) ◽  
pp. 2034
Author(s):  
Kathryn-Anne Jimenez ◽  
Jihyeon Kim ◽  
Jaenam Lee ◽  
Hwan-Mo Lee ◽  
Seong-Hwan Moon ◽  
...  
Keyword(s):  
P Value ◽  
X Rays ◽  
Common Procedure ◽  
Fusion Surgery ◽  
Post Surgery ◽  
Plate Group ◽  
Vas Scores ◽  
Short Plate ◽  
Degenerative Cervical Spine ◽  
Screw Group

Background: Anterior cervical discectomy and fusion surgery is a common procedure for degenerative cervical spine. This describes allospacer and implant-related outcomes, comparing medium plate–low screw angle and short plate–high screw angle techniques. Methods: From January 2016 to June 2019, 79 patients who underwent ACDF were prospectively enrolled. Patients were divided, depending on the plate–screw system used: medium plate–low screw angle (12.3 ± 2.5 to 13.2 ± 3.2 degrees), and short plate–high screw angle (22.8 ± 5.3 to 23.3 ± 4.7 degrees). Subsidence, ALOD, and sagittal cervical balance were analyzed using lateral cervical X-rays. NDI and VAS scores were also evaluated. Results: Age for medium plate–low-angled screw group is 58.0 ± 11.3 years, and 55.3 ± 12.0 in the short plate–high-angled screw group (p-value = 0.313). Groups were comparable in mean NDI (p-value = 0.347), VAS (p-value = 0.156), C2–C7 SVA, (p-value = 0.981), and lordosis angle (p-value = 0.836) at 1-year post-surgery. Subsidence was higher in the medium plate–low-angled screw than in the short plate–high-angled screw (25% and 8.5%, respectively, p-value = 0.045). ALOD is also more common in the medium plate group (p-value = 0.045). Conclusion: Use of a short plate and insertion of high-angled screws (more than 20 degrees) has less chance of subsidence and occurrence of ALOD than the traditional technique of using medium plate and low angle.

The Impact of Pharmacist-Directed Patient Education and Anticoagulant Care Coordination on Patient Satisfaction

2013 ◽  
Vol 47 (6) ◽  
pp. 805-810 ◽  
Author(s):  
Charles T Makowski ◽  
Douglas L Jennings ◽  
Carrie W Nemerovski ◽  
Edward G Szandzik ◽  
James S Kalus
Keyword(s):  
Patient Satisfaction ◽  
Patient Education ◽  
Care Coordination ◽  
The Impact

Reductio Ad Absurdum: Examining the Validity of the 500-gram Rule in Reduction Mammaplasty

2020 ◽  
Author(s):  
Minji Kim ◽  
Mahmood J Al Bayati ◽  
Prakash J Mathew ◽  
Seth R Thaller
Keyword(s):  
Patient Satisfaction ◽  
Reduction Mammaplasty ◽  
Symptomatic Relief ◽  
Reduction Mammoplasty ◽  
Insurance Companies ◽  
Cochrane Central Register ◽  
Common Procedure ◽  
Form And Function ◽  
Hard Evidence ◽  
And Function

Abstract Background Reduction mammoplasty is a common procedure associated with a very high patient satisfaction rate. It has been shown to alleviate symptoms related to macromastia, such as back, neck, and shoulder pain, poor posture, bra strap grooving, paresthesia, and rashes. Despite the manifold benefits of reduction mammaplasty, some insurance companies require minimum resection weights of at least 500-grams per breast in order to distinguish between a reconstructive and aesthetic procedure. Objective The aim of this study is to assess the origins of the 500-gram rule used in reduction mammaplasty. Methods A comprehensive literature search of the MEDLINE, PubMed, Google Scholar, EMBASE, and Cochrane Central Register of Controlled Trials was conducted for studies published through July 2020 with multiple search terms related to resection weight criteria for breast reduction. Data on criteria, outcomes, and patient satisfaction were collected. Results A total of 14 articles were selected from the 27 articles that were identified. 500-gram rule appears to be arbitrary. It appears that it is not based on any available hard evidence. However, numerous studies show that patients who have less than 500-grams of tissue removed from each breast still experience significant symptomatic relief from reduction mammaplasty with a marked improvement in quality of life. Conclusion The 500-gram rule should be re-evaluated as criterion for pre-authorization reduction mammaplasty for insurance companies. It may influence surgeons to choose between form and function. Many additional patients might then benefit from this procedure with significant benefits.

The Effectiveness of Childbirth Classes for Increasing Self-Efficacy in Women and Support Persons

2012 ◽  
Vol 2 (2) ◽  
pp. 107-114 ◽  
Author(s):  
Rachelle Larsen ◽  
Margaret Plog
Keyword(s):  
Experimental Study ◽  
Patient Satisfaction ◽  
Patient Education ◽  
Birth Outcomes ◽  
Self Efficacy ◽  
Pain Medication ◽  
Childbirth Education ◽  
Support Person ◽  
Quasi Experimental

PURPOSE: Determine the effectiveness of childbirth classes for increasing self-efficacy on expectant women and support persons.MATERIALS & METHODS: This quasi-experimental study used an 18-question self-efficacy instrument to survey 115 expectant women and 103 support persons prior to and immediately following childbirth classes.RESULTS: Childbirth classes significantly increased self-efficacy scores of both the women (t[82] = 211.059, p < 0.000) and the support person (t[77] = 11.673, p < 0.000). Support persons had significantly higher self-efficacy scores after the childbirth class than the women (t[175] = 22.55, p = 0.012). Type of class attended did not significantly affect self-efficacy. Dealing with labor without pain medication continued to be an area of low self-efficacy for women following childbirth classes. Evaluation of childbirth classes will help educators refine content and methods for delivery of childbirth education. Ultimately, improved patient education will result in greater patient satisfaction and optimal birth outcomes.

scholarly journals Engaging patients through Multi-Disciplinary Rounding – The case study at a Michigan hospital

2018 ◽  
Vol 7 (5) ◽  
pp. 17 ◽  
Author(s):  
Bryan L. Fowler ◽  
Julie Johns ◽  
Mohan R. Tanniru ◽  
Venugopal Balijepally ◽  
Yazan F. Roumani ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Patient Education ◽  
Patient Engagement ◽  
Hospital Staff ◽  
Process Innovation ◽  
Second Phase ◽  
Healthcare Outcomes ◽  
Post Discharge ◽  
Care Plans ◽  
Long Run

Multi-Disciplinary Rounding (MDR) is a leading practice and a promising process innovation that seeks to enhance both patient experiences and healthcare outcomes for hospitals. It requires multiple hospital staff involved in patientcare visiting patients as a team at their bedside, so that they can address various issues related to patientcare and care transition and answer any patient questions. This paper discusses the implementation of two different models of patient engagement through MDR to gain input from patients while they are still in the hospital, as opposed to relying on patient satisfaction data, so that hospitals can alter their strategies to educate patients on care plans and help empower them to self-manage their care post-discharge. The MDR is implemented as a process innovation at a comprehensive community teaching hospital in Michigan, with the expectation that it can lead to improved organizational outcomes in both the short run (e.g., reduced length of stay [LOS]) and the long run (e.g., reduced patient readmission and improved patient satisfaction). The hospital implemented MDR in various units as a process innovation to improve patient engagement and patient satisfaction. The initial phase of MDR implementation was nurse-led to gain feedback from patients at three time periods (30, 60 and 90 days) on patient services. The hospital revised the MDR process in the second phase into a doctor led patient education process. While the results to date are not conclusive, they do show how MDR can be used by hospitals to engage patients inside the hospital to gain feedback for continuous improvement, using technology when appropriate, and support patient education on care plans post-discharge.

Designing a multidisciplinary oral chemotherapy education and monitoring program.

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 146-146
Author(s):  
Sharon Lane ◽  
Kimmie Ng ◽  
Robin Sommers ◽  
Carole Kathleen Dalby ◽  
Susanne Conley ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Side Effects ◽  
Patient Education ◽  
Monitoring Program ◽  
Oral Chemotherapy ◽  
Teaching Session ◽  
Dosing Schedule ◽  
Safety Risks ◽  
Adherence Monitoring ◽  
Satisfaction Surveys

146 Background: In 2013 ASCO and ONS published guidelines to promote safe practices for oral chemotherapy use. These agents can have significant toxicities and pose safety risks without proper adherence. Guided by the ASCO/ONS recommendations, Dana-Farber Cancer Institute (DFCI) designed a program to provide comprehensive patient education and adherence monitoring. Methods: To address patient safety risks associated with oral chemotherapy use, a multidisciplinary team assembled to design a process for timely and appropriate patient education and adherence monitoring. Physicians, Nurse Practitioners or Physician Assistants initiate education by reviewing the dosing schedule, side effects and providing a standard education sheet. Within 24 hours, a pharmacist contacts the patient and completes a teaching session utilizing a template based upon the MOATT Tool, a teaching tool developed by the Multinational Association of Supportive Care in Cancer. The MOATT Tool includes a review of the dosing schedule, side effects and management, drug handling, drug/food interactions and practice contact information for questions. Lastly, within five days of therapy initiation, a nurse calls the patient to reinforce education and to assess toxicity and adherence. To evaluate the effectiveness of the program, chart audits and patient satisfaction surveys were conducted. Results: To date 78% of patients started on oral chemotherapy have received a teaching session and 73% have received a follow up adherence call. Patient satisfaction surveys conducted demonstrate that 100% (N=12) of patients strongly agreed with the following statement; “following my counseling session with the Dana-Farber pharmacist, I understood how and when to take my oral chemotherapy medication(s)” and 94% agreed with the statement; “overall I feel that the oncology nurse phone session provided me with useful information.” Conclusions: Implementing a standard patient education and adherence monitoring program for patients initiating oral chemotherapy is essential to guarantee safe patient care. Compliance monitoring at the disease and provider level is necessary to ensure continual quality improvement.

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