scholarly journals Patient Information Leaflets for Lumbar Spine Surgery: A Missed Opportunity

2019 ◽  
Vol 7 (6) ◽  
pp. 1403-1409
Author(s):  
Matthew Low ◽  
Louise C Burgess ◽  
Thomas W Wainwright
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Patient Information ◽  
Clinical Effectiveness ◽  
Lumbar Spine Surgery ◽  
Sources Of Information ◽  
Patient Centered ◽  
Patient Information Leaflets ◽  
Information Leaflets

Background: High-quality patient information is recommended to help reduce procedure-related anxiety and encourage patients to become active participants in their recovery. The objective of this study was to analyze the quality of patient information leaflets (PILs) given to National Health Service (NHS) patients ahead of lumbar spine surgery. Methods: The DISCERN tool was used to evaluate the quality of PILs, sourced from NHS websites. Results: Thirty-two PILs on lumbar surgery were included. Two (6%) leaflets were considered poor, 13 (41%) were marked as fair, 14 (44%) were of good quality, and 3 (9%) were scored as excellent. The total mean score was 55 (30-74), which corresponds to good quality. The lowest scoring questions were sources of information (Q4), balanced/unbiased content (Q6), and explanation of no treatment (Q12). Conclusions: There is considerable variation in the quality of PILs provided ahead of lumbar spine surgery. The scope for improvement is clear, and as the move toward patient-centered, evidence-based care continues, it is important that hospital resources provide recommendations based upon evidence of clinical effectiveness.

scholarly journals A Critical Analysis of the Exercise Prescription and Return to Activity Advice That Is Provided in Patient Information Leaflets Following Lumbar Spine Surgery

Medicina ◽  
2019 ◽  
Vol 55 (7) ◽  
pp. 347 ◽  
Author(s):  
Matthew Low ◽  
Louise C. Burgess ◽  
Thomas W. Wainwright
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Patient Information ◽  
Best Practice ◽  
Exercise Prescription ◽  
Normal Activity ◽  
Lumbar Spine Surgery ◽  
Patient Information Leaflets ◽  
Information Leaflets ◽  
Future Work

Background and objectives: Lumbar spine surgery may be considered if pharmacologic, rehabilitation and interventional approaches cannot provide sufficient recovery from low back-related pain. Postoperative physiotherapy treatment in England is often accompanied by patient information leaflets, which contain important rehabilitation advice. However, in order to be an effective instrument for patients, the information provided in these leaflets must be up to date and based on the best available evidence and clinical practice. This study aims to critically analyse the current postoperative aspects of rehabilitation (exercise prescription and return to normal activity) that are provided in patient information leaflets in England as part of an evaluation of current practice following lumbar spine surgery. Materials and Methods: Patient information leaflets from English National Health Service (NHS) hospitals performing lumbar spine surgery were sourced online. A content analysis was conducted to collect data on postoperative exercise prescription and return to normal activities. Results: Thirty-two patient information leaflets on lumbar surgery were sourced (fusion, n = 11; decompression, n = 15; all lumbar procedures, n = 6). Many of the exercises prescribed within the leaflets were not based on evidence of clinical best practice and lacked a relationship to functional activity. Return to normal activity advice was also wide ranging, with considerable variation in the recommendations and definitions provided. Conclusions: This study highlights a clear variation in the recommendations of exercise prescription, dosage and returning to normal activities following lumbar spine surgery. Future work should focus on providing a consistent and patient-centred approach to recovery.

scholarly journals Design and Develop a Web-application for Providing Pharmaceutical Product Leaflets Information

2020 ◽  
pp. 224-236
Author(s):  
Hayfa Abdulaziz Almuhaisen ◽  
Aljoharah Farraj F Alzuabi ◽  
Halah Abdurabuh A Alshammari ◽  
Rola Khalid S Alghamdi ◽  
Mohammed Fahed Tayfour ◽  
...  
Keyword(s):  
Programming Languages ◽  
Patient Information ◽  
Web Application ◽  
Unified Modeling Language ◽  
Pharmaceutical Product ◽  
Modeling Language ◽  
Unified Modeling ◽  
Patient Information Leaflets ◽  
Information Leaflets

Information on pharmaceuticals is beneficial for patients, most patients like to read patient information leaflets for their pharmaceuticals. Nevertheless, the quality of the information written on pharmaceuticals gives space for improvement. To improve the inadequacies of patient information leaflets, an alternate approach for the provision of information on pharmaceuticals will be illustrated. This work aims to design and develop a web application that will provide pharmaceutical product leaflets information as well as the proposed web application will provide supplementary services. The proposed work was designed and developed using the Unified Modeling Language (UML), SQL, XML, and ASP.Net programming languages.

95. Response Shift in Quality of Life Outcomes Measurements in Cervical and Lumbar Spine Surgery Patients

2009 ◽  
Vol 9 (10) ◽  
pp. 50S
Author(s):  
Ashok Biyani ◽  
Tomoya Terai ◽  
Melissa Hansen ◽  
David Ross ◽  
Matthew Gray ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lumbar Spine ◽  
Spine Surgery ◽  
Response Shift ◽  
Lumbar Spine Surgery ◽  
Life Outcomes ◽  
Quality Of Life Outcomes

scholarly journals Patient information leaflets on psychotropic drugs: opinions and use by psychiatrists

2009 ◽  
Vol 33 (6) ◽  
pp. 208-211 ◽  
Author(s):  
Sridhar Vaitheswaran ◽  
Angela MacManus ◽  
Ross Hamilton
Keyword(s):  
Patient Information ◽  
Psychotropic Drugs ◽  
Information Provision ◽  
Sources Of Information ◽  
Patient Information Leaflets ◽  
Information Leaflets ◽  
Frequency Of Use ◽  
New Treatment ◽  
The Individual ◽  
Indications For Use

Aims and MethodTo assess circumstances and frequency of use, opinions and suggestions for improvement from psychiatrists in a teaching hospital on UK Psychiatric Pharmacy Group patient information leaflets for psychotropic drugs. We also sought information from psychiatrists regarding use of alternate sources of information provision for their patients on psychotropic drugs. A questionnaire was designed, piloted and distributed.ResultsSixty-one psychiatrists were approached, of whom 49 (80%) responded. the most common indications for use were when initiating a new treatment and when information is sought by the individual or their carers. the most common reason for not using these leaflets was lack of awareness of their existence. Although 33 (67%) responders were of the opinion that these leaflets were useful for patients, only a small proportion was using them frequently.Clinical ImplicationsOur study suggested increasing awareness among psychiatrists to encourage the use of patient information leaflets. Various other themes to improve their use also emerged including easy accessibility to the patient information leaflets, modification in the content and structure, and recording the provision of patient information leaflets in the case records.

Reliability and Validity of Adapted Russian Version of Hospital for Special Surgery Lumbar Spine Surgery Expectations Survey

2021 ◽  
pp. 155633162110540
Author(s):  
Anton Denisov ◽  
Nikita Zaborovskii ◽  
Vladimir Solovyov ◽  
Mikael Mamedov ◽  
Dmitrii Mikhaylov ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lumbar Spine ◽  
Internal Consistency ◽  
Spine Surgery ◽  
Reliability And Validity ◽  
Lumbar Spine Surgery ◽  
Russian Version ◽  
Special Surgery ◽  
Hospital For Special Surgery

Background: Patients’ expectations are an important determinant in their decision to undergo lumbar spinal surgery—particularly their expectations of recovery after surgery. The Hospital for Special Surgery Lumbar Spine Surgery Expectations Survey (HSS-LSSES) is one tool used to assess this; however, the original version was only available in English. Objective: We sought to evaluate the reliability and validity of a translated and adapted Russian-language version of the HSS-LSSES. Methods: This was a prospective study of 91 patients with degenerative disc disease who underwent lumbar spine surgery with instrumented fixation at a single institution in Saint Petersburg, Russia. Patients were recruited between December 2019 and February 2021 and asked about their expectations of surgery with a translated and adapted Russian version of the HSS-LSSES. To analyze construct validity, participants also completed disease-specific and general quality-of-life scales (Oswestry Disability Index, European Quality of Life–5 Dimensions, and 36-item Short-Form Health Survey). Intraclass correlation coefficients (ICCs; 2-way random effects model, absolute agreement) were used to determine test-retest reliability of the total score of the Russian HSS-LSSES. Internal consistency was evaluated through the estimation of Cronbach’s alpha between the test and retest response of the questionnaire. Results: The test-retest stability of the Russian HSS-LSSES evaluated through the estimation of ICC was found to have good stability. The instrument was shown to have high internal consistency. Conclusion: This study demonstrates that a translated and adapted Russian version of HSS-LSSES had good internal consistency, reliability, construct validity, and no floor and ceiling effects. Therefore, we recommend its use as a tool for evaluating Russian-speaking patients’ expectations before lumbar spine surgery.

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