scholarly journals Subtalar arthroereisis for the treatment of the symptomatic paediatric flexible pes planus: a systematic review

2021 ◽  
Vol 6 (2) ◽  
pp. 118-129
Author(s):  
Christian Smith ◽  
Razi Zaidi ◽  
Jagmeet Bhamra ◽  
Anna Bridgens ◽  
Caesar Wek ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Outcome Measures ◽  
Patient Reported Outcome Measures ◽  
Reoperation Rate ◽  
Patient Reported Outcome ◽  
Pes Planus ◽  
Patient Reported ◽  
Subtalar Arthroereisis ◽  
Radiological Measurements ◽  
Satisfaction Rates

Subtalar arthroereisis has a controversial history and has previously been associated with high failure rates and excessive complications. A database search for outcomes of arthroereisis for the treatment of symptomatic paediatric flexible pes planus provided 24 articles which were included in this review, with a total of 2550 feet operated on. Post-operative patient-reported outcome measures recorded marked improvement. Patient satisfaction was reported as excellent in 79.9%, and poor in 5.3%. All radiological measurements demonstrated improvement towards the normal range following arthroereisis, as did hindfoot valgus, supination, dorsiflexion and Viladot grade. Complications were reported in 7.1% of cases, with a reoperation rate of 3.1%. Arthroereisis as a treatment for symptomatic paediatric flexible pes planus produces favourable outcomes and high patient satisfaction rates with a reasonable risk profile. There is still a great deal of negativity and literature highlighting the complications and failures of arthroereisis, especially for older implants. The biggest flaws in the collective literature are the lack of high-quality prospective studies, a paucity of long-term data and the heterogeneity of utilized outcome measures between studies. Cite this article: EFORT Open Rev 2021;6:118-129. DOI: 10.1302/2058-5241.6.200076

Patient-Reported Outcome Measures are not a Valid Proxy for Patient Satisfaction in Total Joint Arthroplasty

2020 ◽  
Vol 35 (2) ◽  
pp. 335-339 ◽  
Author(s):  
Mohamad J. Halawi ◽  
Walter Jongbloed ◽  
Samuel Baron ◽  
Lawrence Savoy ◽  
Mark P. Cote ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Outcome Measures ◽  
Total Joint Arthroplasty ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Joint Arthroplasty ◽  
Patient Reported

scholarly journals Impact of preoperative diagnosis on patient satisfaction following lumbar spine surgery

2017 ◽  
Vol 26 (6) ◽  
pp. 709-715 ◽  
Author(s):  
Charles H. Crawford ◽  
Leah Y. Carreon ◽  
Mohamad Bydon ◽  
Anthony L. Asher ◽  
Steven D. Glassman
Keyword(s):  
Patient Satisfaction ◽  
Outcome Measures ◽  
Spine Surgery ◽  
Disc Herniation ◽  
Preoperative Diagnosis ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Adjacent Segment Degeneration ◽  
Adjacent Segment ◽  
Patient Reported

OBJECTIVEPatient satisfaction is a commonly used metric in the current health care environment. While factors that affect patient satisfaction following spine surgery are complex, the authors of this study hypothesized that specific diagnostic groups of patients are more likely to be satisfied after spine surgery and that this is reflected in patient-reported outcome measures. The purpose of this study was to determine if the preoperative diagnosis—disc herniation, stenosis, spondylolisthesis, adjacent segment degeneration, or mechanical disc collapse—would impact patient satisfaction following surgery.METHODSPatients enrolled in the Quality Outcomes Database, formerly known as the National Neurosurgery Quality and Outcomes Database (N2QOD), completed patient-reported outcome measures, including the Oswestry Disability Index (ODI) and Numeric Rating Scale (NRS) for back pain (NRS-BP) and leg pain (NRS-LP) preoperatively and 1-year postoperatively. Patients were stratified by diagnosis and by their response to the satisfaction question: 1) surgery met my expectations; 2) I did not improve as much as I hoped, but I would undergo the same operation for the same results; 3) surgery helped, but I would not undergo the same operation for the same results; or 4) I am the same or worse as compared with before surgery.RESULTSA greater proportion of patients with primary disc herniation or spondylolisthesis reported that surgery met expectations (66% and 67%, respectively), followed by recurrent disc herniation and stenosis (59% and 60%, respectively). A smaller proportion of patients who underwent surgery for adjacent segment degeneration or mechanical disc collapse had their expectations met (48% and 41%, respectively). The percentage of patients that would undergo the same surgery again, by diagnostic group, was as follows: disc herniation 88%, recurrent disc herniation 79%, spondylolisthesis 86%, stenosis 82%, adjacent segment disease 75%, and mechanical collapse 73%. Regardless of diagnosis, mean improvement and ultimate 1-year postoperative ODI, NRS-BP, and NRS-LP reflected patient satisfaction.CONCLUSIONSPreoperative diagnosis was predictive of patient satisfaction following spine surgery. The mean change in and 1-year ODI, NRS-BP, and NRS-LP reflected patient satisfaction regardless of preoperative diagnosis.

Patient Satisfaction with Collection of Patient-Reported Outcome Measures in Routine Care

2016 ◽  
Vol 34 (2) ◽  
pp. 452-465 ◽  
Author(s):  
Pablo F. Recinos ◽  
Cheryl J. Dunphy ◽  
Nicolas Thompson ◽  
Jesse Schuschu ◽  
John L. Urchek ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Outcome Measures ◽  
Patient Reported Outcome Measures ◽  
Routine Care ◽  
Patient Reported Outcome ◽  
Patient Reported

Patient-reported outcome measures: The importance of patient satisfaction in surgery

Surgery ◽  
2009 ◽  
Vol 146 (3) ◽  
pp. 435-443 ◽  
Author(s):  
Andre Chow ◽  
Erik K. Mayer ◽  
Ara W. Darzi ◽  
Thanos Athanasiou
Keyword(s):  
Patient Satisfaction ◽  
Outcome Measures ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Patient Reported

scholarly journals The Use of Patient Reported Outcome Measures and Experiences in Patients With Anaemia Receiving Intravenous Ferric Carboxymaltose: A Cohort Study 

2020 ◽  
Author(s):  
Kerstin Wyssusek ◽  
Cienwen Town ◽  
Rose Norton ◽  
Annie Der Avedissian
Keyword(s):  
Patient Satisfaction ◽  
Outcome Measures ◽  
Patient Experience ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Physiological Data ◽  
Ferric Carboxymaltose ◽  
Patient Questionnaire ◽  
Patient Reported

Abstract Background: Fatigue due to iron deficiency anaemia (IDA) has not been regularly evaluated in clinical studies. The aim of this study is to assess patient reported outcomes amongst individuals diagnosed with IDA before and after receiving intravenous ferric carboxymaltose. Fatigue and satisfaction will be measured using the validated Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-fatigue) scale and the validated Nordic Patient Experiences Questionnaire (NORPEQ), respectively.Methods: Thirty eligible patients receiving IV ferric carboxymaltose at the Royal Brisbane and Women’s Hospital were enrolled to participate in interviews; two patients were lost to follow up. Mean change in FACIT-fatigue score from the baseline day of IV ferric carboxymaltose treatment to week 4 post treatment was measured. Patient satisfaction with the overall process of treatment was measured on the day of treatments. Approval for Ethics exemption was obtained by the RBWH ethics committee.Results: A one-way ANOVA was conducted to compare the patient questionnaire results at baseline on the day of receiving the IV ferric carboxymaltose and after a four week follow up via telephone interview. There was a significant effect of improvement of FACIT-fatigue scores on follow up at the p<.05 level [F(1,54), = 7.60, p = .008]. Patient satisfaction was assessed by analysing NORPEQ, an 8-item questionnaire. Patients had reported overall higher satisfaction scores at baseline and follow-up, averaging 91% and 94%, respectively and were not significant in treatment at the p<.05 level [F(1,52), = 1.37, p = .246].Conclusions: The use of validated patient reported outcome measures and experiences provides valuable insights into the patients’ perspective. Physiological and biochemical data outcomes are often used as the gold-standard of medical research. However, patient experience and self-perceived physiological improvement are imperative when measuring the success of a medical intervention and the benefits it provides to patients and consumers. Further research is needed to combine the subjective patient experience data with objective physical, biochemical, or physiological data. Combined, they can provide a thorough and comprehensive assessment of an intervention. Furthermore, a comparison of outcomes administering IV iron or oral iron therapy would provide valuable information about efficacy.Trial registration: Not registered

Sign in / Sign up

Export Citation Format

Share Document