The Cost Associated with the Evaluation and Conservative Treatment of Thumb Carpometacarpal Arthritis Before Operative Intervention

OrthoMedia ◽  
2021 ◽  
Keyword(s):  
Conservative Treatment ◽  
Operative Intervention ◽  
Thumb Carpometacarpal ◽  
The Cost

ECONOMIC EFFICIENCY OF NEW TECHNOLOGIES IN TREATMENT OF PARTIAL DEGENERATIVE DAMAGES OF THE ROTARYBICEPITAL COMPLEX

2021 ◽  
pp. 126-130
Author(s):  
А.V. Savchuk ◽  
◽  
О.A. Danilenko ◽  
Е.R. Makarevich ◽  
Е.V. Zhuk ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Economic Efficiency ◽  
New Technologies ◽  
Economic Effect ◽  
Economic Losses ◽  
Medical Technologies ◽  
Treatment Technologies ◽  
New Treatment ◽  
The Cost ◽  
The City

The authors studied the economic efficiency of conservative treatment of 196 patients with injuries of the rotator-bicepital complex on the basis of the City Clinical Hospital № 6 in Minsk for the period from 2013 to 2020 using the developed approaches and the introduction of new technologies. As a result of shortening the length of stay of patients in a hospital with the use of new treatment technologies, it can reduce the cost of money. The total economic effect was 30726 BYN. The study of the parameters of economic efficiency indicates the feasibility of using the introduced medical technologies. As a result, the total amount of savins from reducing economic losses amounted to 24 006 BYN.

scholarly journals 1565 In Covid-19 Pandemic, Following the Updated Royal College of Surgeons of England Guidelines in Management of Acute Appendicitis; A General District Hospital Audit

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Dorra ◽  
M Abdellatif ◽  
W Fahmy ◽  
Y Salama
Keyword(s):  
Conservative Treatment ◽  
Acute Appendicitis ◽  
Royal College ◽  
Conservative Management ◽  
District Hospital ◽  
Admission Rate ◽  
Operative Management ◽  
Operative Intervention ◽  
Coding System ◽  
Conservative Group

Abstract Aim The Aim of the study is assessment of the compliance with the updated Royal College of Surgeons of England (RCS) guidelines in management of acute appendicitis in a general district hospital during COVID-19 pandemic. Conservative treatment of acute appendicitis is encouraged unless unresponsiveness to treatment or complications ensues. Method Collection of retrospective data using hospital coding system was done from 63 patients medical records who were diagnosed with acute appendicitis from April 2020 to June 2020. Results The collected data analysis showed adherence to conservative treatment in 16 out of 63 (16/63) patients (25.4%). It succeeded in 10/16 patients (63 %). 6/16 patients were switched to operative intervention (37 %). There were no complications in patients who needed operative intervention after failure of conservative management. Operative management was primarily chosen in 47/63 patients (74.6 %). Re-admissions were 3/16 patients (18.75 %) in conservative group in comparison to 1/47 patient (2.12 %) in primarily operative group. Conclusions The work showed a promising rate of success of conservative treatment. However, there is a low level of compliance with RCS guidelines in management of acute appendicitis during COVID-19 pandemic. The study showed increased re-admission rate for conservative management versus primarily operative management pathways. No complications were detected in cases who needed operative intervention after failure of conservative management. Re-auditing is to follow. The study recommends national comparison of data as it might be worthwhile considering primary management of acute appendicitis.

Interhemispheric subdural hematoma

1984 ◽  
Vol 60 (6) ◽  
pp. 1300-1302 ◽  
Author(s):  
Alan H. Fruin ◽  
Gregory L. Juhl ◽  
Charles Taylon
Keyword(s):  
Natural History ◽  
Conservative Treatment ◽  
Intracranial Hemorrhage ◽  
Subdural Hematoma ◽  
Operative Intervention ◽  
Rare Form ◽  
Content Type ◽  
History Of ◽  
Bridging Veins ◽  
Fine Print

✓ A case of interhemispheric subdural hematoma (ISH) is presented and discussed. This disorder is a rare form of intracranial hemorrhage, which classically presents as an isolated paresis of one leg or a hemiparesis worse in the leg than the arm. The majority of cases are due to occipital trauma because of the anatomy of the bridging veins. Chronic interhemispheric hematomas are rare since the natural history of these lesions is to spread out over the cerebral convexity. Conservative treatment for ISH may be beneficial unless neurological deterioration necessitates early operative intervention.

scholarly journals Costs of conservative treatment of patients with cholangitis and cholesystitis

2014 ◽  
Vol 67 (suppl. 2) ◽  
pp. 44-51
Author(s):  
Sandra Mikic ◽  
Sinisa Sevic ◽  
Vedrana Petric ◽  
Tomislav Preveden ◽  
Jelena Kalember ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Medical Treatment ◽  
Bacterial Infections ◽  
Test Group ◽  
Control Group ◽  
Antibacterial Drugs ◽  
Clinical Center ◽  
Before And After ◽  
The One ◽  
The Cost

Introduction. There are no guidelines for treating bacterial infections in our country. Antibacterial drugs are selected empirically, which is not always in accordance with the recommended therapy coming from the countries that have their own pharmacotherapy protocols. This study reviews the differences between the standard conservative treatment of cholangitis/cholecystitis and treatment implemented in accordance with current pharmacotherapy guidelines of other countries. The assessment of the therapeutic efficacy of antibacterial drugs implemented in the treatment of cholangitis/cholecystitis and economic viability of that implementation was one of the aims of this study, and another one was comparison of the efficiency and cost of medical treatment using physician?s therapy of choice and treatment according to pharmacotherapy guidelines. Material and Methods. The study was carried out over a threeyear period at the Department of Infectious Diseases of the Clinical Center of Vojvodina. It included 72 patients with the diagnosis of cholangitis/cholecystitis who were divided into two groups. The control group was treated according to the physician?s therapy of choice, while the test group was treated in accordance with pharmacotherapy guidelines. The efficiency and cost of medical treatment were determined for both groups. Results. The comparison of the efficiency and costs of medical treatment of cholangitis/cholecystitis before and after introducing pharmacotherapy guidelines showed no significant differences in the efficiency of administered therapies. However, the cost of medical treatment carried out in accordance with pharmacotherapy guidelines showed a decrease of 17.24%. Conclusion. Medical treatment using physician?s antibacterial therapy of choice and the one which is in accordance with pharmacotherapy guidelines for treating cholangitis/cholecystitis show no differences in terms of efficiency. However, medical treatment proved to be more affordable in the group of patients treated in accordance with pharmacotherapy guidelines of other countries.

Building Legitimacy by Valuing the Expert Opinion in the Conservative Treatment of Thumb Carpometacarpal Joint Osteoarthritis

2019 ◽  
Vol 35 (2) ◽  
pp. 156-159
Author(s):  
Raquel Cantero-Téllez ◽  
Kristin Valdes ◽  
Virgina OʼBrien ◽  
Pedro Berjano ◽  
Paolo Pedersini ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Expert Opinion ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Thumb Carpometacarpal

The Economic Impact of Technical Change in the Local Treatment of Breast Cancer

1997 ◽  
Vol 13 (1) ◽  
pp. 11-20 ◽  
Author(s):  
Chidem Kurdas
Keyword(s):  
Breast Cancer ◽  
Conservative Treatment ◽  
Incremental Cost ◽  
Reconstructive Surgery ◽  
Technical Change ◽  
Local Treatment ◽  
Breast Conserving Treatment ◽  
Reasonable Range ◽  
The Cost ◽  
Range Of Values

AbstractSome studies suggest that breast-conserving treatment increases the cost of breast cancer. Estimates from a social perspective show that incremental cost depends on the proportion of lumpectomies done in outpatient facilities and on the demand for reconstructive surgery. Conservative treatment reduces spending within a reasonable range of values.

scholarly journals Guidelines for the conservative treatment of spinal deformities – Questionnaire for a Delphi consensus

2021 ◽  
Vol 77 (2) ◽  
Author(s):  
Elif E. Dereli ◽  
Shaopeng Gong ◽  
Tuğba Kuru Çolak ◽  
Deborah Turnbull
Keyword(s):  
Conservative Treatment ◽  
Spinal Deformity ◽  
Treatment Guideline ◽  
Delphi Consensus ◽  
Modified Delphi ◽  
Modified Delphi Technique ◽  
The Right ◽  
Almost All ◽  
The Cost ◽  
Level Of Agreement

Background: Spinal deformity is the oldest disease known to humankind. Many types of treatment methods, including both conservative and surgical, are in use.Objective: We aimed to validate a published guideline protocol based on the conservative treatment of spinal deformities.Method: A modified Delphi technique was used with a questionnaire sent out to professionals worldwide regarding the conservative treatment of spinal deformities.Results: Our study was completed after two rounds. A strong level of agreement of 80% and more (consensus cut-off point) was achieved in most questions in the first round. Some statements were below this margin, and they were sent to the participants via email in the second round for re-evaluation. Consensus was achieved in almost all of the statements in the second round. Only two items did not reach the cut-off point but were close to this value.Conclusion: This proposed Guideline Protocol was approved by the participants using the Delphi method and can be used as a valid tool for the conservative treatment of spinal deformities.Clinical implications: A conservative treatment guideline in spinal deformity management, will provide consistency in treatment and will facilitate comparability with surgery. It will be useful in determining the cost-effectiveness of treatment and in choosing the right patient for the right method of treatment. This guideline might help in this context, and may also create a systematic method for clinicians to use as a reference in both research and clinical practice.

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