Prior Funding Approval in Orthopaedics

2012 ◽  
Vol 94 (7) ◽  
pp. 234-236
Author(s):  
A Mulligan ◽  
N de Roeck ◽  
L Jeyaseelan
Keyword(s):  
Functional Limitation ◽  
Scoring Systems ◽  
Epidemiological Studies ◽  
Appropriateness Criteria ◽  
Department Of Health ◽  
Related Quality ◽  
Health Related ◽  
American Society ◽  
American Society Of Anesthesiologists

In November 2009 the Bedfordshire and hertfordshire Priorities forum produced guidance on the referral and surgery thresholds for total hip and knee arthroplasties. This guidance is based on sources from the British orthopaedic Association, the American Association of orthopaedic Surgeons, the department of health and epidemiological studies. The guidance relating to thresholds for surgery focuses on assessment of patient symptomatology against appropriateness criteria as described by Quintana et al. These criteria include pain severity, functional limitation, age, bone quality, surgical risk (ASA [American Society of Anesthesiologists] grade) and attempts at non-surgical management. Quintana et al found that those patients thought to have appropriate criteria prior to surgery have a significantly greater improvement in health-related quality of life scoring systems postoperatively.

scholarly journals Risk Factors for Poor Health-related Quality of Life in Patients With Colon Cancer Include Stoma and Smoking Habits

2021 ◽  
Author(s):  
Catarina Tiselius ◽  
Andreas Rosenblad ◽  
Eva Strand ◽  
Kenneth Smedh
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Body Mass Index ◽  
Colon Cancer ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
American Society ◽  
American Society Of Anesthesiologists

Abstract Objectives: Studies have shown that poor Health-related quality of life (HRQoL) might worsen the cancer-related prognosis. The aim of this study was to investigate risk factors for poor HRQoL in patients with colon cancer.Method: This was a prospective population-based study of patients with colon cancer included between 2012 and 2016. HRQoL was measured using the cancer-specific European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30. Multiple linear regression analysis adjusted for age, sex, body mass index, smoking habits, American Society of Anesthesiologists physical status classification, emergency/elective surgery, resection with/without a stoma and tumour stage was used.Results: A total of 67% (376/561) of all incident patients with colon cancer (196 [52.1%] females) was included. Mean (range) age was 73 (30–96) years. Patients with more comorbidity (American Society of Anesthesiologists status 3 and 4), those with higher body mass index, smokers and patients who were planned to be operated on with a stoma were at a higher risk for poor QoL than the other included patients at baseline and at 6 months of follow-up.Conclusion: These findings may be used to provide more individualized attention to patients who need more support from health care.ClinicalTrials.gov (NCT 03910894)

scholarly journals Risk factors for poor health-related quality of life in patients with colon cancer include stoma and smoking habits

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Catarina Tiselius ◽  
Andreas Rosenblad ◽  
Eva Strand ◽  
Kenneth Smedh
Keyword(s):  
Quality Of Life ◽  
Body Mass Index ◽  
Colon Cancer ◽  
Body Mass ◽  
Physical Status ◽  
Related Quality ◽  
Health Related ◽  
American Society ◽  
American Society Of Anesthesiologists

Abstract Background Previous studies have shown that health-related quality of life (HRQoL) is associated with the prognosis of cancer patients. The aim of this study was to investigate risk factors for poor HRQoL in patients with colon cancer. Methods This was a prospective population-based study of patients with colon cancer included between 2012 and 2016. HRQoL was measured using the cancer-specific European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30. Multiple linear regression analysis adjusted for age, sex, body mass index, smoking habits, American Society of Anesthesiologists physical status classification, emergency/elective surgery, resection with/without a stoma and tumour stage was used. Results A total of 67% (376/561) of all incident patients with colon cancer (196 [52.1%] females) was included. Mean (range) age was 73 (30–96) years. Patients with worse health (American Society of Anesthesiologists physical status 3 and 4), those with higher body mass index, smokers and those planned to undergo surgical treatment with a stoma were at a higher risk for poor HRQoL than the other included patients at baseline and 6-month follow-up. Conclusions Patient characteristics such as smoking, high body mass index and worse physical health as well as treatment with a stoma were associated with lower HRQoL. Health care for such patients should focus on social and lifestyle behavioural support and stoma closure, when possible. Trial registration: ClinicalTrials.gov (NCT 03910894).

scholarly journals Health-related quality of life of patients undergoing rehabilitation with implant-supported prostheses

RSBO ◽  
2017 ◽  
Vol 13 (3) ◽  
pp. 163
Author(s):  
Monalisa Klingenfuss Klingenfuss ◽  
Denise Piotto Leonardi ◽  
Estela Maris Losso ◽  
Tatiana Miranda Deliberador ◽  
Bárbara Pick Ornaghi
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Statistical Difference ◽  
Short Form ◽  
Functional Limitation ◽  
Control Group ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

The success of oral reabilitation treatment depend on the re-establishment of the masticatory function and oral comfort of the patient. Objective: To evaluate the oral health-related quality of life (OHRQoL) of patients undergoing rehabilitation with implant-supported prostheses by Oral Health Impact Profile - short form questionnaire (OHIP-14) and a questionnaire associated to the Visual Analog Scale (VAS). Material and methods: Fourteen patients requiring implant-supported prostheses on anterior region were asked to complete the OHIP-14 before, 1 and 3 months, and the VAS questionnaire, 1 and 3 months after the prosthesis installation (sample group). Moreover, fourteen complete dentate patients were asked to complete the OHIP-14 (control group). For each OHIP-14 category, the sample group’s answers were compared between the evaluation periods by the Kruskal-Wallis test, and to the control group’s answers by the U-test. The answers of the questionnaire associated to VAS were compared between the evaluation periods by t-test ( α=0.05). Results: For OHIP-14, there was no statistical difference between the answers after 1 and 3 months; however, there was difference among the answers of baseline, and 1 and 3 months after the prostheses installation, excepted for functional limitation. Comparing to the control group, before the prostheses installation, there was statistical difference for functional limitation, physical pain, psychological discomfort, physical and psychological disability; and, there was no difference after 3 months of prostheses installation. For the questionnaire associated to the VAS, there was no statistical difference between the responses for both evaluation periods, excepted for the prosthesis’ comfort and stability. Conclusion: The rehabilitated patients showed a significant improvement in function, aesthetics, self-esteem, and the quality of life.

scholarly journals Exploring the relationship between functional limitations of the older adults and the health-related quality of life of their spouse in Shaanxi Province, China

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Wanyue Dong ◽  
Anthony B. Zwi ◽  
Chi Shen ◽  
Yue Wu ◽  
Jianmin Gao
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Functional Limitation ◽  
Shaanxi Province ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Lower Hrqol ◽  
The Relationship

Abstract Background With trends towards longer life expectancy, lifetime with disability has also been prolonged. It is increasingly recognized that not only the person with disability but also those around them are affected. The relationship between functional limitation (FL) of the older adults and health-related quality of life (HRQoL) of their spouse is of interest. So too is the determination of the factors aside from FL that influence HRQoL. Methods The sample was derived from the 2013 National Health Service Survey conducted in Shaanxi Province in China. Married couples aged ≥ 60 years were selected (n = 3463). The European quality of life five dimensions (EQ-5D) and visual analogue scale were used to measure HRQoL. Results Both wife and husband reported lower HRQoL if either the male or female partner had some or serious FLs (P < 0.001). Other factors associated with lower HRQoL of the spouse included age, lower educational level, presence of chronic disease, and lower household economic status. Family size was associated with wife's HRQoL only when the male had no FL and lived with another 1–2 persons, or when the male had some FLs and lived in a larger family (n ≥ 5). Residential status did not relate to the HRQoL of spouses regardless of FL status. Conclusions Older adults in Shaanxi province who have partners with FLs tend to report poorer EQ-5D, suggesting that couples amongst whom one has FL may be particularly vulnerable to lower HRQoL.

scholarly journals Functional Ankle Instability and Health-Related Quality of Life

2011 ◽  
Vol 46 (6) ◽  
pp. 634-641 ◽  
Author(s):  
Brent L. Arnold ◽  
Cynthia J. Wright ◽  
Scott E. Ross
Keyword(s):  
Physical Function ◽  
Ankle Instability ◽  
Functional Limitation ◽  
Functional Ankle Instability ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related ◽  
Function Domain ◽  
Cumberland Ankle Instability Tool

Context: To our knowledge, no authors have assessed health-related quality of life (HR-QOL) in participants with functional ankle instability (FAI). Furthermore, the relationships between measures of ankle functional limitation and HR-QOL are unknown. Objective: To use the Short Form–36v2 Health Survey (SF-36) to compare HR-QOL in participants with or without FAI and to determine whether HR-QOL was related to functional limitation. Design: Cross-sectional study. Setting: Sports medicine research laboratory. Patients or Other Participants: Sixty-eight participants with FAI (defined as at least 1 lateral ankle sprain and 1 episode of giveway per month) or without FAI were recruited (FAI group: n = 34, age = 25 ± 5 years, height = 1.71 ± 0.08 m, mass = 74.39 ± 12.78 kg, Cumberland Ankle Instability Tool score = 19.3 ± 4; uninjured [UI] group: n = 34, age = 23 ± 4 years, height = 1.69 ± 0.08 m, mass = 67.94 ± 11.27 kg, Cumberland Ankle Instability Tool score = 29.4 ± 1). Main Outcome Measure(s): All participants completed the SF-36 as a measure of HR-QOL and the Foot and Ankle Ability Measure (FAAM) and the FAAM Sport version (FAAMS) as assessments of functional limitation. To compare the FAI and UI groups, we calculated multiple analyses of variance followed by univariate tests. Additionally, we correlated the SF-36 summary component scale and domain scales with the FAAM and FAAMS scores. Results: Participants with FAI had lower scores on the SF-36 physical component summary (FAI = 54.4 ± 5.1, UI = 57.8 ± 3.7, P = .005), physical function domain scale (FAI = 54.5 ± 3.8, UI = 56.6 ± 1.2, P = .004), and bodily pain domain scale (FAI = 52.0 ± 6.7, UI = 58.5 ± 5.3, P &lt; .005). Similarly, participants with FAI had lower scores on the FAAM (FAI = 93.7 ± 8.4, UI = 99.5 ± 1.4, P &lt; .005) and FAAMS (FAI = 84.5 ± 8.4, UI = 99.8 ± 0.72, P &lt; .005) than did the UI group. The FAAM score was correlated with the physical component summary scale (r = 0.42, P = .001) and the physical function domain scale (r = 0.61, P &lt; .005). The FAAMS score was correlated with the physical function domain scale (r = 0.47, P &lt; .005) and the vitality domain scale (r = 0.36, P = .002). Conclusions: Compared with UI participants, those with FAI had less HR-QOL and more functional limitations. Furthermore, positive correlations were found between HR-QOL and functional limitation measures. This suggests that ankle impairment may reduce overall HR-QOL.

Effect of Complete Denture Therapy on Oral Health-Related Quality of Life of Edentulous Patient

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Hosein Masoudi Rad ◽  
Hamid Neshandar Asli ◽  
Maryam Rabiei ◽  
Mehran Falahchai ◽  
Fatemeh Ghasemi
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Functional Limitation ◽  
Health Impact ◽  
Complete Denture ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Edentulous Patients

Edentulism is one of the most important oral health challenges, which results in adverse social and psychological consequences. A conventional complete denture is utmost usually used treatment modality for these patients. A few studies assessed the quality of life of patients before as well as one month after complete denture therapy. This study aimed to assess the consequence of complete denture therapy on oral health-related quality of life of edentulous patients. This study was conducted on 43 edentulous patients in 2018-2019 who met the inclusion criteria. After obtaining their written informed consent and ethical approval from the university medical ethics committee, patients were requested to fill out the standardized Persian version of the oral health impact profile-14 (OHIP-14) questionnaire before as well as one month after the delivery of complete denture via an interview. Data were analyzed using SPSS version 21 via the Wilcoxon and MannWhitney U tests. The total score of quality of life (OHIP-14) of patients considerably improved after treatment (P<0.001). The quality of life of patients significantly improved in all domains (P<0.001) except for functional limitation (P=0.122) and physical pain (P=0.009) domains, which had a more favourable status before the denture delivery. The difference in OHIP-14 total score of patients was significant regarding sex and age before (P=0.004 and P=0.006, respectively) and after (P=0.022 and P=0.007, respectively) denture delivery. Edentulous patients showed an improvement in oral health related quality of life at one month after denture delivery.

scholarly journals HEALTH-RELATED QUALITY OF LIFE AND EXPECTATIONS OF SPINAL STENOSIS PATIENTS TOWARDS THE SURGICAL TREATMENT

2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Eliane Nepomuceno ◽  
Lilian Maria Pacola ◽  
Carina Aparecida Marosti Dessotte ◽  
Rejane Kiyomi Furuya ◽  
Helton Luiz Aparecido Defino ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Functional Limitation ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Lumbar Stenosis ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

ABSTRACT The objective of this cross-sectional analytical study was to compare health-related quality of life, presence of anxiety and depression symptoms, and functional limitation according to the location of the spinal stenosis; and to describe patients' expectations toward the surgical treatment. Thirty-two patients with lumbar stenosis and 22 with cervical stenosis participated in the study. Comparison of health-related quality of life showed statistically significant differences in pain and functional capacity dimensions. There were no statistically significant differences regarding anxiety and depression symptoms. The mean functional limitation was 53.2% (SD=11.9%) for the group with lumbar stenosis and 40.2% (SD=17.5%) for the group with cervical stenosis. Most participants expected great improvement of the symptoms after the surgical treatment. In the preoperative period, expectations of improvement are high and should be discussed with the health staff, since in clinical practice, this improvement is not always achieved with the surgical treatment.

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