scholarly journals Predicting changes in cataract surgery health outcomes using a cataract surgery appropriateness and prioritization instrument

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0246104
Author(s):  
Morgan E. Lim ◽  
Simona C. Minotti ◽  
Chelsea D’Silva ◽  
Robert J. Reid ◽  
Matthew B. Schlenker ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Social Life ◽  
Ability To Work ◽  
Visual Functioning ◽  
Related Quality ◽  
Snellen Chart ◽  
Health Related ◽  
Almost All ◽  
One Way Anova

Objective Determine whether items in a cataract surgery appropriateness and prioritization questionnaire can predict change in best corrected visual acuity (BCVA) and health related quality of life (HRQOL) following cataract surgery. Methods 313 patients with a cataract in Ontario, Canada were recruited to participate. BCVA was measured using the Snellen chart. HRQOL was measured using a generic instrument (EQ5D), a visual functioning instrument (Catquest-9SF), and an appropriateness and prioritization instrument (17 items). Outcomes were measured preoperatively and 3–6 months postoperatively. Descriptive statistics were used to describe demographics and outcomes. For each appropriateness and prioritization questionnaire item, a one-way ANOVA was used to compare group means of the change in BCVA, EQ5D, and Catquest-9SF. Results Participants had a mean age of 69 years and were 56% female. BCVA improved in 81%, EQ5D in 49.6%, and Catquest-9SF score in 84% of patients. Improvement in both BCVA and Catquest-9SF scores were found in 68.5% of patients. The ANOVA showed a statistically significant association between a change in BCVA and the ability to participate in social life, and a statistically significant association between a change in Catquest-9SF and glare, extent of impairment in visual function, safety and injury concerns, ability to work and care for dependents, ability to take care of local errands, ability to assist others and ability to participate in social life. Conclusions Almost all patients had improved BCVA and/or visual functioning after surgery. Seven variables from the cataract appropriateness and prioritization instrument were found to be predictors of improvement in Catquest-9SF measuring visual functioning.

scholarly journals The impact of pregnancy on women’s oral health-related quality of life: a qualitative investigation

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Omid Fakheran ◽  
Mahmoud Keyvanara ◽  
Zahra Saied-Moallemi ◽  
Abbasali Khademi
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Pregnant Women ◽  
Social Life ◽  
Well Being ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Abstract Background Complex psychological and physiological changes occur in women’s body during pregnancy. These changes affect both oral health status and oral health-related quality of life (OHRQoL). In almost all of the previous cross-sectional design studies on pregnant women, generic OHRQoL instruments have been used to measure OHRQoL. While such instruments may be reliable, they may not be appropriate to evaluate the OHRQoL in special populations like pregnant women. The purpose of this study was to investigate the self-perceived factors affecting the OHRQoL among pregnant women. Methods In this qualitative descriptive study, twenty- seven pregnant women were recruited from four healthcare centers located in Isfahan city, Iran. The interpretative phenomenological analysis was used to collect and analyze the data. Four criteria of credibility, dependability, transferability, and confirmability were implemented through established procedures to confirm the study rigor. Results Three major themes and six sub-themes capturing the impacts of pregnancy on women’s OHRQoL were identified. They covered all areas of life, including daily life, psychological well-being, social life, physical impact, and also barriers to utilization of dental care services. Some new domains such as “dentists’ refusal to treat pregnant women”, “negative feelings about pregnancy” and “concerns about fetal health” were found as important factors which could influence the OHRQoL during pregnancy. Conclusion The findings help to better understand the oral health issues impacting women during pregnancy and to achieve person-centered care and improved oral health outcomes in pregnant women. The conceptual framework created based on the results of this study may help health care workers and policy makers for improving the health of pregnant women.

scholarly journals The impact of cataract surgery on health related quality of life and time use in Kenya, Bangladesh and the Philippines

2009 ◽  
Vol 63 (Suppl 2) ◽  
pp. 69-69
Author(s):  
S. Polack ◽  
C. Eusebio ◽  
W. Mathenge ◽  
Z. Wadud ◽  
A. K. M. Mamunur ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cataract Surgery ◽  
Time Use ◽  
The Philippines ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Impact

scholarly journals The living with pulmonary fibrosis questionnaire in progressive fibrosing interstitial lung disease

2021 ◽  
pp. 00145-2020
Author(s):  
Jeffrey Swigris ◽  
Katelyn Cutts ◽  
Natalia Male ◽  
Michael Baldwin ◽  
Klaus. B. Rohr ◽  
...  
Keyword(s):  
Interstitial Lung Disease ◽  
Pulmonary Fibrosis ◽  
Lung Disease ◽  
Qualitative Content Analysis ◽  
Well Being ◽  
Related Quality ◽  
Health Related ◽  
The Usa ◽  
Almost All

The Living with Idiopathic Pulmonary Fibrosis (L-IPF) questionnaire was developed with substantial input from patients with IPF to assess symptoms and health-related quality of life (HRQoL). Because IPF is the prototypical chronic fibrosing interstitial lung disease (ILD) with a progressive phenotype, we expanded applicability of the L-IPF by deleting the word “idiopathic”, creating the L-PF (Living with Pulmonary Fibrosis) questionnaire, and then assessed its relevance among patients with progressive fibrosing ILDs in one-to-one interviews.Patients in the USA and Germany with any progressive fibrosing ILD other than IPF were asked about their disease and symptoms, completed the 44-item L-PF questionnaire (comprising two modules that assess symptoms and impacts of disease) and then answered a series of debriefing questions. Interviews were recorded, transcribed and coded for qualitative content analysis.Twenty patients were interviewed, but time constraints meant not all were asked about all items. The most frequent diagnoses were rheumatoid arthritis-associated ILD (25%) and mixed connective tissue disease-associated ILD (20%). Almost all patients endorsed the symptoms assessed by the L-PF: shortness of breath (19/20), cough (19/20 patients) and fatigue (18/20). Most patients endorsed impacts of progressive fibrosing ILD on activities of daily living, physical well-being, sleep, emotional well-being, and social aspects of their lives. Most patients had an overall positive impression of the Symptoms module and understood items as intended. All seven patients asked understood the items of the Impacts module.The L-PF contains concepts relevant and important to patients with progressive fibrosing ILD, and items are understood as intended.

Health-Related Quality of Life Among Young Adults with Multiple Sclerosis

2010 ◽  
Vol 12 (4) ◽  
pp. 190-199 ◽  
Author(s):  
Robert J. Buchanan ◽  
Chunfeng Huang ◽  
Michael Kaufman
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Young Adults ◽  
Social Life ◽  
Regression Models ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Physical Dimensions

Multiple sclerosis (MS) is an unpredictable disease that can have physical, psychological, and social impacts, reducing health-related quality of life (HRQOL). The objective of this study was to identify factors associated with HRQOL among young adults with MS. Survey data were collected from 100 people with MS aged 18 to 31 years, with 93 participants providing all data needed for analyses of our regression models. The survey cohort was recruited from the North American Research Committee on Multiple Sclerosis (NARCOMS) Registry (now the NARCOMS/Global Patient Registry). Multiple linear regression models were used to analyze the data, with the Physical Component Summary and the Mental Component Summary of the 8-item Short Form Health Status Survey serving as dependent variables. Independent variables were other survey responses, including demographic, disease, and treatment characteristics. The results indicated that full-time employment, relapsing-remitting course of MS, and satisfaction with access to MS-focused care were associated with better physical dimensions of HRQOL. Conversely, MS symptoms that interfered with daily life and perceptions of not having as good a social life as other people of comparable age were linked to poorer physical dimensions of HRQOL. Worsening MS symptoms, not having as good a social life as other people of comparable age, and seeing a mental health professional in the previous 12 months were associated with poorer mental dimensions of HRQOL. Our study highlights the association of MS-focused care with better physical dimensions of HRQOL among young adults with MS.

The Impact of Cataract Surgery on Health Related Quality of Life in Kenya, the Philippines, and Bangladesh

2010 ◽  
Vol 17 (6) ◽  
pp. 387-399 ◽  
Author(s):  
Sarah Polack ◽  
Christina Eusebio ◽  
Wanjiku Mathenge ◽  
Zakia Wadud ◽  
A.K.M. Mamunur ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cataract Surgery ◽  
The Philippines ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Impact

scholarly journals Change in health-related quality of life after cataract surgery in a population-based sample

Eye ◽  
2007 ◽  
Vol 22 (4) ◽  
pp. 479-484 ◽  
Author(s):  
S Chandrasekaran ◽  
J J Wang ◽  
E Rochtchina ◽  
P Mitchell
Keyword(s):  
Quality Of Life ◽  
Cataract Surgery ◽  
Population Based ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Changes in the Oswestry Disability Index that predict improvement after lumbar fusion

2012 ◽  
Vol 17 (5) ◽  
pp. 486-490 ◽  
Author(s):  
Mladen Djurasovic ◽  
Steven D. Glassman ◽  
John R. Dimar ◽  
Charles H. Crawford ◽  
Kelly R. Bratcher ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Life ◽  
Lumbar Fusion ◽  
Health Related Quality ◽  
Outcomes Measures ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related ◽  
Disease Specific

Object Clinical studies use both disease-specific and generic health outcomes measures. Disease-specific measures focus on health domains most relevant to the clinical population, while generic measures assess overall health-related quality of life. There is little information about which domains of the Oswestry Disability Index (ODI) are most important in determining improvement in overall health-related quality of life, as measured by the 36-Item Short Form Health Survey (SF-36), after lumbar spinal fusion. The objective of the study is to determine which clinical elements assessed by the ODI most influence improvement of overall health-related quality of life. Methods A single tertiary spine center database was used to identify patients undergoing lumbar fusion for standard degenerative indications. Patients with complete preoperative and 2-year outcomes measures were included. Pearson correlation was used to assess the relationship between improvement in each item of the ODI with improvement in the SF-36 physical component summary (PCS) score, as well as achievement of the SF-36 PCS minimum clinically important difference (MCID). Multivariate regression modeling was used to examine which items of the ODI best predicted achievement for the SF-36 PCS MCID. The effect size and standardized response mean were calculated for each of the items of the ODI. Results A total of 1104 patients met inclusion criteria (674 female and 430 male patients). The mean age at surgery was 57 years. All items of the ODI showed significant correlations with the change in SF-36 PCS score and achievement of MCID for the SF-36 PCS, but only pain intensity, walking, and social life had r values > 0.4 reflecting moderate correlation. These 3 variables were also the dimensions that were independent predictors of the SF-36 PCS, and they were the only dimensions that had effect sizes and standardized response means that were moderate to large. Conclusions Of the health dimensions measured by the ODI, pain intensity, walking, and social life best predicted improvement in overall health-related quality of life, as measured using the SF-36 PCS.

scholarly journals STUDY OF THE QUALITY OF LIFE WITH REGARD TO THE HEALTH OF PATIENTS WITH CHRONIC ISCHEMIC HEART DISEASE

2018 ◽  
Vol 28 (2) ◽  
pp. 515-518
Author(s):  
Marieta Todorova
Keyword(s):  
Quality Of Life ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Social Life ◽  
Ischemic Heart ◽  
Health Related Quality ◽  
Chronic Ischemic Heart Disease ◽  
Related Quality ◽  
Health Related

The study of the quality of life through the patient’s point of view provides important information about the reflection of the disease on his life and social adaptation. The objective of the development is to establish the influence of the chronic ischemic heart disease on the daily routine and the social life of the patients.Methods: The study is of cross-sectional type. It covers 146 patients with chronic ischemic heart disease. A questionnaire has been developed, which includes questions related to the demographic specification of the patients and their social life. Standardized questionnaire EQ-5D for self-assessment of the health-related quality of life has been applied.Results: A significant part of the patients have difficulties in carrying out professional activities or family duties. A low level of coping is found in 32 men (43.8%) and 29 women (39.7%). More than half of the persons aged over 60 have difficulties in the 5 studied areas of quality of life: mobility, self-care, regular activities, pain/discomfort, anxiety. Problems in the field of physical activity were found in 43 men (43.9%) and 55 women (56.1%). A dependency was found between the area of self-service and age (χ2=10.85, p=0.004).Conclusion: The questioned patients give lower assessments of the social life and coping with the daily routine. The screening of the health-related quality of life is important for improvement of the clinical practice and management of the disease. In the sphere of public health, the health-related quality of life data are applied for analysis of the impact of the socially significant diseases on different groups of population. Differentiation of the impacts of such diseases on the patients is the basis of creation of efficient interventions for prophylactics and rehabilitation. The medical specialists may use the results of measurement of quality of life in the clinical practice for improvement of the patients’ healthcare.

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