scholarly journals QUALITY OF LIFE IN THE PRE- AND POSTOPERATIVE PERIODS IN SPINAL FUSION AND DISCECTOMY

2019 ◽  
Vol 18 (1) ◽  
pp. 55-59
Author(s):  
Gibran Franzoni Rufca ◽  
Flavio Ramalho Romero ◽  
Drielly Lívia Cristino Braga Rufca ◽  
Bruna da Silva ◽  
Catilaine de Oliveira ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Retrospective Study ◽  
Telephone Interview ◽  
Tertiary Hospital ◽  
Lumbar Pain ◽  
Functional Importance ◽  
Level Of Evidence ◽  
Spinal Arthrodesis ◽  
The Impact

ABSTRACT Objectives: Considering the epidemiological and functional importance of spinal pathologies and the large number of surgeries performed today, the study aimed to evaluate the impact of spinal arthrodesis and discectomy surgeries on patients’ quality of life. Methods: This is a retrospective, descriptive, and longitudinal study developed in the neurology and neurosurgery department of a strategic tertiary hospital in an inland town in the state of São Paulo. Data were collected through a telephone interview, using the Oswestry questionnaire (ODI) to assess lumbar pain in patients submitted to surgery in 2014 and 2015. Results: There was an improvement in the ODI results in all the periods analyzed. When the evaluations were subdivided by surgical type, there was an absolute improvement in the median ODI results in all procedures, however, only the cervical spine arthrodesis procedure was not statistically significant, probably due to the low number of procedures analyzed (n = 12). Conclusion: It can be concluded that the current surgical technique can contribute to the improvement of patients’ quality of life. Level of Evidence III; Comparative retrospective study.

Functional Impairment of Patients Undergoing Surgical Correction for Charcot Foot Arthropathy

2017 ◽  
Vol 38 (7) ◽  
pp. 705-709 ◽  
Author(s):  
Ellen Kroin ◽  
Adam Schiff ◽  
Michael S. Pinzur ◽  
Elissa S. Davis ◽  
Edwin Chaharbakhshi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Short Form ◽  
Comparative Investigation ◽  
Poor Quality ◽  
Charcot Foot ◽  
Level Of Evidence ◽  
Short Musculoskeletal Function Assessment ◽  
Operative Correction ◽  
The Impact

Background: Investigations using the Medical Outcomes Study Short Form 36 Healthy Survey (SF-36) and the American Orthopaedic Foot & Ankle Society Diabetic Foot Questionnaire (AOFAS-DFQ) have demonstrated a poor quality of life in patients with Charcot foot arthropathy. The Short Musculoskeletal Function Assessment (SMFA) questionnaire has been widely used in patients with a broad range of musculoskeletal disorders. Methods: Twenty-five consecutive patients undergoing operative correction for diabetes-related Charcot foot arthropathy of the midfoot completed the SMFA prior to undergoing surgery. There were 16 males and 9 females. The average body mass index (BMI) was 37.4 (range 25.8-50.2), and the average hemoglobin A1c was 7.5 (range 5.3-10.1) prior to surgery. Results: All 25 patients exhibited significant impairment in all 6 domains of the SMFA ( P < .0001) as compared to the normative data. There was a high correlation between each of the 6 domains of the SMFA, even after correcting for BMI. Conclusion: Charcot foot severely impaired the quality of life in patients beyond the impact of morbid obesity. This impairment equally impacted all of the functional and emotional domains measured with the SMFA as compared with population norms. This investigation provides a benchmark for measuring the impact of operative correction of the deformity. In addition, the SMFA appears to be a valid tool for measuring impairment in this complex patient population. Level of Evidence: Level II, prospective comparative investigation

scholarly journals Impact of Self-Management Behavior on Heart Failure Patients’ Quality of Life: A Retrospective Study

2021 ◽  
Author(s):  
Eui-Young Choi ◽  
Jin-Sun Park ◽  
Deulle Min ◽  
Hye Sun Lee ◽  
Jeong-Ah Ahn
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Retrospective Study ◽  
Influential Factors ◽  
Classification And Regression Tree ◽  
Self Management ◽  
Management Behavior ◽  
Heart Failure Patients ◽  
The Impact

Abstract BackgroundThe purpose of this study was to investigate the variables that significantly affect heart failure patients’ quality of life, and particularly, to identify the impact of self-management behavior on the quality of life. MethodsThis retrospective study used heart failure patients’ data from cardiovascular outpatient clinics at two tertiary medical centers in Korea. We enrolled 119 patients who completed echocardiography and stress tests and responded to questionnaires on self-management behavior and quality of life. We collected more data on general and disease-related characteristics and anthropometric and serum blood test results through electronic medical record review. We analyzed data using the classification and regression tree to explore the influencing factors and their characteristics in patients with high and low quality of life. ResultsPatients’ mean age was 74.61 years, and women represented 52.1% of the sample. It showed that the cardiac systolic function (β = 0.26, p = .013) and self-management behavior (β = 0.20, p = .048) were two major influential factors on heart failure patients’ quality of life. Therefore, HF patients’ self-management behavior is a significant modifiable factor that can improve their quality of life.ConclusionsHealthcare providers should be aware of the importance of heart failure patients’ self-management and help promote their quality of life by enhancing their self-management behavior.

scholarly journals Tibiocalcaneal arthrodesis in fixed equinus deformity with ring fixator

2019 ◽  
Vol 13 (2) ◽  
pp. 166-171
Author(s):  
Rafael Bispo de Souza ◽  
Antônio Carlos Faloni Nunes Pereira ◽  
Rafael Costa Nerys ◽  
Jefferson Soares Martins ◽  
Edegmar Nunes Costa
Keyword(s):  
Quality Of Life ◽  
Case Series ◽  
Tertiary Hospital ◽  
Limb Function ◽  
Level Of Evidence ◽  
Ring Fixator ◽  
Tibiocalcaneal Arthrodesis ◽  
Sf 36 ◽  
Equinus Deformity

Objective: To evaluate the limb function and quality of life of patients with posttraumatic fixed equinus deformity treated at a tertiary hospital after arthrodesis with the Ilizarov external fixator. Methods: A study was conducted from January 2015 to June 2018 in which 6 patients were evaluated at outpatient follow-up in the late postoperative period. First, an identification questionnaire was administered to assess limb function using the American Orthopedic Foot and Ankle Society (AOFAS) scale, and quality of life was assessed using the SF-36 questionnaire. Results: A total of 66.6% of the sample had an AOFAS score below 70 (mean total = 57.5), which is considered poor. The mean SF-36 score was low (below 60) in all domains evaluated. The pain domain had the highest score (mean = 57.2). Conclusions: Even after surgery to correct the deformity, patients had impaired function and quality of life. Level of Evidence IV; Therapeutic Studies; Case Series.

scholarly journals QUALITY OF LIFE IN PATIENTS WHO HAVE UNDERGONE REVERSE SHOULDER ARTHROPLASTY

2019 ◽  
Vol 27 (5) ◽  
pp. 269-272
Author(s):  
Luiz Marcelo Bastos Leite ◽  
Liliane Lins-Kusterer ◽  
Paulo Santoro Belangero ◽  
Gyoguevara Patriota ◽  
Benno Ejnisman
Keyword(s):  
Quality Of Life ◽  
Retrospective Study ◽  
Shoulder Arthroplasty ◽  
Short Form ◽  
Reverse Shoulder Arthroplasty ◽  
Bodily Pain ◽  
Level Of Evidence ◽  
Related Quality

ABSTRACT Objective: To evaluate the health-related quality of life (HRQoL) of patients who have undergone reverse shoulder arthroplasty (RSA) for rotator cuff arthropathy (RCA). Methods: A retrospective study with 35 patients who underwent RSA from August 2007 to July 2015. We collected clinical data and applied the 36-item Short Form Health Survey (SF-36). Results: Of the 35 patients, 29 (82.9%) were female, and mean age was 75.71 years, ranging from 50 to 89 years. The dominant side was frequently affected (68.6%), and most of the cases were Hamada type 3 (57.1%). The Mackenzie approach was used in 30 patients (85.7%). Physical and mental HRQoL was not associated with severity of RCA before RSA. Lower scores for Physical Functioning, Role Physical, Bodily Pain, and Physical Component Summary (PCS) were associated with other orthopedic comorbidities. Vitality, Role Emotional, Mental Health, and Mental Component Summary (MCS) were significantly higher in patients without depression. Orthopedic comorbidity and depression predicted lower PCS and longer follow-up time predicted better PCS scores. Depression was also a predictor of the MCS. Conclusion: Patients who had undergone RSA for RCA had good HRQoL. Longer follow-up time was associated with better HRQoL. Good results were maintained over the follow-up period. Level of evidence II, retrospective study.

scholarly journals Patients’ perspective on the surgical treatment of hallux valgus

2020 ◽  
Vol 14 (1) ◽  
pp. 36-40
Author(s):  
Eli Ávila Souza Júnior ◽  
Mateus Cardoso Thiers Vieira ◽  
Tiago Soares Baumfeld ◽  
Daniel Soares Baumfeld
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Surgical Treatment ◽  
Hallux Valgus ◽  
Functional Limitation ◽  
Tertiary Hospital ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Before And After

Objective: To evaluate patients’ perspectives on the risk factors for hallux valgus, and their quality of life before and after surgery. Methods: This is a cross-sectional, retrospective study, conducted in a tertiary hospital with 50 patients undergoing surgical treatment of hallux valgus. Data were tabulated using three methodological figures: central idea, key expressions and collective subject discourse. Results: Regarding the risk factors, most of the patients demonstrated knowledge, expressed through central ideas such as: heredity, and wearing inappropriate shoes. In relation to quality of life before surgery, impairment was noted, inferred by central ideas such as: pain and discomfort, restriction in the use of shoes, functional limitation and aesthetic impairment; and regarding postoperative quality of life, most patients expressed satisfaction with the results. Conclusion: Authentic discourses in the context of a prevalent pathology have expressed, for the first time, the conceptions of risk factors, quality of life before and after hallux valgus surgery. Level of Evidence V; Therapeutic Study; Expert Opinion.

scholarly journals THE EFFECTIVENESS OF THE MOST USED TECHNIQUES IN PATIENTS WITH DEGENERATIVE CERVICAL DISEASE

2020 ◽  
Vol 19 (1) ◽  
pp. 52-57
Author(s):  
LIZANDRA GAGLIARDI KALIL DEBS ◽  
ANDRÉ EVARISTO MARCONDES CESAR ◽  
LUCIANO MILLER REIS RODRIGUES ◽  
FERNANDA AMATE LOPES ◽  
MARINA ROSA FILEZIO
Keyword(s):  
Quality Of Life ◽  
Surgical Techniques ◽  
Postoperative Recovery ◽  
Level Of Evidence ◽  
Cervical Arthroplasty ◽  
Sf 36 ◽  
Cervical Disease ◽  
The Impact ◽  
Pain Improvement

ABSTRACT The objective of this study was to discuss the three main surgical techniques currently applied in the treatment of degenerative cervical discopathy and their repercussions on patient quality of life. We considered the impact of the surgical techniques applied to the quality of life of 24 patients who underwent surgery during the period from 2010 to 2017 using the Oswestry and SF-36 scales. With the application of the questionnaires we observed, through the applicability and analysis of the quality of life results indicated in the questionnaires, that pain improvement and a reduction in work and daily activity disability were more effective with cervical arthroplasty. We concluded that with the individualization of surgical treatment, that is, through the choice of the surgical technique most appropriate for the clinical condition, the postoperative recovery and consequently the quality of life of the patient are enhanced. Level of evidence IV; Descriptive study.

scholarly journals Assessment of quality of life in a retrospective study of total oral rehabilitation of the upper jaw with transzygomatic fixation - Case series

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Luis Pinheiro
Keyword(s):  
Quality Of Life ◽  
Retrospective Study ◽  
Case Series ◽  
Life Questionnaire ◽  
Oral Rehabilitation ◽  
Time Points ◽  
Atrophic Maxilla ◽  
Zygomatic Implants ◽  
The Impact

Purpose: Zygomatic implants are becoming more common in oral rehabilitation of atrophic maxilla. Successful surgery and rehabilitation are mandatory for the achievement of a well-defined criteria of Quality of Life. However, there is a paucity of studies reporting on the Health-Related Quality of Life in patients undergoing oral rehabilitation. This article aims to developing a specific questionnaire for this particular surgical and rehabilitation procedure that could be an objective quality outcome measure of Quality of Life. This should improve our understanding of the impact of zygomatic implant placement on Quality of Life. Materials and Methods: The study was performed involving the Eastman Dental Institute - University College of London, the Faculty of Sciences - University of Lisbon, and two private practices in Portugal, C.E.R.O-Lisboa and Clitrofa. This was a retrospective study, evolving 30 patients undergoing TransZygomatic Surgery. A modification of the University of Washington – Quality of Life Questionnaire was designed for this work. The evaluation was made in three-time points: TP1 – Before surgery, TP2 - After surgery and TP3 - After final rehabilitation. Results: The means of the increased Quality of Life between the different time-points were found to be statistically significance at the level of 0.05, with a confidence interval of 95%. Conclusion: With this Questionnaire, important data was collected which should allow treatment developments to optimise patients Quality of Life.

scholarly journals The impact of COVID-19 epidemic on adult Myasthenia Gravis patients

2020 ◽  
Author(s):  
Yuyao Peng ◽  
Zhibin Li ◽  
Qiuming Zeng ◽  
Huan Yang
Keyword(s):  
Quality Of Life ◽  
General Population ◽  
Myasthenia Gravis ◽  
Psychosocial Support ◽  
Tertiary Hospital ◽  
Psychological Status ◽  
Life Questionnaire ◽  
Special Patient Population ◽  
The Impact

Abstract Objects: To investigate the impact of COVID-19 epidemic on adult myasthenia gravis (MG) patients, in order to provide better medical advice for special patient population during the quarantine period.Methods: Adult MG patients were randomly recruited to participate. The survey consisted of self-designed questionnaires and the revised 15-item Myasthenia Gravis Quality of Life Questionnaire (MGQOL15r). Participation was strictly voluntary and remained anonymous.Results: A total of 214 adult MG patients (84 males and 130 females) gave valid replies. There were 49.53% patients reported they had the fear of COVID-19 outbreak at different levels. And female patients had a significant higher level of fear to COVID outbreak (p=0.009). It was found that the adult MG patients are more likely to be influenced by the COVID-19 epidemic compared to the general population. During the COVID-19 outbreak, 36.45% patients reported they got an improvement of MG disease severity. 57.01% patients reported they felt no change. 6.54% patients reported their condition got worse. The average of MGQOL15r score was 7.38±6.22. The higher level of the fear of COVID-19 outbreak, the higher score of MGQOL15r (p=0.029), the poorer quality of life. 96.73% patients hoped the specialist physicians could provide online consult. In addition, 64.95% patients would go to the tertiary hospital without hesitation if the Outpatients Department was opened even during the COVID-19 epidemic.Conclusions: The COVID-19 epidemic has significant impact on the quality of life and psychological status in the adult MG patients. Compared to the general population, the adult MG patients are more likely to be influenced by the COVID-19 epidemic. Hence, it is important for health care organizations to provide professional therapeutic advice and psychosocial support in time.*, Contributed to this work equally.

scholarly journals Quality of life after sialendoscopy: prospective non-randomized study

BMC Surgery ◽  
2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Giulianno Molina Melo ◽  
Murilo Catafesta Neves ◽  
Marcello Rosano ◽  
Christiana Maria Ribeiro Salles Vanni ◽  
Marcio Abrahao ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Positive Impact ◽  
Randomized Study ◽  
Health Impact ◽  
Young Female ◽  
Stone Disease ◽  
Symptom Duration ◽  
Level Of Evidence ◽  
The Impact

Abstract Background The symptomatic (swelling and pain) salivary gland obstructions are caused by sialolithiasis and salivary duct stenosis, negatively affecting quality of life (QOL), with almost all candidates for clinical measures and minimally invasive sialendoscopy. The impact of sialendoscopy treatment on the QOL has been little addressed nowadays. The objective is to prospectively evaluate the impact of sialendoscopy on the quality of life of patients undergoing sialendoscopy due to benign salivary obstructive diseases, measured through QOL questionnaires of xerostomia degree, the oral health impact profile and post sialendoscopy satisfaction questionnaires. Result 37 sialendoscopies were included, most young female; there were 64.5% sialolithiasis and 35.4% post-radioiodine; with 4.5 times/week painful swelling symptoms and 23.5 months symptom duration. The pre- and post-sialendoscopy VAS values were: 7.42 to 1.29 (p < 0.001); 86.5% and 89.2% were subjected to sialendoscopy alone and endoscopic dilatation respectively; 80.6% reported improved symptoms after sialendoscopy in the sialolithiasis clinic (p < 0.001). The physical pain and psychological discomfort domain scores were mostly impacted where sialendoscopy provided relief and improvement (p < 0.001). We found a positive correlation between sialendoscopy and obstructive stone disease (p < 0.001) and no correlation in sialendoscopy satisfaction in xerostomia patients (p = 0.009). Conclusions We found improved symptoms with overall good satisfaction after sialendoscopy correlated with stones; and a negative correlation between xerostomia. Our findings support the evident indication of sialendoscopy for obstructive sialolithiasis with a positive impact on QOL and probably a relative time-dependent indication for stenosis/other xerostomia causes that little improved QOL satisfaction. Level of evidence 2b—Prospective non-randomized study. Trial registration: WHO Universal Trial Number (UTN): U1111-1247-7028; Brazilian Clinical Trials Registry (ReBeC): RBR-6p8zfs.

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