scholarly journals Is Removal of the Internal Fixation After Successful Intervertebral Fusion Necessary? A Case–control Study Based on Patient-reported Quality of Life

2021 ◽  
Author(s):  
Shangbo Niu ◽  
Dehong Yang ◽  
Yangyang Ma ◽  
Shengliang Lin ◽  
Xuhao Xu
Keyword(s):  
Quality Of Life ◽  
Internal Fixation ◽  
Case Control Study ◽  
Case Control ◽  
Intervertebral Fusion ◽  
Sf 36 ◽  
Patient Reported ◽  
Poor Outcomes ◽  
Control Study

Abstract BackgroundIntervertebral fusion and internal fixation are often applied to patients with lumbar spinal disease. Whether to remove the internal fixation after successful fusion remains uncertain, but such a question needs to be explored in light of concerns regarding patients’ quality of life and health insurance. We sought to probe if the removal of internal fixation after successful lumbar intervertebral fusion affects patients’ quality of life.MethodsThis was a real-world retrospective case–control study. Data of 102 patients who had undergone posterior lumbar fusion with cage and internal fixation to treat lumbar degenerative diseases were extracted from a single center from 2012 to 2020. Fifty-one patients had undergone internal fixation removal surgery, and 51 controls who retained internal fixations were matched according to demographic and medical characteristics. The quality of life of patients based on the Medical Outcomes Study Short Form 36 (SF-36) scale and their self-assessment were surveyed.ResultsThere was no statistical difference in the overall score of the SF-36 questionnaire between the two groups, but the general health (GH) subscore was lower in the case group than in the control group (P = 0.0284). Among those patients who underwent internal fixation removal, the quality of life was improved after instrument removal as indicated by an increased overall score (P = 0.0040), physical functioning (PF) (P = 0.0045), and bodily pain (BP) (P = 0.0008). Among patients with pre-surgery discomfort, instrument removal generated better outcomes in 25% and poor outcomes in 4.2%. Among patients without pre-surgery discomfort, instrument removal generated better outcomes in 7.4% and poor outcomes in 11.1%.ConclusionAmong patients who achieved successful posterior lumbar internal fixation, whether or not to remove the fixation instruments should be evaluated carefully. In patients experiencing discomfort, instrument removal could improve their quality of life, but the benefits and risks should be comprehensively explained to these patients. Instrument removal should not be routinely performed due to its limited or even negative effect in patients who do not report discomfort before surgery.

scholarly journals How do we evaluate the cost of nosocomial infection? The ECONI protocol: an incidence study with nested case-control evaluating cost and quality of life

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e026687
Author(s):  
Sally Stewart ◽  
Chris Robertson ◽  
Sarkis Manoukian ◽  
Lynne Haahr ◽  
Helen Mason ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nosocomial Infection ◽  
Case Control Study ◽  
Qualitative Interviews ◽  
Case Control ◽  
Standard Case ◽  
Patient Reported ◽  
Nested Case Control ◽  
Control Study

IntroductionHealthcare-associated or nosocomial infection (HAI) is distressing to patients and costly for the National Health Service (NHS). With increasing pressure to demonstrate cost-effectiveness of interventions to control HAI and notwithstanding the risk from antimicrobial-resistant infections, there is a need to understand the incidence rates of HAI and costs incurred by the health system and for patients themselves.Methods and analysisThe Evaluation of Cost of Nosocomial Infection study (ECONI) is an observational incidence survey with record linkage and a nested case-control study that will include postdischarge longitudinal follow-up and qualitative interviews. ECONI will be conducted in one large teaching hospital and one district general hospital in NHS Scotland. The case mix of these hospitals reflects the majority of overnight admissions within Scotland. An incidence survey will record all HAI cases using standard case definitions. Subsequent linkage to routine data sets will provide information on an admission cohort which will be grouped into HAI and non-HAI cases. The case-control study will recruit eligible patients who develop HAI and twice that number without HAI as controls. Patients will be asked to complete five questionnaires: the first during their stay, and four others during the year following discharge from their recruitment admission (1, 3, 6 and 12 months). Multiple data collection methods will include clinical case note review; patient-reported outcome; linkage to electronic health records and qualitative interviews. Outcomes collected encompass infection types; morbidity and mortality; length of stay; quality of life; healthcare utilisation; repeat admissions and postdischarge prescribing.Ethics and disseminationThe study has received a favourable ethical opinion from the Scotland A Research Ethics Committee (reference 16/SS/0199). All publications arising from this study will be published in open-access peer-reviewed journal. Lay-person summaries will be published on the ECONI website.Trial registration numberNCT03253640; Pre-results.

scholarly journals The Effects of Menorrhagia on Women’s Quality of Life: A Case-Control Study

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Sule Gokyildiz ◽  
Ergul Aslan ◽  
Nezihe Kizilkaya Beji ◽  
Meltem Mecdi
Keyword(s):  
Quality Of Life ◽  
Case Control Study ◽  
Case Control ◽  
Control Group ◽  
Case Group ◽  
Negative Effects ◽  
Sf 36 ◽  
Sanitary Pads ◽  
Control Study

Objective. The purpose of this study is to identify menstruation characteristics of the women and the effects of menorrhagia on women’s quality of life. Methods. The study was designed as a descriptive, case-control one. Results. Of the women in the case group, 10.9% stated that their menstrual bleeding was severe and very severe before complaints while 73.2% described bleeding as severe or very severe after complaints. Among those who complained about menorrhagia, 46.7% pointed that they used hygienic products that are more protective than regular sanitary pads. Women also stated that their clothes, bed linens, and furniture got dirty parallel to the severity of the bleeding. In all subscales of SF-36 scale, quality of life of the women in the menorrhagia group was significantly lower than the ones in the control group (). Conclusion. Menorrhagia has negative effects on women’s quality of life. Therefore, quality of life of the women consulting the clinics with menorrhagia complaint should be investigated and effective approaches should be designed.

Quality of life in type 2 diabetics with gastroesophageal reflux disease: a case control study

2013 ◽  
Vol 45 (4) ◽  
pp. 194-199 ◽  
Author(s):  
R. Promberger ◽  
A. Spitzer ◽  
J. Ott ◽  
J. Lenglinger ◽  
W. Eilenberg ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Reflux Disease ◽  
Case Control Study ◽  
Case Control ◽  
Type 2 Diabetics ◽  
Control Study

Quality of Life and Physical Activity in Liver Transplantation Patients: Results of a Case-Control Study in Italy

2012 ◽  
Vol 44 (5) ◽  
pp. 1346-1350 ◽  
Author(s):  
D. Masala ◽  
A. Mannocci ◽  
B. Unim ◽  
A. Del Cimmuto ◽  
F. Turchetta ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Liver Transplantation ◽  
Case Control Study ◽  
Case Control ◽  
Control Study

scholarly journals Quality of life in alopecia areata: A case-control study

2014 ◽  
Vol 6 (1) ◽  
pp. 8 ◽  
Author(s):  
TacianaRocha de Hollanda ◽  
Marcia Ramos-e-Silva ◽  
CelsoTavares Sodre ◽  
MarcoAntonio Brasil
Keyword(s):  
Quality Of Life ◽  
Alopecia Areata ◽  
Case Control Study ◽  
Case Control ◽  
Control Study

scholarly journals Risk factors associated with peripheral neuropathy among diabetic individuals: a case control study

2021 ◽  
Vol 8 (2) ◽  
pp. 768
Author(s):  
Christa Kingston ◽  
Aravindan J. ◽  
Srikumar Walsalam
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Diabetic Neuropathy ◽  
Case Control Study ◽  
Case Control ◽  
Diabetic Patients ◽  
Factors Associated ◽  
History Of ◽  
Control Study

Background: Diabetic neuropathy is one among the most common complication in diabetes mellitus. Diabetic peripheral neuropathy hinders the quality of life causing morbidity and mortality. The purpose of this study was to find the risk factors associated with diabetic neuropathy.Methods: This case control study involved 100 diabetic patients attending the Dohnavur fellowship hospital, Dohnavur from October 2019 to March 2020. Sociodemographic profile and diabetic characteristics of the study group were obtained and analysed. Diagnosis of Diabetic Neuropathy was done by using the diagnostic method proposed by American Diabetic Association.Results: Of the total study population with mean age 59.43 years, 63% had family history of diabetes. Almost 70% had poor diabetic control. Statistically significant relationships were found between neuropathy and duration of diabetes, glycaemic control, history of hypertension, monofilament test and pinprick sensation.Conclusions: In this study, glycemic control, dyslipidemia and hypertension were modifiable risk factors for diabetic neuropathy. Early interventional programs to sensitize diabetics on these factors could improve the quality of life of Diabetic patients. 

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