scholarly journals Patient satisfaction after orthodontic treatment combined with orthognathic surgery: A systematic review

2016 ◽  
Vol 86 (3) ◽  
pp. 495-508 ◽  
Author(s):  
Camila Pachêco-Pereira ◽  
Lucas G. Abreu ◽  
Bruce D. Dick ◽  
Graziela De Luca Canto ◽  
Saul M. Paiva ◽  
...  

ABSTRACT Objective:  To synthesize available evidence about factors associated with patients’ satisfaction after orthodontic treatment combined with orthognathic surgery. Materials and Methods:  Studies that evaluated any factor associated with patients’ satisfaction after the conclusion of an orthodontic treatment combined with an orthognathic surgery were identified. Orthognathic surgical procedures should have been undertaken after completion of craniofacial growth. Any satisfaction psychometric tool was considered. No language limitation was set. A detailed individual search strategy for each of the following bibliographic databases was crafted: MEDLINE, PubMed, EBM Reviews, Web of Science, EMBASE, LILACS, and Scopus. The references cited in the identified articles were also cross-checked, and a partial gray-literature search was undertaken using Google Scholar. Results:  Eight articles satisfied the inclusion criteria of this systematic review and accounted for 998 patients. The included studies showed large variation in sample size (range  =  44 to 505 patients), age (range  =  15 to 72 years old), distinct psychological evaluation tools, and time elapsed between the assessment and the completion of surgery and postorthodontic treatment. Most of the studies (five of eight) were classified as having high risk of bias. Conclusion:  Factors associated with satisfaction were final esthetic outcome, perceived social benefits from the outcome, type of orthognathic surgery, sex, and changes in patient self-concept during treatment. Factors associated with dissatisfaction were treatment length; sensation of functional impairment and/or dysfunction after surgery, and perceived omitted information about surgical risks.

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e050979
Author(s):  
Karen Macpherson ◽  
Kay Cooper ◽  
Jenny Harbour ◽  
Dawn Mahal ◽  
Charis Miller ◽  
...  

ObjectiveTo explore the experiences of people living with long COVID and how they perceive the healthcare services available to them.DesignQualitative systematic review.Data sourcesElectronic literature searches of websites, bibliographic databases and discussion forums, including PubMed LitCovid, Proquest COVID, EPPI Centre living systematic map of evidence, medRxiv, bioRxiv, Medline, Psychinfo and Web of Science Core Collection were conducted to identify qualitative literature published in English up to 13 January 2021.Inclusion criteriaPapers reporting qualitative or mixed-methods studies that focused on the experiences of long COVID and/or perceptions of accessing healthcare by people with long COVID. Title/abstract and full-text screening were conducted by two reviewers independently, with conflicts resolved by discussion or a third reviewer.Quality appraisalTwo reviewers independently appraised included studies using the qualitative CASP (Critical Appraisal Skills Programme) checklist. Conflicts were resolved by discussion or a third reviewer.Data extraction and synthesisThematic synthesis, involving line-by-line reading, generation of concepts, descriptive and analytical themes, was conducted by the review team with regular discussion.ResultsFive studies published in 2020 met the inclusion criteria, two international surveys and three qualitative studies from the UK. Sample sizes varied from 24 (interview study) to 3762 (survey). Participants were predominantly young white females recruited from social media or online support groups. Three analytical themes were generated: (1) symptoms and self-directed management of long COVID; (2) emotional aspects of living with long COVID and (3) healthcare experiences associated with long COVID.ConclusionsPeople experience long COVID as a heterogeneous condition, with a variety of physical and emotional consequences. It appears that greater knowledge of long COVID is required by a number of stakeholders and that the design of emerging long COVID services or adaptation of existing services for long COVID patients should take account of patients’ experiences in their design.


2019 ◽  
Vol 9 (8) ◽  
pp. 881-894 ◽  
Author(s):  
Andrew Jack ◽  
Wyatt L. Ramey ◽  
Joseph R. Dettori ◽  
Zane A. Tymchak ◽  
Rod J. Oskouian ◽  
...  

Study Design: Systematic review. Objectives: C5 palsy (C5P) is a not uncommon and disabling postoperative complication with a reported incidence varying between 0% and 30%. Among others, one explanation for its occurrence includes foraminal nerve root tethering. Although different risk factors have been reported, controversy about its causation and prevention persists. Inconsistent study findings contribute to the persistent ambiguity leading to an assumption of a multifactorial nature of the underlying C5P pathophysiology. Here, we report the results of a systematic review on C5P with narrow inclusion criteria in the hope of elucidating risk factors for C5P due to a common pathophysiological mechanism. Methods: Electronic databases from inception to March 9, 2019 and references of articles were searched. Narrow inclusion criteria were applied to identify studies investigating demographic, clinical, surgical, and radiographic factors associated with postoperative C5P. Results: Sixteen studies were included after initial screening of 122 studies. Eighty-four risk factors were analyzed; 27 in ≥2 studies and 57 in single studies. The pooled prevalence of C5P was 6.0% (range: 4.2%-24.1%) with no consistent evidence that C5P was associated with demographic, clinical, or specific surgical factors. Of the radiographic factors assessed, specifically decreased foraminal diameter and preoperative cord rotation were identified as risk factors for C5P. Conclusion: Although risk factors for C5P have been reported, ambiguity remains due to potentially multifactorial pathophysiology and study heterogeneity. We found foraminal diameter and cord rotation to be associated with postoperative C5P occurrence in our meta-analysis. These findings support the notion that factors contributing to, and acting synergistically with foraminal stenosis increase the risk of postoperative C5P.


Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 572
Author(s):  
Elżbieta Buczak-Stec ◽  
Hans-Helmut König ◽  
Lukas Feddern ◽  
André Hajek

Background: With increasing age, the health status of older individuals commonly deteriorates and their care needs greatly increase. Therefore, many individuals are in need for formal or informal long-term care. In order to plan suitable long-term care settings, it is important to know the long-term care preferences of an ageing population (both heterosexuals and sexual minorities). The aim of this study is to systematically review the literature for evidence on preferences regarding long-term care and the potential differences with regard to sexual orientation. Methods and analysis: This study protocol for a systematic review is reported according to the PRISMA-P guidelines. A comprehensive search of published studies will be conducted using PubMed, Web of Science and PsycINFO bibliographic databases. Following predefined inclusion criteria, two authors will screen the titles and abstracts of the studies independently. Afterwards, we will obtain and screen full-text articles of eligible studies using the predefined inclusion criteria. Discrepancies will be resolved by consensus or consultation with a third researcher. Data will be extracted and synthesised. Extracted data will be categorised based on study design, type of long-term care preferences and the group (sexual orientation) which is addressed. The quality of reporting of the studies included will be assessed.


Author(s):  
Jaquelyn Kakalecik ◽  
John M. Reynolds ◽  
Joseph S. Torg

Background: Numerous studies have reported factors associated with recurrent or subsequent contralateral anterior cruciate ligament disruption, but a comprehensive review of the literature has not been performed. Purpose: This study attempts to systematically review the literature and provide an overview of the currently reported risk factors for recurrent and subsequent contralateral ACL reconstructions in order to allow for more efficient identification and intervention of high-risk patients. Study Design: Systematic Review. Methods: The Pubmed and Embase databases were searched using a combination of keywords such as “ACL reconstruction” and “bilateral or recurrent” and “risk factors” and medical subject headings. All studies were screened by two independent reviewers, and articles that met inclusion criteria (non-contact ACL injury, study analyzed risk factors for contralateral ACL injury or graft rupture) were downloaded and read. Results: The initial search yielded 129 articles, of which 36 met inclusion criteria. After duplicates were removed, 23 articles remained. The reference lists of included articles were cross-referenced, and an additional 2 articles were included. Conclusion: Graft harvest site, allograft usage, return to sport, younger age, a positive family history, increased posterior tibial slope, and the number of previous ACL reconstructions are well-reported risk factors for second ACL injury. Recent studies suggest a patients who have negative psychological states in the perioperative periods have worse long-term functional outcomes.


2021 ◽  
Author(s):  
Valerie Chua ◽  
Jin Hean Koh ◽  
Gerald Koh ◽  
Shilpa Tyagi

BACKGROUND Telemedicine is increasingly being leveraged on, with the need for remote access to healthcare driven by the rise of chronic disease incidence and the COVID-19 pandemic. It is also important to understand patients’ willingness to pay (WTP) for telemedicine and the factors contributing towards it as this knowledge may inform health policy planning processes like resource allocation or developing a pricing strategy for telemedicine services. Most of the published literature is focused on cost-effectiveness analysis findings to guide financing from health system’s perspective. However, there is limited exploration of the WTP from a patient’s perspective which is pertinent for sustainability of an intervention. OBJECTIVE To address this gap, we aimed to conduct a systematic review to describe the WTP for telemedicine interventions and to identify the factors influencing WTP among patients with chronic diseases in developed settings. METHODS We systematically searched 4 databases (PubMed, PsycInfo, Embase, EconLit). Two authors were involved in the appraisal. Studies were included if they reported the WTP amounts and/or identified the factors associated with patients’ WTP, included patients above 18 years of age, those diagnosed with chronic diseases and were from developed settings. RESULTS 11 studies from 7 countries met the study’s inclusion criteria. The proportion of people willing to pay for telemedicine ranged from 19% to 70% across the studies, while the values for WTP amounts ranged from 0.885 USD to 821.25 USD. We found statistically significant correlation of age and distance to preferred health facility with WTP for telemedicine: while higher age was associated with lower WTP, longer travel distance was associated with higher WTP. CONCLUSIONS Based on our findings, the following are recommendations which may enhance WTP: exposure to the telemedicine intervention prior to assessing WTP, lowering of telemedicine costs, and providing patient education to raise awareness on telemedicine’s benefits and address patients’ concerns. Additionally, we recommend future research be directed at standardizing the reporting of WTP studies with adoption of a common metric for WTP amount ,which may facilitate generalization of findings and effect estimates.


2015 ◽  
Vol 148 (4) ◽  
pp. 652-659 ◽  
Author(s):  
Camila Pachêco-Pereira ◽  
José Roberto Pereira ◽  
Bruce D. Dick ◽  
Arnaldo Perez ◽  
Carlos Flores-Mir

2017 ◽  
Vol 4 ◽  
pp. 205566831772545
Author(s):  
Bryce TJ Dyer ◽  
Sarah A Deans

Swimming with limb absence is undertaken as a source of leisure or rehabilitation and forms part of the current Paralympic Games competition programme. Whilst it is often proposed that research into sport with limb absence can be limited, this study identified the volume, type and historical interest of research regarding swimming with limb absence. A modified PRISMA search protocol was adopted for this review, and five bibliographic databases were used to identify relevant articles. The review identified 24 papers which met the pre-defined inclusion criteria. The identified peer-reviewed publications dated from 1983 to 2015. The trend of publication indicated an initial focus on the design of prosthetics technology with emphasis then shifting specifically to an interest in swimming biomechanics from 2006. The overall trend of publication in this field is a positive one. In this review, four clear themes emerged. These included the general background of swimming with limb absence, the development of lower limb prosthetics technology, swimming with limb absence whilst performing the front crawl stroke and the technique used by those with unilateral elbow disarticulation. From these, four further themes have been identified for pursuit in the immediate future. This review will assist those who are interested in prescribing swimming with limb absence as a form of exercise or to those who wish to pursue it competitively.


2017 ◽  
Vol 5 (1) ◽  
pp. 39
Author(s):  
Deepa Kumaran ◽  
Shantha Sundari ◽  
Shyamala Chandrasekhar

Background: The initial leveling and aligning phase of orthodontic treatment involve the use of nickel titanium wires. The nickel titanium wires exhibit unique properties like shape memory and superelasticity. In the beginning, conventional nitinol wires were used, which lacked the superelastic property. Nowadays, superelastic nickel titanium wires are being used commonly. This systematic review aims to evaluate the efficiency of Superelastic NITi in the initial alignment of orthodontic treatment in comparison with conventional NiTi and multistranded stainless steel archwires by measuring the amount of decrowding and the time taken for decrowding.Method: A systematic literature search was performed on Pubmed, Cochrane, Google scholar & Lilacs.Result: Thirty four studies were identified by the search and ten studies satisfied the inclusion criteria and one study was excluded after abstract reading. Finally nine articles were included for quality assessment.Conclusion: This systematic review concluded that there was no significant differences in the aligning efficiency of superelastic NiTi in comparison with conventional NiTi and multistranded stainless steel wires. 


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