Prospective Clinical Study of Zirconia Full-coverage Restorations on Teeth Prepared With Biologically Oriented Preparation Technique on Gingival Health: Results After Two-year Follow-up

2018 ◽  
Vol 43 (5) ◽  
pp. 482-487 ◽  
Author(s):  
R Agustín-Panadero ◽  
B Serra-Pastor ◽  
A Fons-Font ◽  
MF Solá-Ruíz
Keyword(s):  
Patient Satisfaction ◽  
Prospective Clinical Study ◽  
Preparation Technique ◽  
Finish Line ◽  
Gingival Margin ◽  
Gingival Health ◽  
Patient Satisfaction Scores ◽  
Satisfaction With Treatment ◽  
The University

SUMMARY Objectives: To evaluate the clinical behavior of one-piece complete-coverage crowns and fixed partial dentures (FPDs) on teeth with vertical preparation without finish line biologically oriented preparation technique (BOPT). Methods and Materials: This prospective study included 52 patients requiring treatment with restorations in the esthetic region: 74 crowns and 27 FPDs. The sample included a total of 149 teeth that were prepared vertically without finish line. The sample was divided into two groups: one-piece crowns and FPDs, all with zirconia cores, feldspathic ceramic veneer, and a 0.5-mm prosthetic finish line of zirconia. All procedures were carried out at the University of Valencia from 2013 to 2014. The following parameters were evaluated over a two-year follow-up: oral hygiene, periodontal state, gingival thickening, gingival margin stability, the presence of complications, and restoration survival rate. Patient satisfaction with treatment was assessed by means of a visual analogue scale (VAS). Results: Two years after treatment, 80.5% of treated teeth remained free of gingival inflammation and bleeding. Mean gingival thickening was 0.41 ± 0.28 mm for one-piece crowns and 0.38 ± 0.36 mm for FPDs. Gingival margin stability was 100%, but 2% of the sample presented biological complications. The VAS patient satisfaction scores were eight out of a maximum score of 10. Conclusions: Two years after treatment, vertical preparation without finish line produces gingival thickening, margin stability, and optimal esthetics. Neither crowns nor FPDs presented any mechanical complications.

Addressing Opioid-Associated Constipation Using Quality Oncology Practice Initiative Scores and Plan-Do-Study-Act Cycles

2017 ◽  
Vol 13 (1) ◽  
pp. e91-e97 ◽  
Author(s):  
Varinder Kaur ◽  
Sajjad Haider ◽  
Appalanaidu Sasapu ◽  
Paulette Mehta ◽  
Konstantinos Arnaoutakis ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
University Of Arkansas ◽  
Medical Sciences ◽  
Chart Audit ◽  
Patient Satisfaction Scores ◽  
Quality Of Patient Care ◽  
Opioid Medications ◽  
Oncology Practice ◽  
The University ◽  
Young Physicians

Using the Quality Oncology Practice Initiative, an affiliate program of ASCO, we outlined opioid-associated constipation (OAC) as a subject in need of quality improvement (QI) in our fellowship program at the University of Arkansas for Medical Sciences and Central Arkansas Veterans Healthcare System. We initiated a fellow-led QI project to advance the quality of patient care and provide a valuable avenue for QI training of young physicians. Fellows organized meetings with all stakeholders, addressed the scope of the problem, and devised strategies for OAC management. Monthly meetings were organized using Plan-Do-Study-Act principles. Mandatory check boxes were inserted into our electronic medical record templates to remind all physicians to identify patients on opioid medications and assess and address OAC. Final chart audit and patient satisfaction surveys were performed 6 months after project initiation. Assessment of OAC improved from 52% at baseline to 92% ( P < .003). This improvement corresponded with high patient satisfaction scores, with 90% of surveyed patients reporting adequate management of their constipation. In this QI initiative, we showed that participation in ASCO’s Quality Oncology Practice Initiative helps identify areas in need of QI, and such fellow-led QI projects can serve as models for QI training of young physicians.

Potentialities of Percutaneous Technique in Revision Surgery of Forefoot Static Deformities

2012 ◽  
Vol 19 (4) ◽  
pp. 42-46
Author(s):  
S. Yu Berezhnoy ◽  
A. I Protsenko ◽  
V. V Kostyukov
Keyword(s):  
Patient Satisfaction ◽  
Revision Surgery ◽  
Patient Management ◽  
Percutaneous Technique ◽  
Surgical Results ◽  
Treatment Results ◽  
Surgical Interventions ◽  
Satisfaction With Treatment

Results of the analysis of repeated surgical interventions (34 patients, 43 feet) after previously performed surgeries for forefoot static deformities are presented. In all cases various percutaneous techniques were used. Mean follow up was 6 months (3 months — 4 years). Surgical results were assessed using patient satisfaction criterion. Satisfaction with treatment results was recorded in 95% ofpatients. It was shown that potentialities ofpercutaneous technique enabled to solve the majority offorefoot static deformityrevision surgery problems. The conclusion was made that strict order of patient management after reconstructive foot operations enabled to perform early reoperations before severe complications development.

Periodontal and prosthetic outcomes on teeth prepared with biologically oriented preparation technique: a 4-year follow-up prospective clinical study

2019 ◽  
Vol 63 (4) ◽  
pp. 415-420 ◽  
Author(s):  
Blanca Serra-Pastor ◽  
Ignazio Loi ◽  
Antonio Fons-Font ◽  
M. Fernanda Solá-Ruíz ◽  
Rubén Agustín-Panadero
Keyword(s):  
Clinical Study ◽  
Prospective Clinical Study ◽  
Preparation Technique

scholarly journals Factors Influencing Patient Satisfaction in Dermatology

2020 ◽  
Vol 4 (6) ◽  
pp. 543-547
Author(s):  
Abigail Cline ◽  
Tamar Gomolin ◽  
Bijan Safai
Keyword(s):  
Patient Satisfaction ◽  
Online Survey ◽  
Treatment Plan ◽  
Improve Patient Satisfaction ◽  
Factors Affecting ◽  
Patient Satisfaction Scores ◽  
Gender And Age ◽  
Improve Patient ◽  
Insight Into

Background: Patient satisfaction is a proxy for healthcare quality, with physicians evaluated and reimbursed based on patient satisfaction scores. Despite the growing influence of patient satisfaction, factors that impact patient satisfaction in dermatology remain unclear. Methods: We analyzed 225 responses to an online survey evaluating patient expectations, willingness, and satisfaction regarding dermatology appointments. Patient willingness and satisfaction were measured on a 1-5 Likert scale.  Results: Respondents were most willing to discuss their condition and to be examined with a dermatoscope. Respondents were least willing to wear a patient gown without underwear and to be photographed. Highly satisfying factors included a written treatment plan, provider medication recommendations, and use of gloves during physical exams. Highly dissatisfying factors included waiting 60 minutes, taking off underwear with a patient gown, and being photographed with a cellphone.Patient willingness and satisfaction differed significantly by gender and age. Male respondents reported less satisfaction than female respondents if a nurse explained the treatment plan. Older respondents were significantly more willing to change into a patient gown, to be photographed, to be examined with a dermatoscope, and to undergo a biopsy than younger respondents. Older and female respondents preferred written plans, while younger and male respondents preferred verbal plans.  Younger respondents reported higher satisfaction with an email follow-up compared to older respondents, who preferred a phone call.Conclusion: These findings may represent relatively easy ways to improve patient satisfaction scores. Further insight into factors affecting patient satisfaction may enhance patient experience and engagement, thereby improving clinical outcomes.

scholarly journals Telemedicine in Hematology: Tool to Improve Access and Patient Satisfaction

Blood ◽  
2021 ◽  
Vol 138 (Supplement 1) ◽  
pp. 4937-4937
Author(s):  
Samip R Master ◽  
Poornima Ramadas ◽  
Richard Preston Mansour
Keyword(s):  
Patient Satisfaction ◽  
Care Provider ◽  
Average Score ◽  
Satisfaction Survey ◽  
Patient Satisfaction Survey ◽  
Patient Satisfaction Scores ◽  
Rural Settings ◽  
Plasma Cell Disorders ◽  
Access To Medical Care

Abstract Introduction: Telemedicine can transform the future of medicine, especially in rural settings by improving access to medical care. Here were present the patient satisfaction data from both telemedicine and regular visits in our Hematology & Oncology clinics. In Hematology, we have used tele medicine for sickle cell disease, benign hematology cases like iron deficiency, thrombocytopenia, leukocytosis etc., and in malignant hematology for new patient consults, toxicity checks, follow up of plasma cell disorders, chronic leukemias and low intensity chemotherapies. Methods: We retrospectively collected patient satisfaction survey data from March 2020 to April 2021 for both telemedicine and regular visits. The patients were allowed to give a score from 1 to 99 regarding their experience at visit. We collected data on the following: likelihood of recommending, care provider, access and overall assessment. Results: A total of 53 patient satisfaction survey were available for telemedicine and 462 for regular visits. Over 60 % of tele visits were non cancer related and 40% were cancer related. The average score for likelihood of recommending, care provider, access, and overall assessment for tele visit were 73.5, 41.5, 73.5 and 62 respectively. The average score for likelihood of recommending, care provider, access, and overall assessment for regular visit were 13.75, 7.5, 26.5, and 11 respectively. Conclusion: The patient satisfaction scores for likelihood of recommending, care provider, access and overall assessment were significantly better for tele visits compared to regular visits. Disclosures Master: Blue Bird Bio: Current holder of individual stocks in a privately-held company.

scholarly journals COMPARISON BETWEEN TWO INTENSE PULSED LIGHT DEVICES USED FOR PHOTOEPILATION

2019 ◽  
pp. 1-3
Author(s):  
Honório Sampaio Menezes ◽  
Roberto Chacur ◽  
Simone Merceo Bacchi Cirino ◽  
Miguel D'Avilla Sobrinho ◽  
Nívea Maria Bordin da Silva Chacur
Keyword(s):  
Patient Satisfaction ◽  
Side Effects ◽  
Intense Pulsed Light ◽  
Hair Removal ◽  
Pulsed Light ◽  
Hair Density ◽  
Patient Satisfaction Scores ◽  
End Of Treatment

Background: Unwanted hair growth is a common aesthetic problem. Intense pulsed light hair removal has emerged as a leading treatment option for long-term depilation. Material and methods: Patients with phototypes I to III (n = 800) were subjected to 4 regular sessions (n=3200) of intense pulsed light, with 2 months follow-up at the end of treatment. Two devices (Silk'n, and Rejuvene) were analyzed about adverse effects and satisfaction. Observation and results: This study of 3.200 ILP sessions did not show any serious side effects and the number of side effects was minimal (8.75% to 10.5%). Patient satisfaction was over 90%. Both devices provided a similar and signicant reduction in hair density. Conclusions: Both tested sources proved its safety and efcacy for hair removal. Patient satisfaction scores were in agreement with the treatment efcacy. The incidence of side effects has no difference between devices. Axillary bromhidrosis was an unexpected side effect.

Implementation of a patient experience–focused review at the time of radiation therapy simulation.

2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 211-211
Author(s):  
John M. Robertson ◽  
Elizabeth Rutka ◽  
Hong Ye
Keyword(s):  
Breast Cancer ◽  
Radiation Therapy ◽  
Patient Satisfaction ◽  
Patient Experience ◽  
Treatment Process ◽  
Information Retention ◽  
Assessment Scores ◽  
Medical Issues ◽  
Patient Satisfaction Scores

211 Background: Anxiety impairs information retention and may lower patient satisfaction. Because anxiety is highest at the time of radiation therapy (RT) simulation, we added a personal patient experience (PX) review of the treatment process focusing on resolution of any outstanding concerns and measured for a benefit using patient satisfaction scores. Methods: A single PX trained Senior Radiation Therapist met patients at simulation and reviewed multiple factors from registration to any outstanding medical issues, with the goal of addressing and resolving all questions. A CMS-approved patient satisfaction tool was recorded during this time to assess for any benefit of this PX review. The tool asks 17 questions in 5 domains (Registration, Facility, Your Treatment, Personal Issues, and Overall Assessment) and calculates an Overall Facility Rating. Tools received between the date of simulation and the date of follow-up were considered an on-treatment evaluation and were used for assessment. Scores were compared with a Mann-Whitney U test. There were no other formal departmental patient satisfaction efforts during this time. Results: Between 2/16 and 6/18 a total of 1369 patients (median 65 yrs; 64% women; 38% breast cancer; 82% curative) were met at simulation by our Senior Therapist spending a median of 23 minutes per patient (range 0 – 117). We received 732 patient satisfaction surveys (median 67 yrs; 61% women; 40% breast cancer; 90% curative) including 98 on-treatment respondents, 69 of whom had the PX review and reported significantly better scores for 10 of the 17 questions and 4 of the 5 domains (Registration p = 0.04, Facility p = 0.03, Personal Issues p = 0.02, Overall Assessment p = 0.002). The PX review was significantly better for the calculated Overall Facility Rating (p = 0.04). Conclusions: The PX review at simulation was associated with significantly higher patient satisfaction scores in 4 of 5 domains, including areas not specifically addressed during the interview (e.g. cleanliness). Improvements of this amount are typically associated with very large improvements in percentile rankings. This intervention was extremely successful but durability of this benefit into the follow up period was not assessed.

Long-term results of a diffractive trifocal intraocular lens: Visual, aberrometric and patient satisfaction results

2018 ◽  
Vol 30 (1) ◽  
pp. 201-208 ◽  
Author(s):  
Renan F Oliveira ◽  
Veronica Vargas ◽  
Ana Belén Plaza-Puche ◽  
Jorge L Alió
Keyword(s):  
Visual Acuity ◽  
Patient Satisfaction ◽  
Intraocular Lens ◽  
Long Term Results ◽  
Near Vision ◽  
Patient Satisfaction Scores ◽  
Distortion Analysis ◽  
Long Term Follow Up

Purpose: To evaluate the long-term objective and subjective results of a trifocal intraocular lens. Methods: Prospective observational study enrolling 24 eyes that underwent uneventful microincisional cataract surgery with bilateral implantation of a diffractive trifocal intraocular lens (FineVision Micro F, PhysIOL, Belgium). After a mean follow-up period of 60 ± 2 months, patients answered the 10-item Near Activity Vision Questionnaire (NAVQ-10) and were assessed for uncorrected and corrected distance, intermediate and near visual acuity, defocus curve, light-distortion analysis, and total ocular aberrometry with a pyramidal wavefront sensor (Osiris, CSO, Italy). Results: There was significant improvement of uncorrected visual acuity at all distances in all eyes (p < 0.01). The distorsion index and best-fit circle radius were significantly lower in binocular conditions (p = 0.02). Mean Rasch score at NAVQ-10 was 16.29 ± 11.57. Patients reported to be completely, very, and moderately satisfied with their uncorrected near vision in 67%, 25%, and 8% of cases, respectively. We found no significant correlation between patient satisfaction scores at near vision satisfaction questionnaire and other variables such as light-distortion analysis or wavefront aberrometry parameters. Conclusion: The studied diffractive trifocal intraocular lens provides good and stable long-term results for distance, intermediate, and near vision, with high levels of patient satisfaction at long-term follow-up. The intraocular lens’ light-distortion effect is less disturbing in binocular conditions and may have its perception down-modulated by neuroadaptation over time.

scholarly journals Periodontal Behavior and Patient Satisfaction of Anterior Teeth Restored with Single Zirconia Crowns Using a Biologically Oriented Preparation Technique: A 6-Year Prospective Clinical Study

2021 ◽  
Vol 10 (16) ◽  
pp. 3482
Author(s):  
Blanca Serra-Pastor ◽  
Naia Bustamante-Hernández ◽  
Antonio Fons-Font ◽  
María Fernanda Solá-Ruíz ◽  
Marta Revilla-León ◽  
...  
Keyword(s):  
Survival Rate ◽  
Plaque Index ◽  
Anterior Region ◽  
Preparation Technique ◽  
Gingival Thickness ◽  
Gingival Margin ◽  
Patients Satisfaction ◽  
Probing Depth ◽  
Single Crowns

Objectives. The aim of this study was to analyze the behavior of the periodontal tissues around teeth in the anterior region when restored with zirconia single crowns, using a biologically oriented preparation technique (BOPT), over a 6-year follow-up. Methods. The study investigated tooth-supported single crowns in the anterior region that were fabricated with a zirconia core and feldspathic ceramic covering, in 34 patients. Follow-up analysis took place annually for 6 years, assessing periodontal responses by evaluating the following variables: plaque index (PI); probing depth (PD); gingival index (GI); gingival thickness adjacent to the restoration; and stability of the gingival margin (MS). Any (biological and mechanical) complications were also recorded, as well as the patients’ satisfaction with the treatment. Results. After 6 years’ follow-up, a low mean plaque index was obtained, probing depth was stable, and gingival thickness and margin stability had increased. Complications (biological and mechanical) did not present a statistically significant incidence and a crown survival rate of 97.2% was achieved. Patients’ satisfaction obtained a mean VAS score of 9.04 under 10. Conclusion. Teeth that are prepared with BOPT in the anterior region present good periodontal behavior around the restored teeth, particularly in terms of the stability of the gingival margin and increased gingival thickness. Single crowns prepared with BOPT obtain an excellent clinical survival rate, as well as a high score in patients’ satisfaction after 6 years.

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