Impact of ankle arthrodesis on quality of life

Objective: To evaluate the quality of life of patients undergoing ankle arthrodesis through functional scores such as the American Orthopedic Foot & Ankle Society (AOFAS) scale adapted for the Portuguese language and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Methods: A descriptive cross-sectional study was carried out between January 2005 and December 2016, with 26 patients undergoing anklearthrodesis. Two quality of life assessment questionnaires were applied: the AOFAS in the pre- and postoperative period and the SF-36 in the postoperative period. Descriptive and analytical statistical analyses were performed using SPSS, version 23. Results: The main findings are related to the correlations of functional capacity (p=0.002; R²=0.42), limitation due to physical aspects (p=0.05; R²=0.19) and pain (p=0.006; R²=0.35) with age as the predictor and the correlation between preoperative AOFAS scores (p=0.03; R²=0.27) and the aetiology of arthrodesis as the predictor. Conclusion: Ankle arthrodesis is a procedure capable of improving the quality of life of the patient as a whole, including the physical, social, emotional and mental health aspects, rather than pain alone, which has been the main objective of the procedure until the present moment. Level of Evidence II; Prognostic Studies.

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The Combined Effect of Acupuncture and Tanacetum parthenium on quality of life in women with headache: Randomised study

Acupuncture in Medicine ◽

10.1136/acupmed-2012-010195 ◽

2012 ◽

Vol 30 (4) ◽

pp. 252-257 ◽

Cited By ~ 11

Author(s):

Eliane Cristina Ferro ◽

Angelo Piva Biagini ◽

Ícaro Eduardo Fuchs da Silva ◽

Marcelo Lourenço Silva ◽

Josie Resende Torres Silva

Keyword(s):

Quality Of Life ◽

Short Form ◽

Combined Treatment ◽

Life Assessment ◽

Randomised Study ◽

Tanacetum Parthenium ◽

Sf 36 ◽

Related Quality ◽

Health Related

Background The aim of the present study was to investigate the efficacy and tolerability of acupuncture (AC), Tanacetum (TAN) or combined treatment on quality of life in women with chronic migraine (CM). Methods A total of 69 women volunteers were randomly divided into 3 groups: AC, acupuncture administered in 20 sessions over 10 weeks (n=22); TAN, at 150 mg/day (n=23); and AC+TAN (n=23). The primary outcome was Short-Form 36 (SF-36) quality of life assessment score. Secondary outcomes included the Migraine Disability Assessment (MIDAS) and visual analogue scale (VAS) score experienced after randomisation. Results AC+TAN was statistically significantly more effective than AC or TAN alone in overall health-related quality of life (SF-36; p<0.05), on MIDAS score (−35.1 (10.6) AC vs −24.8 (11.7) TAN vs −42.5 (9.8) AC+TAN; p<0.05) and in reducing the mean score of pain on VAS (−5.6 (2.4) AC vs −3.7 (2.1) TAN vs −6.4 (3.1) AC+TAN; p<0.05). Conclusions The present work shows an improvement of the quality of life and better analgesic effect of acupuncture combined with TAN treatment on migraine pain in women when compared with acupuncture or TAN alone.

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Quality of life assessment in patients who have undergone oncologic resection of rectum: a retrospective, three arms, single centre, observational study

International Surgery Journal ◽

10.18203/2349-2902.isj20202815 ◽

2020 ◽

Vol 7 (7) ◽

pp. 2169

Author(s):

Quresh Bambora ◽

Mangesh Shingade ◽

Mamta Sankhla ◽

Atul Rajpara

Keyword(s):

Quality Of Life ◽

Anterior Resection ◽

Short Form ◽

Rectal Surgery ◽

Cancer Surgery ◽

Life Assessment ◽

European Organization ◽

Sf 36 ◽

Eortc Qlq

Background: Quality of life (QOL) analysis following cancer surgery is a sensitive issue among patients. The present study tried to find the status of these QOL parameters in patients who had undergone oncogenic resection of rectum.Methods: Patients were given the short form 36 (SF-36), The European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and the EORTC QLQ-C29 questionnaires to fill at three time points in their treatment (prior to surgery, 3 months and 6 months following surgery). The prospectively collected questionnaires were analysed retrospectively.Results: On comparing SF-36 questionnaire, there was significant improvement as we proceeded from baseline to first and second visit except for the energy level. On EORTC-30 questionnaire, there was significant improvement in all scales as we proceeded from baseline to first visit and then to second visit. On comparing EORTC-29 questionnaire, among all visits of abdominoperineal resection (APR), symptoms like pain and blood or mucus in stools significantly improved, low anterior resection (LAR) showed significant improvement in all 4 scales, high anterior resection (HAR) patients showed worst micturition complaints during first visit and gradually improving scores for other scales from baseline to first and second visit.Conclusions: The three-questionnaire used in the study comprehensively included all issues from general health after cancer surgery to problems faced by the patients specifically after various modalities of rectal surgery. Such studies should be planned routinely to assess comprehensive outcome of oncogenic surgeries.

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Quality-of-Life Assessment in an Outpatient Parenteral Antibiotic Program

Annals of Pharmacotherapy ◽

10.1345/aph.1c153 ◽

2002 ◽

Vol 36 (12) ◽

pp. 1851-1855 ◽

Cited By ~ 41

Author(s):

Alan F Goodfellow ◽

Amy O Wai ◽

Luciana Frighetto ◽

Carlo A Marra ◽

Barbara M Ferreira ◽

...

Keyword(s):

Quality Of Life ◽

Short Form ◽

Disease Diagnosis ◽

Life Assessment ◽

Home Setting ◽

Parenteral Antibiotic ◽

Sf 36 ◽

Summary Scale ◽

Predictors Of Change

OBJECTIVE: To measure changes and to identify predictors of change of health-related quality of life (HRQoL) for enrollees into an outpatient parenteral antibiotic therapy (OPAT) program. METHODS: A multidisciplinary, single-center, prospective investigation was conducted at a 1000-bed Canadian adult tertiary-care teaching hospital. Over a 15-month study period, consenting patients who were enrolled in the OPAT program completed paired Short Form-36 (SF-36) questionnaires within 48 hours prior to discharge from the hospital and again 26–30 days after discharge. Sociodemographic data and clinical variables were also collected for the purpose of determining potential predictors of change in quality of life. RESULTS: During the study period, 134 patients were enrolled in the OPAT program and 82 completed the paired SF-36 questionnaires. Study participants experienced a significant improvement in 3 SF-36 domains (physical functioning, bodily pain, role emotional) and the mental component summary scale (MCS) scores when they were transferred from the hospital to home setting. The SF-36 scores for all domains and summary scales were lower than the Canadian population average (all p < 0.001). Multiple linear-regression analysis revealed that infectious disease diagnosis and baseline physical component summary scale (PCS) scores were predictors of the change in the PCS score when patients transferred from the hospital to the home setting. Length of hospital stay and baseline MCS scores were predictors of the change in MCS scores when patients transferred from the hospital to the home setting. CONCLUSIONS: This study reveals that some domains in HRQoL appear to improve 4 weeks after discharge for adults enrolled in an OPAT program and that there are different predictors for changes in physical and mental health.

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Effect of Leg Dominance on Medium- to Long-Term Functional Outcomes, Quality of Life, and Revision Rates After Isolated ACL Reconstruction

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967121995808 ◽

2021 ◽

Vol 9 (4) ◽

pp. 232596712199580

Author(s):

Erdal Uzun ◽

Abdulhamit Misir ◽

Ahmet Guney

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Functional Outcomes ◽

Short Form ◽

Return To Sports ◽

Sf 36 ◽

Functional Scores ◽

Leg Dominance

Background: The effect of leg dominance on short-term functional outcomes and return to sports after arthroscopic anterior cruciate ligament reconstruction (ACLR) has been evaluated. However, postoperative medium- to long-term recovery and revision rates are not well known. Purpose: To investigate whether leg dominance affects medium- to long-term clinical and functional scores and revision rates after ACLR. Study Design: Cohort study; Level of evidence, 3. Methods: Included in this study were 235 patients (205 male and 30 female) who underwent isolated arthroscopic ACLR. Patients were divided according to the leg dominance status of their injured limb into 2 groups: dominant leg injured (120 patients) and nondominant leg injured (115 patients). Preoperative and postoperative functional outcomes and health-related quality of life (HRQoL) were evaluated using the visual analog scale for pain, Tegner activity scale, Lysholm knee score, International Knee Documentation Committee (IKDC) subjective knee evaluation form, 36-Item Short Form Health Survey (SF-36), and overall patient satisfaction. Moreover, the revision rates of the 2 groups were compared according to leg dominance, patient characteristics, and operative features. Results: The mean follow-up period was 8.0 ± 2.3 years (range, 5-13 years). A significant preoperative to postoperative improvement in range of motion and functional scores was noticed in both groups ( P < .001 for all). However, the improvement was significantly higher in the dominant leg group for the Tegner ( P = .001), Lysholm ( P = .006), and IKDC ( P < .001) scores as well as for the SF-36 domain scores for general health ( P = .009), social role ( P = .048), and emotional role ( P = .032). Also, patient satisfaction was significantly higher in the dominant leg group ( P = .007). The dominant leg group was associated with a lower revision rate compared with the nondominant leg group (5.8% vs 15.7%, respectively; P = .015). Conclusion: High recovery rates were seen after arthroscopic ACLR, regardless of leg dominance. However, leg dominance had a significant effect on postoperative medium- to long-term functional outcomes, HRQoL, and revision rates.

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Functional and quality of life assessment of patients with ankle ulcers subjected to complete Achilles tendon resection

Scientific Journal of the Foot & Ankle ◽

10.30795/scijfootankle.2019.v13.971 ◽

2019 ◽

Vol 13 (2) ◽

pp. 172-178

Author(s):

Wrgelles Godinho Bordone Pires ◽

Philipe Eduardo Carvalho Maia ◽

Felipe Daniel Vasconcelos de Carvalho ◽

Rodrigo Simões Castilho ◽

Fernando Araújo Silva Lopes ◽

...

Keyword(s):

Quality Of Life ◽

Achilles Tendon ◽

Functional Status ◽

Short Form ◽

Case Series ◽

Life Assessment ◽

Diabetic Patients ◽

Sf 36 ◽

The Mean

Objective: To assess the quality of life and functional status of patients subjected to debridement of ulcers in the posterior ankle who required complete Achilles tendon resection without any type of reconstruction or tendon transfer. Method: This is a case series of 5 (mostly diabetic) patients who underwent complete Achilles tendon resection due to an ulcer in the posterior ankle region. Preservation of the Achilles tendon was prevented due to tendon exposure, extensive degeneration and the need for infection control. Patients answered the Brazilian Portuguese version of the Achilles Tendon Total Rupture Score (ATRS-BR) questionnaire and the 36-item Short-Form Health Survey (SF-36) during the postoperative period, and follow-up varied between 6 and 24 months. The ATRS-BR ranges from 0 to 100, and higher scores indicate fewer symptoms and limitations. The SF-36 consists of 36 questions comprising 8 domains, which are independently assessed and given a score of up to 100 points, with higher scores indicating better health status. Results: The mean age of patients was 70 years. The mean score on the SF-36 physical functioning domain was 70 (50-95) points. The mean value of the ATRS-BR was 54.6 (31-88) points; however, the patients had few complaints about their functional status. Conclusion: Non-reconstruction of the Achilles tendon in predominantly diabetic elderly patients with posterior ankle ulcers presents encouraging functional outcomes. This study suggests that complete Achilles tendon resection is a viable option for ulcer treatment in this population. Level of Evidence IV; Therapeutic Studies; Cases Series.

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Quality of life after distal radius fractures

Rehabilitacja Medyczna ◽

10.5604/01.3001.0014.8656 ◽

2021 ◽

Vol 24 (4) ◽

Author(s):

Jakub Marchewka ◽

Wojciech Marchewka ◽

Edward Golec

Keyword(s):

Quality Of Life ◽

Distal Radius ◽

Short Form ◽

Treatment Method ◽

Distal Radius Fractures ◽

Life Assessment ◽

Life Questionnaire ◽

Radius Fractures ◽

Sf 36

Introduction: Distal radius fractures (DRFs) are among the most commonly seen types of fractures worldwide. Numerous studies suggested that surgical treatment of DRFs results in better quality of life. Objectives: The aim of this study was to assess long-term quality of life after operative and nonoperative treatment of distal radius fractures among adults. Material and methods: We retrospectively studied 207 patients with isolated DRF (mean age 64 ±17.9 years, women comprised 150 (72.5%), men 57 (27.5%). There were no significant differences in sex, age, hand dominancy, energy of trauma, AO type fracture and comorbidities between patients treated operatively (n=101) and nonoperatively (n=106). After 3.9 ±1.6 years (mean ±SD) quality of life assessment was conducted using Short Form Health Survey (SF-36) and International Osteoporosis Foundation Quality of Life Questionnaire (IOF QLQ). Functional outcomes were evaluated using Disabilities of the Arm, Shoulder and Hand (DASH) and Patient Rated Wrist Evaluation (PRWE) questionnaires. Results: Quality of life in operatively treated distal radius fracture patients was better than amongst those treated nonsurgically. However, after subdivision of cohorts we observed no such differences regardless of treatment method in patients aged ≥ 50 years. SF-36 and IOF QLQ scores were correlated with DASH and PRWE results. Conclusions: Quality of life questionnaires are useful tools for determining outcomes after distal radius fractures. Operative treatment may not always be superior to nonoperative management especially in patients aged 50 years or above with distal radius fractures.

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Quality of Life Assessment in Patients Undergoing Endovascular or Conventional AAA Repair

Journal of Endovascular Therapy ◽

10.1177/152660280100800515 ◽

2001 ◽

Vol 8 (5) ◽

pp. 521-528 ◽

Cited By ~ 25

Author(s):

Rainier V. Aquino ◽

Mildred A. Jones ◽

Thomas G. Zullo ◽

Nita Missig-Carroll ◽

Michel S. Makaroun

Keyword(s):

Quality Of Life ◽

Short Form ◽

Complete Recovery ◽

Life Assessment ◽

Life Outcomes ◽

Functional Scores ◽

Related Quality ◽

Baseline Status ◽

Health Related

Purpose: To compare health-related quality of life outcomes in a cohort of abdominal aortic aneurysm (AAA) patients treated concurrently with either a conventional or endoluminal intervention. Methods: Between December 1997 and April 1999, 51 AAA patients treated by either open or endovascular techniques were enrolled in this prospective study. Conventional therapy was performed in 26 patients (19 men; mean age 70.4 ± 6.0 years) with anatomical features unsuitable for the endovascular approach. Twenty-five patients (23 men; mean age 70.7 ± 7.2 years) underwent endoluminal AAA exclusion using either the Ancure or bifurcated Enduring stent-grafts. The Medical Outcomes Study Short-Form 36-item health survey was administered preoperatively and at 1, 4, 8, and ≥52 weeks after discharge. Results: At 1 week, both groups showed significant reductions (p < 0.001) in mean scores compared to baseline in 4 dimensions (physical function, social function, role-physical, and vitality), but the decline was more pronounced in patients having open repair. Endoluminal patients returned to their baseline scores by the 4th postoperative week, whereas complete recovery to baseline in the conventional patients was delayed to the 8th week. Conclusions: Patients treated endoluminally exhibit better physical and functional scores as early as 1 week after discharge; they also return to baseline status significantly earlier than the conventional group. These findings document the perceived advantage of endovascular therapy over conventional AAA treatment.

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P-P33 Quality of Life Assessment in Patients undergoing Robot Assisted Pancreaticoduodenectomy

British Journal of Surgery ◽

10.1093/bjs/znab430.255 ◽

2021 ◽

Vol 108 (Supplement_9) ◽

Author(s):

Qazi Rahim Muhammad ◽

Alexia Farrugia ◽

Hope Poole ◽

Majid Ali ◽

Gabriele Marangoni ◽

...

Keyword(s):

Quality Of Life ◽

Postoperative Period ◽

High Volume ◽

Life Assessment ◽

Emotional Wellbeing ◽

Robot Assisted ◽

Robotic Assisted ◽

Quick Recovery ◽

Sf 36

Abstract Background Robot-assisted pancreaticoduodenectomy has recently gained attention as there is evidence from high volume centres suggests better outcomes and quick recovery. This study aimed to evaluate the quality of life after robotic-assisted pancreaticoduodenectomy Methods The study included the first 12 consecutive patients who underwent robotic pancreaticoduodenectomy. The RAND SF 36-Item health survey form was used to assess the quality of life through a one-hour face-to-face interview carried out by a junior doctor from a different team with no prior involvement in patient care. The interview was carried out at least three months postoperative period. Each item in the subscale was recorded with a pre-coded numeric value. The comparison was made between preoperative periods' scores defined by the onset of disease symptoms to surgery and the postoperative follow-up score. The SF-36 survey questions were supplemented with additional items such as postoperative pain, emotional wellbeing, and fatigue status. Results Analysis of SF-36 domains showed better quality of life postoperatively than the baseline, as evidenced by the mean physical functioning score from 82.91 to 90 and mean general health score from 37.9 to 69.5 postoperatively. 91.66% of the patients reported that they felt better at the time of study and were happy overall. Conclusions Robotic-assisted pancreaticoduodenectomy shows a better quality of life than in the preoperative period, which can be attained in a brief postoperative period.

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RELATIONSHIP BETWEEN QUALITY OF LIFE AND RADIOLOGICAL PARAMETERS AFTER HALLUX VALGUS CORRECTION

Acta Ortopédica Brasileira ◽

10.1590/1413-785220202802225507 ◽

2020 ◽

Vol 28 (2) ◽

pp. 65-68

Author(s):

HENRIQUE MANSUR ◽

VINICIUS CARDOSO ◽

THOMAS NOGUEIRA ◽

ISNAR CASTRO

Keyword(s):

Quality Of Life ◽

Hallux Valgus ◽

Valgus Deformity ◽

Surgical Correction ◽

Life Assessment ◽

Level Of Evidence ◽

Significance Level ◽

Hallux Valgus Deformity ◽

Sf 36

ABSTRACT Objective: To evaluate the correlation between postoperative quality of life and the severity of hallux valgus deformity. Methods: A total of 23 patients underwent moderate (n = 14) and severe (n = 9) hallux valgus (HV) surgical correction with the Scarf technique between January 2010 and December 2012. The mean follow-up time was 60 months. Participants answered the SF-36 quality of life assessment questionnaire and their radiographs were evaluated at three different moments (preoperative, 1 and 5 years after surgery). Statistical analysis was performed with a maximum 5% significance level. Results: The sample consisted of two men and 21 women, aged 58.7.SF-36 mean value was 75.73 and the metatarsophalangeal and interphalangeal angles improved significantly at the three moments (p < 0.05). SF-36 showed no statistical difference between patients with moderate or severe HV (p > 0.05). No correlations were found between quality of life and pre and postoperative radiographic angles. Conclusion: Patients with moderate and severe hallux valgus submitted to surgical correction had a very good quality of life and a significant improvement in radiographic parameters. However, these variables were not correlated. Level of Evidence II, Retrospective study.

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Quality of life of patients with Sjogren’s disease with ongoing therapy with diseasemodifying antirheumatic drugs

Medical alphabet ◽

10.33667/2078-5631-2020-15-33-38 ◽

2020 ◽

pp. 33-38

Author(s):

E. Yu. Gan ◽

L. P. Evstigneeva

Keyword(s):

Quality Of Life ◽

Short Form ◽

Life Quality ◽

Well Being ◽

Disease Modifying Antirheumatic Drugs ◽

Antirheumatic Drugs ◽

Sf 36 ◽

Disease Modifying ◽

Sjögren’S Disease

Purpose of the study. Assessing the association between the life quality of patients with Sjogren’s Disease and ongoing therapy with various disease-modifying antirheumatic drugs.Material and methods. The study was conducted on the basis of the regional rheumatology center of the consultative diagnostic clinic of the Sverdlovsk Regional Clinical Hospital No. 1. This work is based on the results of a simultaneous study of 74 patients with primary Sjogren’s Disease (SD), distributed in three comparison groups receiving various disease-modifying antirheumatic drugs chlorambucil, methotrexate and hydroxychloroquine. The diagnosis of SD was carried out according to European-American criteria AECGC (2002) [18]. In order to analyze the quality of life of patients with SD, the 36-Item Short Form Health Survey (SF‑36) was used. Statistical data processing was carried out using Statistica 7.0 program.Results. Assessment of the quality of life of patients with SD, which is an integrative criterion of human health and well-being, revealed the absence of statistically significant differences (p > 0.05) on eight scales and two health components of the SF‑36 questionnaire in the analyzed groups that differ in the treatment of disease-modifying antirheumatic drugs chlorambucil, methotrexate and hydroxychloroquine.Conclusions. The obtained data indicate an equivalent quality of life in SD patients treated with different disease-modifying antirheumatic drugs methotrexate, chlorambucil and hydroxychloroquine, and therefore hydroxychloroquine can be considered as an alternative basic therapy in patients with SD with certain limitations and contraindications methotrexate and chlorambucil.

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