scholarly journals Clinical and Patient-Related Outcome After Stabilization of Dorsal Pelvic Ring Fractures: A Retrospective Study Comparing Transiliac Fixator (TIFI) and Spinopelvic Fixation (SPF)

2021 ◽  
Vol 8 ◽  
Author(s):  
Ricarda Johanna Seemann ◽  
Erik Hempel ◽  
Gabriele Rußow ◽  
Serafeim Tsitsilonis ◽  
Ulrich Stöckle ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medical Information ◽  
Pelvic Ring ◽  
Short Form ◽  
Medical Information System ◽  
Complication Rates ◽  
System Quality ◽  
Pelvic Ring Fractures ◽  
Spinopelvic Fixation

Purpose: Aim of this retrospective cohort study was the comparison of the transiliac fixator (TIFI) and spinopelvic fixation (SPF) for fixation of dorsal pelvic ring fractures in terms of clinical outcome, complications, and quality of life.Methods: Thirty-eight patients (23 men, 15 women; mean age 47 ± 19 years) with dorsal pelvic ring fractures (type-C-injuries after AO/OTA) that have been stabilized by either TIFI (group TIFI, n = 22) or SPF (group SPF, n = 16) between May 2015 and December 2018 were retrospectively reviewed. Outcome measurements included demographic data, perioperative parameters, and complications and were obtained from the medical information system. Quality of life was assessed using the German version of the short form 36 (SF-36) and short muskuloskeletal function assessment (SMFA-D). Clinical results were assessed using Merle d'Aubigné-Score, Iowa Pelvic Score, and Majeed Pelvic Score.Results: Both groups show relatively good post-operative results, which has previously been reported. Quality of life was comparable in both groups. Group TIFI was slightly superior regarding complication rates, cutting/suture time, and fluoroscopy time. Group SPF seemed to be superior regarding pain and pelvic scores.Conclusion: None of the methods could demonstrate significant superiority over the other. Management of pelvic injuries remains a highly individual challenge adapted to the individual patients' condition. Nevertheless, if fractures allow for stabilization with TIFI, the use of this method should be taken into consideration as a less invasive and more tissue-conserving approach.

Ileal Conduit and Continent Ileocecal Pouch for Patients Undergoing Pelvic Exenteration: Comparison of Complications and Quality of Life

2011 ◽  
Vol 21 (2) ◽  
pp. 403-408 ◽  
Author(s):  
Dirk Michael Forner ◽  
Björn Lampe
Keyword(s):  
Quality Of Life ◽  
Urinary Diversion ◽  
Pelvic Exenteration ◽  
Ileal Conduit ◽  
Short Form ◽  
Complication Rates ◽  
Stomal Complications ◽  
Short Form Health

Objectives:Creating a continent urinary pouch has become an alternative to the ileal conduit for patients undergoing exenteration for advanced gynecologic malignancies. The objective of this study was to compare clinical outcomes for the 2 methods.Methods:In this retrospective study, we compared intraoperative and postoperative complications and quality-of-life scores for the modified ileocecal pouch and the ileal conduit in anterior or total pelvic exenteration.Results:In 33 of 100 patients, an ileal pouch (IP) was created; the other 67 were treated by an ileal conduit (IC). Creating an IP prolonged the exenterative procedure by 97 minutes compared to an IC (IC, 453 minutes vs IP, 550 minutes;P= 0.009). Overall complication rates were similar, but patients with an IP had significantly more complications of urinary diversion (48%) than patients with an IC (31%;P= 0.03). Follow-up showed urinary loss and frequency of micturition to be comparable, but in patients with an IP, surgery for stomal complications (n = 2) and treatment of bladderstones were necessary more frequently (n = 3). Quality of life according to the 12-item Short Form Health Survey questionnaire was similar in both groups.Conclusion:A continent IP is an alternative to the IC in cases of pelvic exenteration. Early complications are more frequent with an IP than with an IC. The mode of urinary diversion has little influence on the quality of life in patients with advanced genital cancer.

scholarly journals What Are Predictors for Patients’ Quality of Life After Pelvic Ring Fractures?

2013 ◽  
Vol 471 (9) ◽  
pp. 2841-2845 ◽  
Author(s):  
Joerg H. Holstein ◽  
Antonius Pizanis ◽  
Daniel Köhler ◽  
Tim Pohlemann
Keyword(s):  
Quality Of Life ◽  
Pelvic Ring ◽  
Pelvic Ring Fractures

scholarly journals MINIMALLY INVASIVE OSTEOSYNTHESIS IN PLEVIC TRAUMA- APPROACHES AND VISIONS FROM CLINICAL PRACTICE

InterConf ◽  
2021 ◽  
pp. 484-492
Author(s):  
Grigore Sîrghi ◽  
Vladimir Kusturov ◽  
Nicolae Caproș ◽  
Anna Kusturova ◽  
Anna Kusturova ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Practice ◽  
Minimally Invasive ◽  
Pelvic Ring ◽  
Improve Quality ◽  
Minimally Invasive Osteosynthesis ◽  
Treatment Methods ◽  
Pelvic Ring Fractures ◽  
Post Traumatic

In this study, we intend to study general problems of plevic trauma, available treatment methods minimally invasive and some recommendations or else, visions to evaluate and select the optimal treatment for pelvic ring fractures, to improve quality of life of patients and to reduce the intraoperative risks and incidence of post-traumatic disability.

A Prospective, Randomized Multicenter Study Comparing APD and CAPD Treatment

1999 ◽  
Vol 19 (6) ◽  
pp. 526-533 ◽  
Author(s):  
Susanne Bro ◽  
Jakob B. Bjorner ◽  
Pernille Tofte–Jensen ◽  
Susanne Klem ◽  
Birte Almtoft ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Peritoneal Dialysis ◽  
Multicenter Study ◽  
Sleep Problems ◽  
Short Form ◽  
Complication Rates ◽  
Significant Difference ◽  
Therapy Costs ◽  
Improve Patient

Objective The goals for maintenance dialysis treatment are to improve patient survival, reduce patient morbidity, and improve patient quality of life. This is the first randomized prospective study comparing automated peritoneal dialysis (APD) and continuous ambulatory peritoneal dialysis (CAPD) treatment with respect to quality of life and clinical outcomes in relation to therapy costs. Design A prospective, randomized multicenter study. Setting Three Danish CAPD units. Patients Thirty-four adequately dialyzed patients with high or high-average peritoneal transport characteristics were included in the study. Twenty-five patients completed the study. Interventions After randomization, 17 patients were allocated to APD treatment and 17 patients to CAPD treatment for a period of 6 months. Medical and biochemical parameters were evaluated at monthly controls in the CAPD units. Quality-of-life parameters were assessed at baseline and after 6 months by the self-administered short-form SF-36 generic health survey questionnaire supplemented with disease- and treatment-specific questions. Therapy costs were compared by evaluating dialysis-related expenses. Main Outcome Measures Quality-of-life parameters, dialysis-related complications, dialysis-related expenses. Results The quality-of-life studies showed that significantly more time for work, family, and social activities was available to patients on APD compared to those on CAPD ( p < 0.001). Although the difference was not significant, there was a tendency for less physical and emotional discomfort caused by dialysis fluid in the APD group. Sleep problems, on the other hand, tended to be more marked in the APD group. Any positive effect of APD compared to CAPD on dialysis-related hospital days or complication rates could not be confirmed. With larger patient samples, it is possible, however, that a significant difference might have been achieved. The running costs for APD treatment were US $75 per day and for CAPD treatment US $61 per day. Conclusion If APD treatment can help to keep selected patients vocationally or socially active, paying the extra cost seems reasonable.

Quality of life after pelvic ring fractures: A cross-sectional study

Injury ◽  
2018 ◽  
Vol 49 (4) ◽  
pp. 812-818 ◽  
Author(s):  
L. Brouwers ◽  
K.W.W. Lansink ◽  
M.A.C. de Jongh
Keyword(s):  
Quality Of Life ◽  
Pelvic Ring ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Pelvic Ring Fractures

Patient-related quality of life after pelvic ring fractures in elderly

2018 ◽  
Vol 43 (2) ◽  
pp. 261-267 ◽  
Author(s):  
Paul Schmitz ◽  
Stephan Lüdeck ◽  
Florian Baumann ◽  
Rainer Kretschmer ◽  
Michael Nerlich ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Ring ◽  
Pelvic Ring Fractures ◽  
Related Quality

scholarly journals A retrospective study about functional outcome and quality of life after surgical fixation of insufficiency pelvic ring injuries

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Katharina Jäckle ◽  
Marc-Pascal Meier ◽  
Mark-Tilmann Seitz ◽  
Sebastian Höller ◽  
Christopher Spering ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Functional Outcome ◽  
Pelvic Ring ◽  
Fragility Fractures ◽  
Well Being ◽  
Posterior Pelvic Ring ◽  
Pelvic Ring Fractures ◽  
Sf 36

Abstract Background Fragility fractures without significant trauma of the pelvic ring in older patients were often treated conservatively. An alternative treatment is surgery involving percutaneous screw fixation to stabilize the posterior pelvic ring. This surgical treatment enables patients to be mobilized quickly and complications associated with bedrest and temporary immobility are reduced. However, the functional outcome following surgery and quality of life of the patients have not yet been investigated. Here, we present a comprehensive study addressing the long-term well-being and the quality of life of patients with fragility pelvic ring fractures after surgical treatment. Methods Between 2011–2019, 215 geriatric patients with pelvic ring fractures were surgically treated at the university hospital in Göttingen (Germany). Of these, 94 patients had fragility fractures for which complete sets of computer tomography (CT) and radiological images were available. Fractures were classified according to Tile and according to the FFP classification of Rommens and Hofmann. The functional outcome of surgical treatment was evaluated using the Majeed pelvic score and the Short Form Health Survey-36 (SF-36). Results Thirty five tile type C and 48 type B classified patients were included in the study. After surgery eighty-three patients scored in average 85.92 points (± 23.39) of a maximum of 100 points using the Majeed score questionnaire and a mean of 1.60 points on the numerical rating scale ranging between 0 and 10 points where 0 points refers to “no pain” and 10 means “strongest pain”. Also, the SF-36 survey shows that surgical treatment positively effects patients with respect to their general health status and by restoring vitality, reducing bodily pain and an increase of their general mental health. Conclusions Patients who received a percutaneous screw fixation of fragility fractures of the posterior pelvic ring reported an overall positive outcome concerning their long-term well-being. In particular, older patients appear to benefit from surgical treatment. Trial registration Functional outcome and quality of life after surgical treatment of fragility fractures of the posterior pelvic ring, DRKS00024768. Registered 8th March 2021 - Retrospectively registered. Trial registration number DRKS00024768.

Quality of life after pelvic ring fractures: Long-term outcomes. A multicentre study

Injury ◽  
2019 ◽  
Vol 50 (6) ◽  
pp. 1216-1222 ◽  
Author(s):  
E. Hermans ◽  
L. Brouwers ◽  
T. van Gent ◽  
J. Biert ◽  
M.A.C. de Jongh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Multicentre Study ◽  
Pelvic Ring ◽  
Long Term Outcomes ◽  
Pelvic Ring Fractures

scholarly journals Perioperative Quality of Life in Cushing’s Disease

2016 ◽  
Vol 44 (1) ◽  
pp. 69-77 ◽  
Author(s):  
Vincent Chen Ye ◽  
Ryojo Akagami
Keyword(s):  
Quality Of Life ◽  
Cushing’S Disease ◽  
Short Form ◽  
Retrospective Chart Review ◽  
Pituitary Tumour ◽  
Cushing's Disease ◽  
Complication Rates ◽  
Canadian Population ◽  
Sf 36

AbstractBackground: Our study evaluated the perioperative quality of life (QoL) in Cushing’s disease (CD) patients, along with correlations between patient variables and cure rate. Methods: The 36-item Short-Form Health Survey (SF)-36 questionnaire was used to assess perioperative QoL. Patients completed one survey preoperatively and two surveys postoperatively. Retrospective chart review was conducted to collect SF-36 data as well as examine variables including: age, hospital stay, size of tumour, pathological diagnosis, timing of cure, and complication rates. Statistical analysis was conducted on the scores reported by the SF-36, and were compared with the normal Canadian population values, and to a sample of QoL from nonfunctioning pituitary tumour patients. This project was approved by University of British Columbia Research Ethics Board #H15-01572. Results: In general, CD patients have relatively poor QoL that does improve as expected when cured, but not quite to normal levels. Factors associated with cure included presence of macroadenoma, confirmatory pathology, and patient age. Postoperative timing of cure appears to affect the durability of cure, with an immediate cure having a higher durability rate than delayed cure. Most recurrences occurred within 10 months postoperatively. Conclusions: This review of the perioperative QoL in CD helps to illustrate how QoL changes throughout the treatment process, how QoL compares to normal Canadian population levels, and how QoL compares to patients with nonfunctioning pituitary adenomas. As treatment outcome has such a high impact on QoL, the variables identified in this study will help to better inform patients about the treatment course.

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