MID-TERM EVALUATION OF OUTCOMES IN RHINOPLASTY AND RHINOSEPTOPLASTY

2021 ◽  
pp. 59-62
Author(s):  
Sania Arya ◽  
Gurkiran Kaur ◽  
Kulwinder Singh Sandhu

Introduction: Rhinoplasty improves the facial aesthetics. But the perceived ideal outcome for each patient is different for similar disease. Here comes the role of health-related quality of life questionnaires which determine the improvement based on patient's viewpoint. Materials: A total of 30 patients were enrolled and underwent the procedure of rhinoplasty or septo-rhinoplasty. Quality of life questionnaires (QoL) specic to disease were completed such as ROE (Rhinoplasty Outcomes Evaluation) and NOSE (Nasal Obstruction Symptom Evaluation) pre-operatively as well as post-operatively at completion of 6 months follow up. Results: The condition of patients signicantly improved related to disease specic questionnaires. The mean pre-operative score for ROE and NOSE is 30.41±16.31 and 61.33±27.06 respectively. While the score improved post-operatively for ROE and NOSE to 82.51±16.01 and 12.40±10.53 respectively. The p value for both scores <0.001 and is found to be highly signicant. Conclusion: The present study concludes that rhinoplasty greatly improves quality of life of patients in terms of functional, physical, emotional and social sufferings postoperatively.

2021 ◽  
Vol 13 ◽  
pp. 1759720X2110348
Author(s):  
Alfredo Madrid-García ◽  
Isabel Montuenga-Fernández ◽  
Judit Font-Urgelles ◽  
Leticia León-Mateos ◽  
Esperanza Pato ◽  
...  

Aims: The aim of this study was to assess the effect of “outpatient readmissions” on the health-related quality of life (HR-QoL) of outpatients from a rheumatology clinic, meaning the effect of the patient’s return to the outpatient clinic after having received care and been discharged. Methods: We conducted an observational longitudinal retrospective study, with patients selected from the Hospital Clínico San Carlos Musculoskeletal cohort, based on having received at least one discharge from the outpatient clinic and having returned (readmission) at least once after the discharge. The main outcomes were the patients’ baseline HR-QoL (measured on the first visit of each episode) and the ΔHR-QoL (difference between the HR-QoL in the last and the first visit of each episode). Successive episodes of admission and readmission were chronologically ordered, paired and analyzed using nested linear mixed models, nested by patients and by admission–readmission tandem. We carried out bivariable and multivariable analyses to assess the effect of demographic, clinical, treatment and comorbidity-related variables in both main outcomes. Results: For the first main outcome, 5887 patients (13,772 episodes) were analyzed. Based on the multivariable level, readmission showed no significant marginal effect on the baseline HR-QoL ( p-value = 0.17). Conversely, when analyzing the ΔHR-QoL, we did observe a negative and significant marginal effect ( p-value = 0.028), meaning that readmission was associated with a lower gain in the HR-QoL during the follow-up, compared with the previous episode. Conclusion: In the outpatient setting, readmission exerts a deleterious effect in patients undergoing this process. Identification of outpatients more likely to be readmitted could increase the value of the care provided.


2014 ◽  
Vol 27 (4) ◽  
pp. 505-514 ◽  
Author(s):  
Karina Maria Cancelliero-Gaiad ◽  
Daniela Ike ◽  
Liliana Soave ◽  
Evelim Leal de Freitas Dantas Gomes ◽  
Fernanda Dultra Dias ◽  
...  

Objective To correlate functional capacity test scores from chronic obstructive pulmonary disease (COPD) subjects with their functional state as assessed by health-related quality of life questionnaires (one respiratory disease-specific [SGRQ] and one generic [SF-36] questionnaire). Materials and methods Study of a case series of 8 COPD patients. The following tests were performed: 1) Six-minute walk test (6-MWT); 2) Shuttle walking test (SWT); 3) Six-minute step test (6-MST); 4) Two-minute sit-to-stand test (STST); and 5) Pegboard and ring test (PBRT). Besides these tests, two health-related quality of life questionnaires were administered: The St George's Respiratory Questionnaire (SGRQ) and the Short Form 36 (SF-36) health survey questionnaire. The statistical analysis was carried out by using the Shapiro-Wilk normality test, while correlations were assessed using Pearson's (parametric data) or Spearman's (non-parametric data) rank tests, with p < 0.05. Results The 6-MWT showed strong correlation with the SF-36 scales of physical functioning, general health, vitality, social functioning and mental health. Conversely, the other functional capacity tests showed no correlation with this questionnaire. The SGRQ showed no correlation with any of the tests. Conclusions The 6-MWT may be a good test to reflect the health-related quality of life of COPD subjects.


2017 ◽  
Vol 16 (1) ◽  
pp. 14-18
Author(s):  
Sabina Shrestha ◽  
Aparajita Manoranjan ◽  
Sushan Man Shrestha

Introduction: Strabismus affects the quality of life of adults both in functional and psychosocial aspect of life. This study was conducted to compare the health related quality of life in adults before and after strabismus surgery.Methods: It was a prospective quantitative study conducted in Nepal Eye Hospital from Sep 2015 to July 2016. Thirty one adult participants with strabismus undergoing strabismus surgery completed the study. Twenty open ended adult strabismus questionnaire (AS-20) were used to assess the health related quality of life of adults before and one month after strabismus surgery.Results: The overall median score of adult strabismus questionnaire for quality of life improved from 68.75 (Interquartile range (IQR 25) to 91.25 (IQR 17.5) after strabismus surgery (p value < 0.00). Similarly, the median function subscale and median psychosocial subscale also improved from 72 (IQR 25) to 95 (10) and from 55 (IQR 37.5) to 90 (IQR 15) respectively after surgery. Conclusion: The quality of life of adult strabismic patients improved significantly after stabismus surgery.


2005 ◽  
Vol 14 (5) ◽  
pp. 1239-1249 ◽  
Author(s):  
Mary E. Cooley ◽  
Ruth McCorkle ◽  
George J. Knafl ◽  
Joan Rimar ◽  
Margaret J. Barbieri ◽  
...  

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