scholarly journals Five Osteosarcoma of the Lower Extremity Treated by Rotationplasty: University of the Philippines - Philippine General Hospital Experience

2021 ◽  
Vol 55 (3) ◽  
Author(s):  
Phillip Aristotle R. Hermida ◽  
Cesar D. Dimayuga ◽  
Albert Jerome D. Quintos
Keyword(s):  
Lower Extremity ◽  
Range Of Motion ◽  
General Hospital ◽  
Tumor Resection ◽  
Oncologic Outcome ◽  
Functional Results ◽  
The Philippines ◽  
Oncologic Results ◽  
The University ◽  
Good Range

Functional and oncologic results of the initial series of children with osteosarcoma treated with rotationplasty at the University of the Philippines - Philippine General Hospital from 2014 to 2015 are reported. Five children (mean 13.2 years) with Enneking IIB osteosarcoma of the lower extremity underwent neoadjuvant chemotherapy, tumor resection with wide margins, and rotationplasty – four Winkelmann Type AI and one Type AII. The four Type-A cases were fixed using an intramedullary nail and the Type A2 case with a plate. Two cases had >90% tumor necrosis. Adjuvant chemotherapy was started 10 to 21 days following surgery. Functional results for the AI rotationplasty showed a good range of motion of the ankle (neo-knee) with preserved muscle strength. The patient with AII rotationplasty had a fair range of motion of the ankle with some muscle weakness. All had radiographic evidence of healing at an average of 12 weeks. The oncologic outcome showed two with local recurrences at five months from surgery; three died of disease at 7, 20, and 38 months; while two are alive without evidence of disease at 72 and 84 months. Three patients were able to fit with a prosthesis with good utility, ambulation status, and satisfaction.

scholarly journals Patient and Caregiver Preparedness for Discharge from the Internal Medicine Wards of the University of the Philippines – Philippine General Hospital

2021 ◽  
Author(s):  
Louis Mervyn B. Leones ◽  
Lance Isidore G. Catedral ◽  
Jhoanna Rose H. Velasquez ◽  
Lia Aileen Palileo-Villanueva
Keyword(s):  
Internal Medicine ◽  
Side Effects ◽  
General Hospital ◽  
Internal Consistency ◽  
Linear Regression Analysis ◽  
The Philippines ◽  
Community Services ◽  
Good Internal Consistency ◽  
Internal Medicine Wards ◽  
The University

Background. Preparedness before discharge correlates with good clinical outcomes.Objective. The study described the perception, attitudes, and perceived preparedness of patients and caregivers fordischarge from the Internal Medicine wards of the University of the Philippines-Philippine General Hospital (UP-PGH).Methods. A cross-sectional survey among 142 patients about to be discharged from the Internal Medicine wards ofthe Philippine General Hospital and/or their caregivers from May to June 2017 was done using a validated Filipinoversion of B-PREPARED, an 11-item self-administered questionnaire that measures patient preparedness for home.The questionnaire has three domains: self-care information, equipment/services, and confidence. The highest possibleB-PREPARED score is 22 with higher scores indicating better discharge preparedness. Mean B-PREPARED scoreswere calculated. Post-hoc linear regression analysis between the scores and characteristics was performed.Results. The Filipino translation of the B-PREPARED questionnaire had good internal consistency (Cronbach’salpha 0.8). One hundred forty-two patients and caregivers participated. The mean B-PREPARED score was 14.57± 4.34, with a median of 15. The lowest scores were for information on available community services (1.20 ± 0.76),arranged equipment (0.83 ± 0.88), information on side effects of medications (1.19 ± 0.85), and additional informationsought (0.61 ± 0.92). There was no significant correlation between preparedness and age, employment status,educational attainment, diagnosis, length of hospitalization, the number of admissions one year prior, or whether therespondent was a patient or caregiver.Conclusion. The Filipino translation of the B-PREPARED questionnaire had good internal consistency. Althoughmost participants reported being confident and prepared for discharge, most felt they did not receive sufficientinformation on side effects and available community services, and assistance in arranging for the necessary equipmentfor home care.

Follow-up of cancer patients at the Colorectal Multidisciplinary Clinic: The University of the Philippines - Philippine General Hospital (UP-PGH) experience.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e18022-e18022
Author(s):  
Frederic Ivan Leong Ting ◽  
Danielle Benedict Leoncio Sacdalan ◽  
Josephine Anne Lucero Sacdalan ◽  
Dennis Lee Sacdalan
Keyword(s):  
Cancer Patients ◽  
General Hospital ◽  
The Philippines ◽  
Treatment Center ◽  
Design Strategies ◽  
Cross Sectional ◽  
Multidisciplinary Clinic ◽  
Rectal Cancers ◽  
The University

e18022 Background: The University of the Philippines - Philippine General Hospital (UP-PGH) Colorectal Multidisciplinary Team is composed of colorectal surgeons, radiation oncologists, and medical oncologists tasked with the care of patients with colon and rectal cancers in a multidisciplinary clinic. Patients that have been lost to follow-up after initial work-up and treatment return later with more advanced disease if at all they come back for treatment. This is a concern because cancers of the colon and rectum are potentially curable if addressed in a timely manner by patient and physician. Moreover, aggressive follow-up of potentially curable colon and rectal cancers has been shown to improve patient outcomes. Identifying factors that contribute to poor patient follow-up will allow the team to design strategies that will lead to more patients completing treatment. This study aimed to identify the different factors that influence follow-up among Filipino cancer patients presenting at the UP-PGH Colorectal multidisciplinary clinic. Methods: This is a 6 month prospective cross-sectional pilot study where a questionnaire was designed to evaluate patient views regarding factors that contribute to continued follow-up as well as factors associated with poor follow-up at the colorectal multidisciplinary clinic. Patients were allowed to state multiple factors as they see fit. Descriptive statistics were employed in the analysis of data. Results: Of the 97 responders, 39 (40%) patients identified belief in the effectiveness of the treatment and trust in their physicians, 33 (34%) stated adequacy of family support , and 31 (32%) noted affordability of treatment as factors contributing to patient follow-up. In contrast, 44 (45%) patients identified financial constraints, and 7 (7%) stated the far distance of their home to the treatment center as potential causes of poor follow-up. Other potential causes of poor follow-up identified were fear and anxiety about treatment, intolerable side-effects, and long lines at the clinic -all with 2 (2%) responses each. Conclusions: Healthcare decisions in the Philippines are affected by an interplay of factors. This study has identified belief in treatment efficacy, trust in their attending physician, financial factors, and clinic accessibility as influencing continued patient follow-up. Future endeavors may be directed towards these factors to improve follow-up and care at the colorectal multidisciplinary clinic.

scholarly journals Hospitalization Expenditure of COVID-19 Patients at the University of the Philippines-Philippine General Hospital (UP-PGH) with PhilHealth Coverage

2021 ◽  
Vol 55 (2) ◽  
Author(s):  
Scarlett Mia Tabuñar ◽  
Tamara Michelle Dominado
Keyword(s):  
General Hospital ◽  
Retrospective Chart Review ◽  
The Philippines ◽  
Therapeutic Interventions ◽  
Medical Supplies ◽  
Case Rate ◽  
The University ◽  
Hospital Expenses ◽  
Age Range ◽  
Future Utilization

Objective. This research aimed to determine the in-patient expenditure of COVID-19 adult patient s and their out-of-pocket (OOP) payments at the University of the Philippines-Philippine General Hospital (UP-PGH) after the new PhilHealth case rate coverage was instituted last 15 April 2020. It also intended to present the preliminary data on the expenses incurred by COVID patients during the initial phase of the pandemic in the country. Methods. This study was a retrospective chart review of admitted COVID-19 patients aged 19 years old and above from 15 April to 14 August 2020 at UP-PGH that availed of PhilHealth COVID-19 case rate benefits package (C19C1-C4). Data were analyzed to extract overall expenses, out-of-pocket (OOP) charges, cost centers utilization, and other hospitalization expenditure sources. Results. Of the 691 COVID-19 patients included during the study period, 55.72% were male, mostly belonging to the 61-70 age range with a median age of 58. The average in-hospital stay was 14.20 days, and 76.99% were under charity services, with the moderate (42.84%) and mild (25.33%) pneumonia cases accounting for 68.17% of the admissions. Total hospital expenses clustered around Php51,000 to 200,000 (~USD 1,041 to 4,156), most spending between Php101,000 to 150,000 (~USD 2,078 to 3,118). The top three cost centers and expenditure sources were pharmacies, personal protective equipment (PPE) usage, and laboratory. The average OOP payment for patients less than 60 years old was higher, ranging from Php 25,899 to Php 44,428.63 (USD 538 to USD 924.44) compared to patients older than 60 (Php4,005.60 to Php 32,920.20 ~ USD 83.35 to 684.98). The most OOP charges were for the age group 19-30, amounting to Php 44,428.63 (USD 924.44). Conclusion. Preliminary findings of this study gave an actual representation of the expenses of COVID-19 patients, which can guide future utilization of the national health insurance during unexpected pandemics. Early price regulation of new therapeutic interventions, diagnostic tests, and medical supplies, e.g., PPEs, disinfectants, air filters, are measures that can be implemented.

scholarly journals Postoperative Changes in Alignment in Patients Surgically Corrected for Esotropia and Exotropia in a Tertiary Government Hospital

2020 ◽  
Vol 54 (2) ◽  
Author(s):  
Ruth R. Peña ◽  
Marissa N. Valbuena ◽  
Alvina Pauline D. Santiago ◽  
Andrea Kristina M. Pajarillo
Keyword(s):  
Retrospective Study ◽  
General Hospital ◽  
Pearson Correlation ◽  
The Philippines ◽  
Government Hospital ◽  
Postoperative Changes ◽  
Clinical Records ◽  
The University

Objective. To compare the postoperative alignment of patients surgically corrected for esotropia or exotropia 6 weeks and 6 months after surgery.Method. This retrospective study reviewed clinical records of patients who underwent horizontal muscle surgery at the University of the Philippines-Philippine General Hospital from 2010 to 2014. The changes in alignment from 1 week to 6 weeks and from 1 week to 6 months after surgery were compared for overcorrection, undercorrection, and adequate correction groups. ANOVA and Pearson correlation were used.Results. Twenty two esotropia and 10 exotropia patients were included. Overcorrected esotropia patients had an esotropic change in alignment (15.50+13.44 PD after 6 weeks, p=0.026; 25+18.38 PD after 6 months, p=0.008). Under corrected esotropia patients had an exotropic change in alignment (-1.25+5.91 PD after 6 weeks, p=0.026;-4.38+14.16 PD after 6 months, p=0.008). Undercorrected exotropia patients had an esotropic change in alignment (6.67+6.35 PD after 6 weeks, p=0.028; 6+9.85 PD after 6 months, p=0.024). The presence of vertical deviations in esotropia caused an exotropic change in alignment after 6 months (p=0.03).Conclusion. Although an exotropic drift is more commonly reported, fusional vergences may account for postoperative alignment changes towards orthotropia.

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