141,092 results match your criteria patient satisfaction

Cancer Health Assessments Reaching Many (CHARM): A clinical trial assessing a multimodal cancer genetics services delivery program and its impact on diverse populations.

Contemp Clin Trials 2021 May 10:106432. Epub 2021 May 10.

Department of Translational and Applied Genomics, Center for Health Research, Kaiser Permanente Northwest, 3800 N. Interstate Ave, Portland, OR 97227, USA.

Advances in the application of genomic technologies in clinical care have the potential to increase existing healthcare disparities. Studies have consistently shown that only a fraction of eligible patients with a family history of cancer receive recommended cancer genetic counseling and subsequent genetic testing. Care delivery models using pre-test and post-test counseling are not scalable, which contributes to barriers in accessing genetics services. Read More

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Comparison of upper and lower body forced air blanket to prevent perioperative hypothermia in patients who underwent spinal surgery in prone position: A randomized controlled trial.

Korean J Anesthesiol 2021 May 13. Epub 2021 May 13.

Department of Thoracic and Cardiovascular surgery, Soonchunhyang University Hospital Seoul, Republic of Korea.

Background: We compared the upper and lower body forced-air blanket to prevent perioperative hypothermia, defined as a reduction in body temperature to <36.0°C during the perioperative period, in patients who underwent spinal surgery in prone position.

Methods: A total of 120 patients scheduled for elective spine surgery under general anesthesia were divided into an upper warming group (n = 60) and a lower warming group (n = 60). Read More

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A comparison of adductor canal block before and after thigh tourniquet during knee arthroscopy: A randomized, blinded study.

Korean J Anesthesiol 2021 May 13. Epub 2021 May 13.

Department of Anesthesiology, Istanbul Medipol University, School of Medicine, Istanbul, Turkey.

Background: Adductor canal block (ACB) provides effective analgesia management after arthroscopic knee surgery. However, there is insufficient data about performing ACB before or after inflation of a thigh tourniquet. We aimed to investigate the efficacy of ACB when it is performed before and after thigh tourniquet and evaluate motor weakness. Read More

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A daily regimen of a ceramide-dominant moisturizing cream and cleanser restores the skin permeability barrier in adults with moderate eczema: a randomized trial.

Dermatol Ther 2021 May 13:e14970. Epub 2021 May 13.

St George Dermatology and Skin Cancer Centre, New South Wales, Australia.

The dysfunctional skin barrier in eczema patients may be attributed to decreased levels of ceramides in the stratum corneum. The aim of this study was to determine whether a two-part system consisting of a ceramide-dominant physiological lipid-based moisturizing cream and cleanser could ameliorate the signs and symptoms of moderate eczema in adults over 28 days compared to placebo. Assessments were conducted at baseline and every 7 days thereafter. Read More

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Evaluation of a smoking cessation patient decision aid that integrates information about e-cigarettes.

Nicotine Tob Res 2021 May 13. Epub 2021 May 13.

Department of Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond.

Introduction: Smokers increasingly use e-cigarettes to try to quit smoking, even more than recommended cessation methods. However, few smokers discuss the range of cessation options with their physicians. Decision aids can inform smokers about smoking cessation options, including evidence about e-cigarettes, and encourage smokers to engage in shared decision making with their physician. Read More

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Nurse-sensitive outcomes in district nursing care: A Delphi study.

PLoS One 2021 13;16(5):e0251546. Epub 2021 May 13.

Research Centre for Healthy and Sustainable Living, Faculty of Health Care, University of Applied Sciences Utrecht, Utrecht, The Netherlands.

Objectives: To determine nurse-sensitive outcomes in district nursing care for community-living older people. Nurse-sensitive outcomes are defined as patient outcomes that are relevant based on nurses' scope and domain of practice and that are influenced by nursing inputs and interventions.

Design: A Delphi study following the RAND/UCLA Appropriateness Method with two rounds of data collection. Read More

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Outcomes and complications of Traumatic Ear Lobe Repair Techniques: a Systematic Review.

J Cosmet Dermatol 2021 May 13. Epub 2021 May 13.

Department of Plastic and Reconstructive Surgery, Saint George Hospital University Medical Center, Beirut, Lebanon.

Background: Traumatic earlobe is a frequently encountered problem in our practice. Numerous techniques have been published in the past decades including case reports, retrospective reviews and prospective studies. However, to date, no study has investigated the overall complications or satisfaction rates associated with the wide spectrum of techniques. Read More

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Current Trends in and Indications for Endoscopy-Assisted Breast Surgery for Breast Cancer.

Hyukjai Shin

Adv Exp Med Biol 2021 ;1187:567-590

Hyanyang University College of Medicine, Ansan, Gyeonggi-do, South Korea.

Endoscopic oncoplastic breast surgery represents a minimal invasive approach with the aim of both safe excision of cancer and preserving the breast shape. It has less noticeable scar, excellent cosmetic outcomes, high patient satisfaction rate. Recently, relative long-term follow-up results have been reported to be very safe (Soybir and Fukuma, J Breast Health 11:52-58, 2015; Fan et al. Read More

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January 2021

Treatment of grossly dislocated supracondylar humerus fractures after failed closed reduction: a retrospective analysis of different surgical approaches.

Arch Orthop Trauma Surg 2021 May 13. Epub 2021 May 13.

Department of Trauma and Orthopedic Surgery, BG Unfallklinik Frankfurt Am Main, Friedberger Landstr. 430, 60389, Frankfurt am Main, Germany.

Introduction: The supracondylar humerus fracture (SCHF) is one of the most common pediatric injuries. Highly displaced fractures can be very challenging. If closed reduction fails, the therapy algorithm remains controversial. Read More

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Cosmetic Breast Augmentation Using Power-Assisted Liposuction and Lipofilling: A Prospective Study.

Aesthetic Plast Surg 2021 May 13. Epub 2021 May 13.

Hôpital américain de Paris, 63, boulevard Victor-Hugo, 92200, Neuilly-sur-Seine, France.

Introduction: Autologous fat transfer is becoming a more and more widespread procedure in aesthetic breast surgery. Power-assisted technology produces oscillating reciprocal movements of cannula tip, which reproduce the motion of the operator's arm with lower amplitude. The power-assisted mechanism can be applied to the fat liposuction and injection phases. Read More

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Value Analysis of Anatomic and Reverse Shoulder Arthroplasty for Glenohumeral Osteoarthritis with an Intact Rotator Cuff.

J Bone Joint Surg Am 2021 May;103(10):913-920

Holy Cross Orthopedic Institute, Fort Lauderdale, Florida.

Background: While anatomic total shoulder arthroplasty (TSA) has historically been considered the ideal treatment for end-stage glenohumeral osteoarthritis, reverse shoulder arthroplasty (RSA) has recently gained popularity. With substantial differences in implant design and cost between TSA and RSA, further investigation of outcomes and value is needed to support recent trends. The purpose of this study was to use the average and incremental cost-effectiveness ratio (ACER and ICER) and the procedure value index (PVI) to examine differences in outcomes and value between TSA and RSA for treatment of glenohumeral osteoarthritis with an intact rotator cuff. Read More

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Implementing Value-Added Medical Education: Lessons Learned From the Student-Initiated "Stanford Frontline" COVID-19 Consult Service.

Acad Med 2021 May 11. Epub 2021 May 11.

B. Zhou is a fourth-year medical student, Stanford University School of Medicine, Stanford, California; ORCID: https://orcid.org/0000-0002-0253-9179. C. Calkins is a fourth-year medical student, Stanford University School of Medicine, Stanford, California; ORCID: https://orcid.org/0000-0002-4159-1957. T. Jayaraman is a third-year medical student, Stanford University School of Medicine, Stanford, California; ORCID: https://orcid.org/0000-0001-6732-6652. S. Cassells is a fourth-year medical student, Stanford University School of Medicine, Stanford, California; ORCID: https://orcid.org/0000-0002-5470-8149. T. Rotto is a fourth-year medical student, Stanford University School of Medicine, Stanford, California. L. Vaughan is a clinical assistant professor, Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, California; ORCID: https://orcid.org/0000-0002-9394-0995. M. Srinivasan is a clinical professor, Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, California; ORCID: https://orcid.org/0000-0001-9951-0016. E. Schillinger is a clinical professor and vice chief of education, Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, California; ORCID: https://orcid.org/0000-0003-0836-6237.

Problem: Value-added medical education (VAME) has been difficult to implement due to student and educator constraints. The COVID-19 pandemic caused a mass transition to online learning, removed students from clinical settings, and underscored students' desires for meaningful VAME opportunities. The authors introduced the Stanford Frontline COVID-19 Consult Service (SFCS), through which off-service medical and physician assistant (PA) students provided assistance to clinicians in the form of rapid research regarding COVID-19 clinical questions. Read More

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Nurse-Administered Propofol Continuous Infusion Sedation: A New Paradigm for Gastrointestinal Procedural Sedation.

Am J Gastroenterol 2021 Apr;116(4):710-716

1Digestive Disease Institute, Virginia Mason Medical Center, Seattle; 2Department of Anesthesia, Virginia Mason Medical Center, Seattle.

Introduction: Nurse-Administered Propofol Continuous Infusion Sedation (NAPCIS) is a new nonanesthesia propofol delivery method for gastrointestinal endoscopy. NAPCIS is adopted from the computer-assisted propofol sedation (CAPS) protocol. We evaluated the effectiveness, efficiency, and safety of NAPCIS in low-risk subjects. Read More

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One-Stage Mastopexy-Lipofilling in Cosmetic Breast Surgery: A Prospective Study.

Aesthetic Plast Surg 2021 May 12. Epub 2021 May 12.

Hôpital américain de Paris, 63, boulevard Victor-Hugo, 92200, Neuilly-sur-Seine, France.

Introduction: Mastopexy in combination with implant breast augmentation still remains a controversial topic in plastic surgery because of its complexity and its relative high rate of complications. To obviate the need of a breast implant, numerous authors described glandular rearrangement techniques to optimize upper pole fullness and breast projection. More recently, the combination of mastopexy and lipofilling has been described. Read More

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Arthroscopic Management of Synovial Osteochondromatosis of the Elbow.

Arthrosc Tech 2021 Apr 13;10(4):e1103-e1108. Epub 2021 Mar 13.

Department of Orthopaedics and Traumatology, Hong Kong SAR, China.

Primary synovial chondromatosis is characterized by newly formed chondral or osteochondral nodules in the synovial membrane, which may detach and form loose bodies. The loose bodies can be calcified or ossified, and the condition is termed synovial osteochondromatosis. Three distinct stages can be identified in primary synovial chondromatosis : phase I is active synovitis without loose bodies, phase II shows nodular synovitis along with loose bodies, and phase III is characterized by the presence of loose bodies with the resolution of synovitis. Read More

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The Effects of Ondansetron on the Analgesic Action of Intravenous Acetaminophen after Tonsillectomy in Children: A Triple-Blind Randomized Controlled Trial.

Oxid Med Cell Longev 2021 23;2021:6611740. Epub 2021 Apr 23.

Department of Community Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.

Introduction: Severe pain, nausea, and vomiting after tonsillectomy surgery are among the issues that not only affect patient satisfaction but also may result in complications and delay patient discharge. This study was conducted to assess the effect of intravenous administration of ondansetron on the analgesic action of intravenous acetaminophen after tonsillectomy in children. . Read More

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Core outcome set for three ophthalmic conditions: a healthcare professional and patient consensus on core outcome sets for amblyopia, ocular motility and strabismus (COSAMS Study).

BMJ Open 2021 May 11;11(5):e042403. Epub 2021 May 11.

Biostatistics, Manchester University, Manchester, UK.

Objectives: Amblyopia, strabismus and ocular motility disorders are common conditions with significant impact on visual function, appearance and quality of life. We aimed to establish a core set of outcomes for each of the three conditions for use in clinical trials and routine clinical practice.

Design: A comprehensive databank of outcomes was developed from a systematic review of the literature and a series of focus groups with healthcare professionals, researchers, patients and carers. Read More

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Patient outcomes and experience of a task-shared screening and brief intervention service for problem substance use in South African emergency centres: a mixed methods study.

Addict Sci Clin Pract 2021 May 12;16(1):31. Epub 2021 May 12.

Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, 46 Sawkins Road, Rondebosch, Cape Town, 7700, South Africa.

Background: Screening, brief intervention and referral to treatment (SBIRT) programmes have resulted in generally positive outcomes in healthcare settings, particularly for problem alcohol use, yet implementation is hampered by barriers such as concerns regarding the burden on healthcare professionals. In low-resourced settings, task-sharing approaches can reduce this burden by using non-professional healthcare workers, yet data are scarce regarding the outcomes and acceptability to patients within a SBIRT service. This study aims to evaluate patient-reported outcomes, patient acceptability, perceived benefits and recommendations for improving a task-shared SBIRT service in South African emergency centres (ECs). Read More

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Head to head randomized trial of two decision aids for prostate cancer.

BMC Med Inform Decis Mak 2021 May 12;21(1):154. Epub 2021 May 12.

Sanford School of Public Policy, Duke University, Durham, NC, USA.

Background: While many studies have tested the impact of a decision aid (DA) compared to not receiving any DA, far fewer have tested how different types of DAs affect key outcomes such as treatment choice, patient-provider communication, or decision process/satisfaction. This study tested the impact of a complex medical oriented DA compared to a more simplistic decision aid designed to encourage shared decision making in men with clinically localized prostate cancer.

Methods: 1028 men at 4 VA hospitals were recruited after a scheduled prostate biopsy. Read More

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A tailored flexible vaginal pessary treatment for pelvic organ prolapse in older women.

J Am Geriatr Soc 2021 May 12. Epub 2021 May 12.

Urogynecology and Pelvic Floor Unit, Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Objectives: To present a flexible protocol of vaginal pessaries for older women with significant pelvic organ prolapse (POP).

Design: A prospective cohort study of 140 consecutive older women (aged ≥65 years) with significant POP treated with individually fitted vaginal pessaries. After initial insertion, each patient was invited for a first evaluation after 1 month and subsequent follow-ups at increasing intervals of 1 month. Read More

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Service evaluation: orthoptic-led teaching of soft contact lens handling for parents in the management of pediatric aphakia.

L Ramm S Painter

Strabismus 2021 May 12:1-5. Epub 2021 May 12.

Eye Department, Birmingham Children's Hospital, Birmingham, UK.

To gauge parental satisfaction of an orthoptic-led specialist service for teaching soft contact lens (CL) handling in the management of children with pediatric aphakia. 20 families attending the contact lens clinic completed a satisfaction questionnaire to enquire about their experience of learning how to insert and remove their child's CL. Families were questioned on their experiences with preoperative counseling, practical teaching, additional support and the patient literature that was provided by the orthoptists in the CL clinic. Read More

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Examining current patterns of opioid prescribing and use after bariatric surgery.

Surg Endosc 2021 May 12. Epub 2021 May 12.

Division of General Surgery, Department of Surgery, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.

Background: Evidence-based guidelines on the appropriate amount of opioid medications to prescribe following bariatric surgery are lacking. We sought to determine our current opioid-prescribing practices, patient utilization, and satisfaction with pain control following elective bariatric surgery.

Methods: A retrospective chart review and phone survey were conducted on patients who underwent laparoscopic or robotic sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) from April 2018 to March 2019 at a single academic medical center. Read More

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Access to Mental Healthcare in the 21st Century: An Evolutionary Concept Analysis.

J Am Psychiatr Nurses Assoc 2021 May 12:10783903211011672. Epub 2021 May 12.

Donna Felber Neff, PhD, RN, FNAP, University of Central Florida, Orlando, FL, USA.

Background: One of the most important aspects of receiving medical care is access to that care. For people with mental illness who have greater healthcare needs and are at risk for poor health outcomes, reduced access to care constitutes a crisis. While the COVID-19 (coronavirus disease 2019) pandemic continues to affect the United States, specifying what it means to have access to mental healthcare is more critical than ever. Read More

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The Impact of Medical Comorbidities on Patient Satisfaction in Chronic Rhinosinusitis.

Ann Otol Rhinol Laryngol 2021 May 12:34894211015736. Epub 2021 May 12.

Department of Otolaryngology-Head and Neck Surgery, University of California Davis, Sacramento, CA, USA.

Background: Patient satisfaction has a significant bearing on medical therapy compliance and patient outcomes. The purpose of this study was to (1) describe patient satisfaction, as characterized by the Patient Satisfaction Questionnaire-18 (PSQ-18), in the care of patients with chronic rhinosinusitis (CRS) and (2) analyze the impact of comorbidities on satisfaction using the functional comorbidity index (FCI).

Methods: Patient demographics, disease severity measures, and PSQ-18 scores for patients with CRS presenting to a tertiary rhinology clinic between November 2019 and April 2020 were collected and analyzed. Read More

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Improvement of Life After PVCR in Complete Paraplegic Patients with Posttraumatic Severe Kyphosis.

Turk Neurosurg 2020 Dec 14. Epub 2020 Dec 14.

Ufuk University, Faculty of Medicine, Department of Orthopedics and Traumatology, Ankara, Turkey.

Aim: To determine the effect of PVCR in patients with paraplegia by using the American Spinal Injury Association Score and Scoliosis Research Society-22 questionnaire.

Material And Methods: Twelve patients with posttraumatic paraplegia and severe angular kyphosis ( 60⁰) had undergone PVCR between 6-24 months after the trauma for severe pain, persistent vertebral instability and difficulty in adherence to rehabilitation. ASIA scores and SRS-22 questionnaire results obtained in the preoperative and postoperative periods and the last control were statistically compared to assess the presence of any change. Read More

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December 2020

Operational factors associated with emergency department patient satisfaction: analysis of the AAAEM-AACEM national survey.

Acad Emerg Med 2021 May 11. Epub 2021 May 11.

Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA.

Background: Patient satisfaction is a focus for emergency department (ED) and hospital administrators. ED patient satisfaction studies have tended to be single-site and focused on patient and clinician factors. Inclusion of satisfaction scores in a large, national operations database provided an opportunity to conduct an investigation that included diverse operational factors. Read More

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Sleeping Safely! A Quality Improvement Project to Minimize Nighttime Interruptions without Compromising Patient Care.

Pediatr Qual Saf 2021 May-Jun;6(3):e404. Epub 2021 May 5.

Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, Va.

Sleep is crucial for patients' health but is often disrupted, slowing recovery and resulting in adverse health effects. This study identified whether passive vital sign checks (heart rate, respiratory rate, and pulse oximetry) and delayed routine morning laboratories in clinically stable pediatric patients minimized nighttime interruptions without compromising patient safety.

Methods: After developing the inclusion criteria using the Pediatric Early Warning Score, we enrolled eligible patients for the intervention. Read More

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Alar Flare Preservation Using the Sandwich Technique as an Adjunct to Alar Base Reduction.

Plast Reconstr Surg Glob Open 2021 May 6;9(5):e3569. Epub 2021 May 6.

Department of Plastic Surgery, Faculty of Medicine, Cairo University, Egypt.

Achieving an aesthetic balance and natural appearance when modifying soft tissues of the nasal tip, alae, and nostrils is fundamental to the success of rhinoplasty surgery. The present study aimed to investigate the ability of a simple "sandwich" technique combined with external alar base reduction to preserve the alar flare and achieve a natural and appealing alar contour.

Methods: The study included 40 patients who reported dissatisfaction due to excessive nasal flaring. Read More

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Telephone Fracture Clinic Consultations: A Satisfactory Solution in Lockdown.

Cureus 2021 Apr 8;13(4):e14371. Epub 2021 Apr 8.

Trauma and Orthopaedics, Southmead Hospital, Bristol, GBR.

Introduction The COVID-19 pandemic was a catalyst to many learning opportunities within clinical practice in the UK. Attempts were made to reduce footfall within all institutions and within the study unit; this led to alterations in fracture clinic provision. An alternative method was developed whereby most of the initial contacts were in person and much of the follow-up was done remotely. Read More

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Availability of Emergency Department Wait Times Information: A Patient-Centered Needs Assessment.

Emerg Med Int 2021 22;2021:8883933. Epub 2021 Apr 22.

Department of Emergency Medicine, University of Ottawa, Ottawa, Ontario, Canada.

Introduction: Many Emergency Departments (ED) publish wait times; however, the patient perspective in what information is requested and the quantity of information to post is limited.

Methods: We conducted a mixed-methods study at a tertiary care academic center. First, we conducted focus groups of 7 patients. Read More

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