76
|
Poynten IM, Tabrizi S, Jin F, Templeton DJ, Hillman RJ, Cornall A, Phillips S, Garland SM, Fairley C, Grulich AE. P10.13 Prevalence and predictors of high-risk anal human papillomavirus (hpv) types in the study of the prevention of anal cancer (spanc). Br J Vener Dis 2015. [DOI: 10.1136/sextrans-2015-052270.441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
77
|
Hocking JS, Vodstrcil L, Huston W, Timms P, Chen M, Bradshaw C, Worthington K, Lawrence A, McIver R, Phillips S, Tabrizi SN. O15.4 Azithromycin treatment failure in women infected with genital chlamydia infection. Br J Vener Dis 2015. [DOI: 10.1136/sextrans-2015-052270.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
78
|
Phillips S, Graham J, Coutinho A, Racicot M, Beauchamp C. Does egg vitrification displace the first polar body - meiotic spindle axis? Fertil Steril 2015. [DOI: 10.1016/j.fertnstert.2015.07.596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
79
|
Kong FYS, Tabrizi S, Fairley CK, Phillips S, Huston W, Vodstrcil LA, Fehler G, Chen M, Bradshaw CS, Hocking JS. 003.1 Correlates of repeat anorectal infections among men who have sex with men. Br J Vener Dis 2015. [DOI: 10.1136/sextrans-2015-052270.91] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
80
|
El Hachem H, Lefebvre J, Antaki R, Sylvestre C, Bissonnette F, Phillips S, Dean N, Benoit J, Lapensee L. Controlled Ovarian Stimulation (COS) with 450 IU/day vs 600 IU/day in poor responders: a secondary analysis according to the Bologna criteria. Fertil Steril 2015. [DOI: 10.1016/j.fertnstert.2015.07.157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
81
|
Wilson G, Pritchard PP, Papageorgiou C, Phillips S, Kumar P, Langan-Evans C, Routledge H, Owens DJ, Morton JP, Close GL. Fasted Exercise and Increased Dietary Protein Reduces Body Fat and Improves Strength in Jockeys. Int J Sports Med 2015. [PMID: 26212241 DOI: 10.1055/s-0035-1549920] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The present study assessed the effects of a diet and exercise intervention in jockeys on body composition, metabolism, bone and mental health. 10 jockeys followed an individually prescribed 6-wk diet (Carbohydrate=2.5-3.5 g/kg, Protein=2.5 g/kg, Fat=1.0 g/kg). Body mass (59.2±4.6 vs. 57.6±4.5 kg), fat mass (7.5±3.5 vs. 6.2±2.6) and body fat (13.1±5.9 vs. 11.5±4.9%) all decreased (P<0.05) from pre to post-intervention whilst lean mass (47.1±5.3 vs. 47.0±5.5 kg) was maintained (P=0.80). RMR (1703±329 vs. 1975±313 kcal.d(-1)), VO2max (3.8±0.8 vs. 4.1±0.7 L/min(- 1)) chest strength (65±11 vs. 71±13 kg), leg strength (160±28 vs. 175±29 kg) and jumping height (40±6 vs. 48±5 cm) significantly increased (P<0.05). Bone health (DXA) did not change (P>0.05) at hip (-1.04±1.29 vs. - 0.76±0.71) or lumbar sites (-1.32±0.76 vs. - 1.31±0.77). Psychometrics (GHQ-12 and EAT-26) remained unchanged (10.3±4.3 vs. 8.9±3.8 and 14.8±9.6 vs. 11.0±5.6, P>0.05, respectively). This approach represents a marked difference from jockeys' habitual weight-making that largely involves dehydration and food deprivation.
Collapse
|
82
|
Eikelis N, Hering D, Marusic P, Sari C, Walton A, Phillips S, Lambert E, Duval J, Krum H, Lambert G, Esler M, Schlaich M. The effect of renal denervation on endothelial function and inflammatory markers in patients with resistant hypertension. Int J Cardiol 2015; 188:96-8. [DOI: 10.1016/j.ijcard.2015.04.041] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2015] [Accepted: 04/03/2015] [Indexed: 11/26/2022]
|
83
|
James K, Phillips S, Fulford B. 276 Parental preparation for first admission. J Cyst Fibros 2015. [DOI: 10.1016/s1569-1993(15)30450-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
84
|
Alrabeeah K, Wachter A, Phillips S, Cohen B, Al-Hathal N, Zini A. Sperm retrieval outcomes with microdissection testicular sperm extraction (micro-TESE) in men with cryptozoospermia. Andrology 2015; 3:462-6. [DOI: 10.1111/andr.12000] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2014] [Revised: 11/21/2014] [Accepted: 11/26/2014] [Indexed: 11/29/2022]
|
85
|
Alrabeeah K, Doucet R, Boulet E, Phillips S, Al-Hathal N, Bissonnette F, Kadoch IJ, Zini A. Can the rapid identification of mature spermatozoa during microdissection testicular sperm extraction guide operative planning? Andrology 2015; 3:467-72. [DOI: 10.1111/andr.12018] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2014] [Revised: 01/12/2015] [Accepted: 01/15/2015] [Indexed: 11/28/2022]
|
86
|
Kroon F, Phillips S, Burrows D, Hogan A. Presence and absence of non-native fish species in the Wet Tropics region, Australia. JOURNAL OF FISH BIOLOGY 2015; 86:1177-1185. [PMID: 25649431 DOI: 10.1111/jfb.12614] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2014] [Accepted: 11/17/2014] [Indexed: 06/04/2023]
Abstract
Distributional records of non-native fish species were identified in the Wet Tropics region, Far North Queensland, Australia, through a compilation of published records and expert knowledge. A total of 1106 records were identified comprising 346 presence and four uncertain records for at least 13 species, and 756 absence records. All current presence records consist of six species from the families Cichlidae and Poeciliidae with established self-sustaining populations in the region, probably affecting the highly diverse native fish fauna.
Collapse
|
87
|
Rajaratnam A, Kwa M, Ryan P, Phillips S, Pither E, Parsonage L, Boyle A. Pre-hospital assessment for Primary Angioplasty (PAPA) reduces reperfusion times in ST Elevation Myocardial Infarction (STEMI) - A report from the Hunter New England Local Health District. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
88
|
Teh H, Phillips S, Russell C, Wilding M, Ghafoor Q. 104: An assessment of patient and doctor views of performance status in outpatient lung cancer patients. Lung Cancer 2015. [DOI: 10.1016/s0169-5002(15)50099-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
89
|
Ruiz-Garcia A, Plotka A, Pawlak S, O'Gorman M, Kosa M, Nidadavolu S, Phillips S, Wang D. Effect of Food on the Bioavailability of Palbociclib 125 Mg Capsules in Healthy Volunteers. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu331.23] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
|
90
|
Roumain C, Dean N, Dzineku F, Kadoch IJ, Phillips S, Lapensee L. Ovulation trigger with less than 3 follicles in stimulated in-vitro fertilization (IVF) cycles: a retrospective study. Fertil Steril 2014. [DOI: 10.1016/j.fertnstert.2014.07.1147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
91
|
Korover I, Muangma N, Hen O, Shneor R, Sulkosky V, Kelleher A, Gilad S, Higinbotham DW, Piasetzky E, Watson JW, Wood SA, Aguilera P, Ahmed Z, Albataineh H, Allada K, Anderson B, Anez D, Aniol K, Annand J, Armstrong W, Arrington J, Averett T, Badman T, Baghdasaryan H, Bai X, Beck A, Beck S, Bellini V, Benmokhtar F, Bertozzi W, Bittner J, Boeglin W, Camsonne A, Chen C, Chen JP, Chirapatpimol K, Cisbani E, Dalton MM, Daniel A, Day D, de Jager CW, De Leo R, Deconinck W, Defurne M, Flay D, Fomin N, Friend M, Frullani S, Fuchey E, Garibaldi F, Gaskell D, Gilman R, Glamazdin O, Gu C, Gueye P, Hamilton D, Hanretty C, Hansen JO, Hashemi Shabestari M, Holmstrom T, Huang M, Iqbal S, Jin G, Kalantarians N, Kang H, Khandaker M, LeRose J, Leckey J, Lindgren R, Long E, Mammei J, Margaziotis DJ, Markowitz P, Marti Jimenez-Arguello A, Meekins D, Meziani Z, Michaels R, Mihovilovic M, Monaghan P, Munoz Camacho C, Norum B, Pan K, Phillips S, Pomerantz I, Posik M, Punjabi V, Qian X, Qiang Y, Qiu X, Rakhman A, Reimer PE, Riordan S, Ron G, Rondon-Aramayo O, Saha A, Schulte E, Selvy L, Shahinyan A, Sirca S, Sjoegren J, Slifer K, Solvignon P, Sparveris N, Subedi R, Tireman W, Wang D, Weinstein LB, Wojtsekhowski B, Yan W, Yaron I, Ye Z, Zhan X, Zhang J, Zhang Y, Zhao B, Zhao Z, Zheng X, Zhu P, Zielinski R. Probing the repulsive core of the nucleon-nucleon interaction via the (4)He(e,e'pN) triple-coincidence reaction. PHYSICAL REVIEW LETTERS 2014; 113:022501. [PMID: 25062168 DOI: 10.1103/physrevlett.113.022501] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/13/2014] [Indexed: 06/03/2023]
Abstract
We studied simultaneously the (4)He(e,e'p), (4)He(e,e'pp), and (4)He(e,e'pn) reactions at Q(2)=2(GeV/c)(2) and x(B)>1, for an (e,e'p) missing-momentum range of 400 to 830 MeV/c. The knocked-out proton was detected in coincidence with a proton or neutron recoiling almost back to back to the missing momentum, leaving the residual A=2 system at low excitation energy. These data were used to identify two-nucleon short-range correlated pairs and to deduce their isospin structure as a function of missing momentum, in a region where the nucleon-nucleon (NN) force is expected to change from predominantly tensor to repulsive. The abundance of neutron-proton pairs is reduced as the nucleon momentum increases beyond ∼500 MeV/c. The extracted fraction of proton-proton pairs is small and almost independent of the missing momentum. Our data are compared with calculations of two-nucleon momentum distributions in (4)He and discussed in the context of probing the elusive repulsive component of the NN force.
Collapse
|
92
|
Middleton C, Uri O, Phillips S, Barmpagiannis K, Higgs D, Falworth M, Bayley I, Lambert S. A reverse shoulder arthroplasty with increased offset for the treatment of cuff-deficient shoulders with glenohumeral arthritis. Bone Joint J 2014; 96-B:936-42. [DOI: 10.1302/0301-620x.96b7.32946] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Inherent disadvantages of reverse shoulder arthroplasty designs based on the Grammont concept have raised a renewed interest in less-medialised designs and techniques. The aim of this study was to evaluate the outcome of reverse shoulder arthroplasty (RSA) with the fully-constrained, less-medialised, Bayley–Walker prosthesis performed for the treatment of rotator-cuff-deficient shoulders with glenohumeral arthritis. A total of 97 arthroplasties in 92 patients (53 women and 44 men, mean age 67 years (standard deviation (sd) 10, (49 to 85)) were retrospectively reviewed at a mean follow-up of 50 months ((sd 25) (24 to 96)). The mean Oxford shoulder score and subjective shoulder value improved from 47 (sd 9) and 24 points (sd 18) respectively before surgery to 28 (sd 11) and 61 (sd 24) points after surgery (p < 0.001). The mean pain at rest decreased from 5.3 (sd 2.8) to 1.5 (sd 2.3) (p < 0.001). The mean active forward elevation and external rotation increased from 42°(sd 30) and 9° (sd 15) respectively pre-operatively to 78° (sd 39) and 24° (sd 17) post-operatively (p < 0.001). A total of 20 patients required further surgery for complications; 13 required revision of components. No patient developed scapular notching. The Bayley–Walker prosthesis provides reliable pain relief and reasonable functional improvement for patients with symptomatic cuff-deficient shoulders. Compared with other designs of RSA, it offers a modest improvement in forward elevation, but restores external rotation to some extent and prevents scapular notching. A longer follow-up is required to assess the survival of the prosthesis and the clinical performance over time. Cite this article: Bone Joint J 2014;96-B:936–42.
Collapse
|
93
|
Bateman K, Phillips S, Bell N. 257 Development of parenthood website and pathway to support people with CF considering pregnancy and parenthood. J Cyst Fibros 2014. [DOI: 10.1016/s1569-1993(14)60392-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
94
|
Wood H, Phillips S. 268 The experiences of young people and their parents in the move from paediatric to adult cystic fibrosis services in Bristol: recommendations for an improved transition pathway. J Cyst Fibros 2014. [DOI: 10.1016/s1569-1993(14)60403-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
95
|
Vélez MP, Connolly MP, Kadoch IJ, Phillips S, Bissonnette F. Universal coverage of IVF pays off. Hum Reprod 2014; 29:1313-9. [PMID: 24706002 DOI: 10.1093/humrep/deu067] [Citation(s) in RCA: 63] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
STUDY QUESTION What was the clinical and economic impact of universal coverage of IVF in Quebec, Canada, during the first calendar year of implementation of the public IVF programme? SUMMARY ANSWER Universal coverage of IVF increased access to IVF treatment, decreased the multiple pregnancy rate and decreased the cost per live birth, despite increased costs per cycle. WHAT IS KNOWN ALREADY Public funding of IVF assures equality of access to IVF and decreases multiple pregnancies resulting from this treatment. Public IVF programmes usually mandate a predominant SET policy, the most effective approach for reducing the incidence of multiple pregnancies. STUDY DESIGN, SIZE, DURATION This prospective comparative cohort study involved 7364 IVF cycles performed in Quebec during 2009 and 2011 and included an economic analysis. PARTICIPANTS/MATERIALS, SETTING, METHODS IVF cycles performed in the five centres offering IVF treatment in Quebec during 2009, before implementation of the public IVF programme, were compared with cycles performed at the same centres during 2011, the first full calendar year following implementation of the programme. Data were obtained from the Canadian Assisted Reproductive Technologies Register (CARTR). Comparisons were made between the two periods in terms of utilization, pregnancy rates, multiple pregnancy rates and costs. MAIN RESULTS AND THE ROLE OF CHANCE The number of IVF cycles performed in Quebec increased by 192% after the new policy was implemented. Elective single-embryo transfer was performed in 1.6% of the cycles during Period I (2009), and increased to 31.6% during Period II (2011) (P < 0.001). Although the clinical pregnancy rate per embryo transfer was lower in 2011 than in 2009 (24.9 versus 39.9%, P < 0.001), the multiple pregnancy rate was greatly reduced (6.4 versus 29.4%, P < 0.001). The public IVF programme increased government costs per IVF treatment cycle from CAD$3730 to CAD$4759. Despite increased costs per cycle, the efficiency defined by the cost per live birth, which factored in downstream health costs up to 1 year post delivery, decreased from CAD$49 517 to CAD$43 362 per baby conceived by either fresh and frozen cycles. LIMITATIONS, REASONS FOR CAUTION The costs described in the economic model are likely an underestimate as they do not factor in many of the long-term costs that can occur after 1 year of age. The information collected in the Canadian ART register precludes the calculation of cumulative pregnancy rates. WIDER IMPLICATIONS OF THE FINDINGS Our study confirms that the implementation of a public IVF programme favouring eSET not only sharply decreases the incidence of multiple pregnancy, but also reduces the cost per live birth. STUDY FUNDING/COMPETING INTEREST(S) M.P.V. holds a fellowship award from the Canadian Institutes of Health Research (CIHR). The economic analysis performed by M.P.C. was supported by an unrestricted grant from Ferring Pharmaceutical.
Collapse
|
96
|
Ansell J, Goddard S, Gupta V, Warren N, Williams G, Haray P, Appleton B, Phillips S, Torkington J. A new ex vivo animal simulation model for skills training in laparoscopic colorectal surgery. ACTA ACUST UNITED AC 2014. [DOI: 10.1308/rcsbull.2014.96.4.122] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The opportunity for using simulation in medical training has expanded in recent years. 1–3 Laparoscopic surgery is an area that is ideally suited to the use of simulators for the acquisition of clinical skills. 4 Simulation allows educators to have control over pre-selected scenarios, without distressing patients or encountering complications. 5
Collapse
|
97
|
Scurr M, Ladell K, Besneux M, Christian A, Hockey T, Smart K, Bridgeman H, Hargest R, Phillips S, Davies M, Price D, Gallimore A, Godkin A. Highly prevalent colorectal cancer-infiltrating LAP⁺ Foxp3⁻ T cells exhibit more potent immunosuppressive activity than Foxp3⁺ regulatory T cells. Mucosal Immunol 2014; 7:428-39. [PMID: 24064667 PMCID: PMC3931584 DOI: 10.1038/mi.2013.62] [Citation(s) in RCA: 100] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2012] [Revised: 06/13/2013] [Accepted: 07/09/2013] [Indexed: 02/04/2023]
Abstract
Although elevated CD4⁺Foxp3⁺ regulatory T cell (Treg) frequencies within tumors are well documented, the functional and phenotypic characteristics of CD4⁺Foxp3⁺ and CD4⁺Foxp3⁻ T cell subsets from matched blood, healthy colon, and colorectal cancer require in-depth investigation. Flow cytometry revealed that the majority of intratumoral CD4⁺Foxp3⁺ T cells (Tregs) were Helios⁺ and expressed higher levels of cytotoxic T-lymphocyte antigen 4 (CTLA-4) and CD39 than Tregs from colon and blood. Moreover, ∼30% of intratumoral CD4⁺Foxp3⁻ T cells expressed markers associated with regulatory functions, including latency-associated peptide (LAP), lymphocyte activation gene-3 (LAG-3), and CD25. This unique population of cells produced interleukin-10 (IL-10) and transforming growth factor-β (TGF-β), and was ∼50-fold more suppressive than Foxp3⁺ Tregs. Thus, intratumoral Tregs are diverse, posing multiple obstacles to immunotherapeutic intervention in colorectal malignancies.
Collapse
|
98
|
Power K, Davies MM, Hargest R, Phillips S, Torkington J, Morris C. A case-control study of risk factors for wound infection in a colorectal unit. Ann R Coll Surg Engl 2014; 96:37-40. [PMID: 24417828 PMCID: PMC5137653 DOI: 10.1308/003588414x13824511650137] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/06/2013] [Indexed: 01/08/2023] Open
Abstract
INTRODUCTION Postoperative wound infections have been responsible for increasing morbidity and are associated with an increased use of hospital resources. Previous studies have identified several risk factors. However, most studies are outdated, and few relate to the era of enhanced recovery and laparoscopic surgery. This study investigated the association between patient and operative factors and the development of postoperative wound infections in colorectal surgery. METHODS Patients with documented wound infections or dehiscences were identified from a database of elective and emergency colorectal surgery. Patients with wound infections were matched by operation type to a control group of colorectal patients. Differences in patient and operative factors between case and control group were analysed using conditional logistic regression. RESULTS A total of 56 patients with wound infection were identified from 647 operations (8.6%). Fifty-seven per cent were emergency operations and eighty-eight per cent were performed as open surgery or as laparoscopic surgery converted to open. Forty per cent of patients had high ASA (American Society of Anesthesiologists) grades (3 or 4). Multivariate logistical regression showed that obese patients and those having open surgery had the highest risk of infections. The median postoperative hospital stay for patients with wound infections was twice as long as for those patients without wound infections. CONCLUSIONS Open surgery and obesity are independent risk factor for wound infections. An increase in laparoscopically performed operations and new strategies for managing wounds in obese patients may help to reduce the rate of wound infection.
Collapse
|
99
|
Bunsawat K, Lan A, Kappus R, Ranadive S, Yan H, Wee SO, Phillips S, Baynard T, Woods J, Motl R, Fernhall B. PO-02 EFFECTS OF ACUTE INDUCED INFLAMMATION ON PRESSURE WAVEFORMS: DOES AGE MATTER? Artery Res 2014. [DOI: 10.1016/j.artres.2014.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
|
100
|
Machin JT, Phillips S, Parker M, Carrannante J, Hearth MW. Patient satisfaction with the use of an enhanced recovery programme for primary arthroplasty. Ann R Coll Surg Engl 2013. [PMID: 24165340 DOI: 10.1308/003588413x13781990150293] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Enhanced recovery programmes (ErPs) are increasingly being used for arthroplasty. One of the core aims of an ErP is to improve the quality of patient experience. However, there is currently no published evaluation of patient satisfaction in relation to this new programme of care within orthopaedic surgery. The aim of this study was to compare the ErP against the standard care programme (SCP) at one centre. METHODS A satisfaction survey addressing patient opinions on the key objectives of the ErP was conducted by telephone, using a set script. Of the 226 patients contacted, 143 (63.3%) responded (69 from the ErP and 74 from the SCP). Of the respondents, 71 received a total hip arthroplasty and 72 a total knee arthroplasty. Patients were contacted at a mean time from operation to survey of 27.2 weeks. They were asked to rate satisfaction on a five-point scale and complete the EQ-5D™ health questionnaire (EuroQol, rotterdam, Netherlands) to measure healthcare outcomes. RESULTS The mean patient satisfaction score of 4.07 for speed of recovery in the ErP group was significantly higher than the SCP group's score of 3.68 (p=0.037). Adjusting for the preoperative health score, the postoperative health score was higher for ErP patients at 74.1 compared with 64.7 for SCP patients (p=0.0029). Furthermore, the percentage of patients who had a better than expected recovery was significantly greater in the ErP group at 85.5% compared with 58.1% (p=0.0004) in the SCP group. CONCLUSIONS We believe that the previously established reduction in length of hospital stay delivered by ErPs is not achieved at the expense of the patient's experience.
Collapse
|