scholarly journals Reference correction: Preliminary Evaluation of a Web-Based Psychological Screening Tool in Adolescents Undergoing Minimally Invasive Pectus Surgery: Single-Center Observational Cohort Study (Preprint)

2018 ◽  
Author(s):  
Davina Wildemeersch ◽  
Michiel D'Hondt ◽  
Lisa Bernaerts ◽  
Pieter Mertens
Keyword(s):  
Cohort Study ◽  
Minimally Invasive ◽  
Screening Tool ◽  
Observational Cohort Study ◽  
Preliminary Evaluation ◽  
Single Center ◽  
Web Based ◽  
Psychological Screening ◽  
Observational Cohort ◽  
Reference Correction

scholarly journals Preliminary Evaluation of a Web-Based Psychological Screening Tool in Adolescents Undergoing Minimally Invasive Pectus Surgery: Single-Center Observational Cohort Study

2018 ◽  
Vol 5 (2) ◽  
pp. e45 ◽  
Author(s):  
Davina Wildemeersch ◽  
Lisa Bernaerts ◽  
Michiel D’Hondt ◽  
Guy Hans
Keyword(s):  
Cohort Study ◽  
Self Esteem ◽  
Observational Cohort Study ◽  
Self Report ◽  
University Hospital ◽  
Anxiety And Depression ◽  
Single Center ◽  
Web Based ◽  
Anxiety Trait ◽  
Observational Cohort

Background Preoperative anxiety and depression are predominant risk factors for increased postoperative pain. Thoracic wall deformities in adolescents often cause low self-esteem, which contributes to psychological concerns. Several studies have suggested a relationship between preoperative mental health support and enhanced recovery after surgery. Objective This study investigated the validity of screening questionnaires concerning psychological trait and state characteristics via a patient-specific online platform. Methods Patients scheduled for elective pectus surgery between June 2017 and August 2017 were invited to participate in clinical interviews and online self-report questionnaires. All patients were recruited in the Anesthesiology Department, Antwerp University Hospital, Belgium. This single-center observational cohort study was performed in accordance with the ethical standards of the International Council for Harmonisation–Good Clinical Practice guidelines and the Declaration of Helsinki after obtaining study approval by the Institutional Review Board and Ethics Committee of the Antwerp University Hospital, Belgium (study identifier: 17/08/082). An online preoperative psychological inventory was performed using the Rosenberg Self-Esteem Scale, Hospital Anxiety and Depression Scale, and State-Trait Anxiety Inventory. Postoperatively, pain intensity and interference were assessed using the Multidisciplinary Pain Inventory, Coping With Pain Questionnaire, and numeric pain rating scale assessment. Patient satisfaction of the Web-based platform was evaluated. Results A total of 21 adolescent patients used our Web-based psychological perioperative screening platform. Patients rated the mobile phone app, usability, and accessibility of the digital platform as good or excellent in 85% (17/20), 89% (17/19), and 95% (20/21) of the cases, respectively. A total of 89% (17/19) of the patients rated the effort of generating answers to the online questionnaires as low. The results from the completed questionnaires indicated a strong negative correlation between self-esteem and the anxiety trait (R=–0.72, P<.001) and overall anxiety characteristics (R=–0.49, P=.04). There was a positive correlation between depressive and anxiety characteristics and the anxiety trait (R=0.52, P=.03 and R=0.6, P=.02, respectively) measured by the online self-report questionnaires. Moreover, preoperative anxiety was positively correlated with postoperative pain interference (R=0.58, P=.02). Finally, there was a negative correlation between self-esteem and pain interference (R=–0.62, P=.01). Trial Registration ClinicalTrials.gov NCT03100669; https://clinicaltrials.gov/ct2/show/NCT03100669 (Archived by WebCite at http://www.webcitation.org/6zPvHDhU5)

Enhanced recovery after low- and medium-risk liver transplantation. A single-center prospective observational cohort study

2021 ◽  
Vol 85 ◽  
pp. 46-54
Author(s):  
Gonzalo P. Rodríguez-Laiz ◽  
Paola Melgar ◽  
Cándido Alcázar-López ◽  
Mariano Franco-Campello ◽  
Francisco Martínez-Adsuar ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Cohort Study ◽  
Enhanced Recovery ◽  
Observational Cohort Study ◽  
Prospective Observational Cohort Study ◽  
Single Center ◽  
Medium Risk ◽  
Observational Cohort

scholarly journals An observational cohort study to produce and evaluate an improved tool to screen older women with back pain for osteoporotic vertebral fractures (Vfrac): study protocol

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
T. K. Khera ◽  
A. Burston ◽  
S. Davis ◽  
S. Drew ◽  
R. Gooberman-Hill ◽  
...  
Keyword(s):  
Primary Care ◽  
Cohort Study ◽  
Back Pain ◽  
Older Women ◽  
Vertebral Fractures ◽  
Screening Tool ◽  
Observational Cohort Study ◽  
Binary Output ◽  
Osteoporotic Vertebral Fractures ◽  
Observational Cohort

Abstract Summary The aim of this study is to produce an easy to use checklist for general practitioners to complete whenever a woman aged over 65 years with back pain seeks healthcare. This checklist will produce a binary output to determine if the patient should have a radiograph to diagnose vertebral fracture. Purpose People with osteoporotic vertebral fractures are important to be identified as they are at relatively high risk of further fractures. Despite this, less than a third of people with osteoporotic vertebral fractures come to clinical attention due to various reasons including lack of clear triggers to identify who should have diagnostic spinal radiographs. This study aims to produce and evaluate a novel screening tool (Vfrac) for use in older women presenting with back pain in primary care based on clinical triggers and predictors identified previously. This tool will generate a binary output to determine if a radiograph is required. Methods The Vfrac study is a two-site, pragmatic, observational cohort study recruiting 1633 women aged over 65 years with self-reported back pain. Participants will be recruited from primary care in two sites. The Vfrac study will use data from two self-completed questionnaires, a simple physical examination, a lateral thoracic and lateral lumbar radiograph and information contained in medical records. Results The primary objective is to develop an easy-to-use clinical screening tool for identifying older women who are likely to have vertebral fractures. Conclusions This article describes the protocol of the Vfrac study; ISRCTN16550671.

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