Publications by authors named "P A McFarlane"
Aims: Catheter-based radiofrequency renal denervation (RF RDN) is an interventional treatment for uncontrolled hypertension. This analysis explored the therapy's lifetime cost-effectiveness in a Canadian healthcare setting.
Materials And Methods: A decision-analytic Markov model was used to project health events, costs, and quality-adjusted life years over a lifetime horizon.
Article Synopsis
- Sternal non-union is a rare complication after cardiac surgery that involves prolonged sternal pain and instability, typically lasting over six months without infection, and is confirmed via CT scans.
- The study reports on seven patients who underwent surgery for sternal non-union between 2015 and 2020, using a method involving sternal edge debridement, plate fixation, and autologous iliac crest bone grafting to stabilize the sternum.
- The patient demographics indicated a median age of 65, with risk factors like diabetes and smoking, and while there were some postoperative complications like iliac crest pain, all patients experienced long-term resolution without needing further surgeries.
Background: Advance care planning (ACP) was encouraged by policymakers throughout the COVID-19 pandemic. Little is known about use of ACP during this time.
Aim: To compare use of ACP before and during the COVID-19 pandemic.
Purpose Of Review: Chronic kidney disease (CKD)-associated pruritus is a common, persistent, and distressing itch experienced by patients across the CKD spectrum. Although the disorder is associated with adverse outcomes and poor health-related quality of life, it remains underdiagnosed and undertreated. The purpose of this narrative review is to offer health care providers guidance on how to effectively identify, assess, and treat patients with CKD-associated pruritus, with the goal of reducing symptom burden and improving patient-important outcomes, such as quality of life (QoL).
View Article and Find Full Text PDFBackground: Telephone advice lines have been recommended internationally to support around-the-clock care for people living at home with advanced illness. While they undoubtedly support care, there is little evidence about what elements are needed for success. A national picture is needed to understand, improve and standardise service delivery/care.
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