Objectives: The aim of this study was to emphasize the necessity of multidisciplinary pain council by demonstrating the patient profile, treatment approaches, outcomes, and patient satisfaction levels obtained from our council.
Methods: In this study, the age, gender, number of council evaluations, diagnoses and recommended therapies of patients were determined retrospectively. The status of the patients >1 year, outcomes of the therapies, and satisfaction levels of the patients were questioned on the phone.
Results: The patients were most commonly diagnosed as chronic low back pain (35%) and vertebral tumor or metastasis (10%). 74 % of the patients were evaluated because of vertebral causes. 23% of the patients had good, 27% had moderate and 35% had poor benefit; beneficence was calculated as 85%. Patient satisfaction was found as 24%, 23%, and 32%, respectively; satisfaction was calculated as 79%.
Conclusion: Evaluation of complex patients by physicians from different disciplines has better diagnostic and treatment outcomes. In addition, multidisciplinary approach offer and perform different therapy options and this has positive effects on treatment efficiency and patient satisfaction. We are in the opinion that instead of standard treatment protocols, determining individualized multidisciplinary treatment protocols should be useful.
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http://dx.doi.org/10.5505/agri.2013.77045 | DOI Listing |
Curr Pain Headache Rep
January 2025
Department of Anesthesiology, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, 71103, USA.
Purpose Of Review: Effective pain management in cardiac surgery presents as a continuous challenge related to the intensity of postoperative pain and reliance on opioid therapy. The dependance of opioid-based therapies is concerning, as these therapies carry risk future addiction and potential severe side effects. The transversus thoracic plane block (TTPB) has emerged as a promising regional anesthesia technique that blocks the anterior branches of the intercostal nerves in the chest wall, potentially providing improved analgesia for cardiac surgery patients.
View Article and Find Full Text PDFAnn Med
December 2025
School of Public Health, Fudan University, Shanghai, China.
Background: Evaluation of health system responsiveness (HSR) can improve patient satisfaction, promote health equity and enhance the quality of health services.
Objectives: To explore the differences in HSR among medical institutions at different levels and in various domains.
Methods: A multi-stage stratified sampling method was used to select 820 participants aged 18 years and older from Kunshan City, China.
Am J Sports Med
January 2025
Department of Sports Medicine, Peking University Third Hospital; Institute of Sports Medicine of Peking University; Beijing Key Laboratory of Sports Injuries, Beijing, China.
Background: There is a lack of evidence and continuous debate on whether femoral tunnel displacement substantially influences the clinical efficacy of medial patellofemoral ligament reconstruction (MPFL-R) in addressing recurrent patellar dislocation.
Purpose: To investigate possible associations between inaccurate femoral tunnel placement during MPFL-R and clinical outcomes, with a specific focus on proximal tunnel malpositioning.
Study Design: Cohort study; Level of evidence, 3.
BMC Health Serv Res
January 2025
VA San Diego Healthcare System, 3350 La Jolla Village Dr., San Diego, CA, USA.
Background: 2022 survey data showed 29% of Veterans utilized Veterans Affairs (VA) paid health care at a non-VA facility, 6% higher than in 2021. Despite an increase in the number of Veterans accessing care in the community via the MISSION Act Community Care Program (CCP), there is limited information on the quality of mental health care delivered to Veterans in these settings. Further, Veterans report barriers to quality care, including poor communication between CCP and VA providers, which can result in negative patient outcomes.
View Article and Find Full Text PDFAesthetic Plast Surg
January 2025
Department of Plastic, Reconstructive and Aesthetic Surgery, Academic Hospital Feldkirch, Carinagasse 47, 6807, Feldkirch, Austria.
Introduction: Primary axillary hyperhidrosis significantly impacts the quality of life of affected individuals. miraDry, a non-invasive local precisely controlled thermal energy procedure, represents a promising treatment option. This retrospective analysis aimed to evaluate the treatment success and patient safety following miraDry procedure in the treatment of primary axillary hyperhidrosis.
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