15 results match your criteria: "Hotel Dieu Hospital Site[Affiliation]"

Public funding for private for-profit centres and access to cataract surgery by patient socioeconomic status: an Ontario population-based study.

CMAJ

August 2024

ICES (Campbell, Bell, Urbach, Paterson, Stukel, Gill, Baxter, Wilton, Gomez), Toronto, Ont.; Department of Ophthalmology (Campbell), Queen's University; Department of Ophthalmology (Campbell), Kingston Health Sciences Centre, Hotel Dieu Hospital site, Kingston, Ont.; Department of Ophthalmology (El-Defrawy), University of Toronto; Department of Ophthalmology (El-Defrawy), Kensington Eye Institute; Department of Medicine (Bell), University of Toronto; Institute of Health Policy, Management and Evaluation (Bell, Paterson, Stukel), University of Toronto; Department of Medicine (Bell), Sinai Health System; Department of Surgery (Urbach, Baxter, Gomez), Temerty Faculty of Medicine, University of Toronto, Toronto, Ont.; Department of Family Medicine, McMaster University, Hamilton, Ont.; Division of Geriatric Medicine (Gill), Queen's University; Division of Geriatric Medicine (Gill), Providence Care Hospital, Kingston, Ont.; Departments of Otolaryngology, Head and Neck Surgery and Surgical Oncology (Irish), University Health Network; Cancer Care Ontario (Irish); Li Ka Shing Knowledge Institute (Baxter, Gomez), St. Michael's Hospital, Toronto, Ont.; Melbourne School of Population and Global Health (Baxter), University of Melbourne, Melbourne, AU; Unity Health Toronto (Gomez), St. Michael's Hospital, Toronto, Ont.

Background: Public funding of cataract surgery provided in private, for-profit surgical centres increased to help mitigate surgical backlogs during the COVID-19 pandemic in Ontario, Canada. We sought to compare the socioeconomic status of patients who underwent cataract surgery in not-for-profit public hospitals with those who underwent this surgery in private for-profit surgical centres and to evaluate whether differences in access by socioeconomic status decreased after the infusion of public funding for private, for-profit centres.

Methods: We conducted a population-based study of all cataract operations in Ontario, Canada, between January 2017 and March 2022.

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Background: Chronic pain management is challenging for health systems worldwide. Clinical practice guidelines recommend interprofessional chronic pain management, but chronic pain clinics often have lengthy wait-lists. Advanced practice physiotherapists (APP) in orthopedic clinics and emergency departments have provided effective care and reduced wait times.

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Introduction: Due to the COVID-19 pandemic, healthcare centers quickly adapted services into virtual formats. Pain clinics in Canada play a vital role in helping people living with pain, and these clinics remained essential services for patients throughout the pandemic. This study aimed to (1) describe and compare the transition from in-person to virtual pain care services at Canadian pain clinics during the onset of the COVID-19 pandemic and (2) provide postpandemic recommendations for pain care services to optimize the quality of patient care.

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Fear of movement, or kinesiophobia, is a risk factor for developing chronic post-surgical pain (CPSP) and may impede recovery. Identifying people with kinesiophobia peri-operatively is potentially valuable to intervene to optimize rehabilitation and prevent CPSP. This narrative review aims to describe and critically appraise the sensibility and measurement properties of the Tampa Scale of Kinesiophobia (TSK) in the surgical setting in both pediatric and adult populations.

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Investigating Specialized Chronic Pain Care Among Emerging Adults.

Pain Manag Nurs

April 2022

From the *Queen's University, School of Nursing, Kingston, Ontario, Canada, 82 Barrie Street, Kingston, Ontario, Canada.

Background: AIMS: To investigate characteristics of emerging adults accessing a specialized chronic non-cancer pain clinic and describe interventions offered and utilized by this group.

Design: A retrospective chart review was conducted of emerging adults and middle-aged adults with chronic pain receiving care over a six-month period.

Setting: A chronic pain clinic in Southeastern Ontario.

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Surgical Outcomes among Focused versus Diversified Cataract Surgeons.

Ophthalmology

June 2021

Department of Ophthalmology, Queen's University, Kingston, Canada; Department of Ophthalmology, Kingston Health Sciences Centre, Hotel Dieu Hospital site, Kingston, Canada.

Purpose: Narrowly focused surgical practice has become increasingly common in ophthalmology and may have an effect on surgical outcomes. Previous research evaluating the influence of surgical focus on cataract surgical outcomes has been lacking. This study aimed to evaluate whether surgeons' exclusive surgical focus on cataract surgery influences the risk of cataract surgical adverse events.

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A case report of a male patient receiving treatment for anorexia nervosa and comorbid obsessive compulsive disorder who was later diagnosed with nontuberculosis Mycobacterium.

Eat Weight Disord

June 2021

Adult Eating Disorders Program, Department of Adult Outpatient Psychiatry, Kingston Health Sciences Center, Hotel Dieu Hospital Site, 166 Brock Street, Kingston, Ontario, K7L5G2, Canada.

Cases of nontuberculous Mycobacterium (NTM) are on the rise across North America. This is the first clinical description of a 31-year old male patient in North America with Mycobacterium kansasii who met DSM-5 diagnostic criteria for anorexia nervosa (AN) and obsessive compulsive disorder (OCD), and who was engaged in specialized outpatient treatment of an eating disorder. The patient did not disclose at intake assessment that he was experiencing symptoms of a persistent cough, blood in his sputum, or that he was simultaneously being assessed outside of the eating disorders program for NTM until he had a positive smear for Mycobacterium kansasii in March 2017.

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Objective: To explore strategies used by people living with chronic pain when participating in physical activity and exercise and their recommendations for health care providers when promoting participation in physical activity and exercise.

Design: Interpretive description qualitative study.

Setting: Participants were recruited from primary care sites and a hospital-based chronic pain clinic in Kingston, Ontario, Canada.

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Reply.

Ophthalmology

September 2019

Department of Ophthalmology, Queen's University, Kingston, Canada; Department of Ophthalmology, Kingston Health Sciences Centre, Hotel Dieu Hospital site, Kingston, Canada.

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Evolution in the Risk of Cataract Surgical Complications among Patients Exposed to Tamsulosin: A Population-Based Study.

Ophthalmology

April 2019

Department of Ophthalmology, Queen's University, Kingston, Canada; Department of Ophthalmology, Kingston Health Sciences Centre, Hotel Dieu Hospital Site, Kingston, Canada.

Purpose: Tamsulosin is associated with intraoperative floppy iris syndrome (IFIS), an important risk factor for complications during cataract surgery. Significant efforts have been made to increase awareness of the risks associated with tamsulosin, and educational initiatives have fostered the uptake of technical adjustments to decrease adverse event rates among tamsulosin-exposed patients. However, the effectiveness of these efforts at the population level has not been studied.

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Objective: The relationship between eating disorders (EDs) and substance use (SU) has only been briefly described in literature using mainly adult populations. This study examined the prevalence and characteristics of SU among patients of an adolescent ED outpatient treatment program.

Method: A retrospective chart analysis was conducted to determine and subsequently compare medical status, psychosocial factors, treatment course and outcome between patients with and without SU.

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We explored whether a single-item self-report measure (i.e., the Readiness Ruler) was an appropriate measure of treatment engagement in adult outpatients with eating disorders.

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Importance: Evidence suggests that the quality of some aspects of care provided by physicians may decrease during their late career stage. However, to our knowledge, data regarding the association of advancing surgeon career phase with cataract surgical outcomes have been lacking.

Objective: To investigate whether an increase in cataract surgical adverse events occurs during later surgeon career stages.

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It's raining men: descriptive results for engaging men with eating disorders in a specialized male assessment and treatment track (MATT).

Eat Weight Disord

December 2018

Adult Eating Disorders Program, Kingston Health Sciences Centre (KHSC), Hotel Dieu Hospital Site, 166 Brock Street, Kingston, ON, K7L5G2, Canada.

Purpose: Men with eating disorders are not well understood and there is a need for innovative methods for engaging men in specialized outpatient assessment and treatment. We examined data collected over a 4-year period to explore whether the addition of a designated track for men at a hospital-based adult eating disorders program influenced the number of referrals or treatment engagement.

Methods: During assessment and treatment as usual (ATAU; September 2013-August 2015), 283 referrals were received (275 women, 8 men), with 3 men engaging in assessment and treatment (M = 36 years, SD = 14.

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A case of symptom relapse post placement of intrauterine device (IUD) in a patient with bulimia nervosa: consequence or coincidence.

Eat Weight Disord

June 2017

Adult Eating Disorders Program (AEDP), Department of Adult Outpatient Psychiatry, Kingston Health Sciences Centre (KHSC), Hotel Dieu Hospital Site, 166 Brock Street, Kingston, ON, K7L 5G2, Canada.

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