The Experts below are selected from a list of 7395 Experts worldwide ranked by ideXlab platform
Daniela Diassantos - One of the best experts on this subject based on the ideXlab platform.
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the charlson age comorbidity index predicts early mortality after surgery for pancreatic cancer
Surgery, 2015Co-Authors: Daniela Diassantos, Cristina R Ferrone, Hui Zheng, Keith D Lillemoe, Carlos Fernandezdel CastilloAbstract:Background Although operative resection represents the only hope for cure in pancreatic cancer, it is associated with significant morbidity and mortality. Furthermore, in some patients disease progression occurs very early postoperatively and no Tangible Benefit is seen from the operation. Identification of preoperative predictors of death within the first year of surgery could help in the counseling of patients diagnosed with pancreatic cancer. Methods We studied retrospectively patients who underwent resection for pancreatic adenocarcinoma from 2002 to 2012. We calculated the age-adjusted Charlson Age Comorbidity Index (CACI) and used logistic regression models to determine predictors of mortality within 1 year of surgery. Kaplan–Meier curves and Cox proportional hazards models were developed to determine hazard ratios on survival. Results Surgery with curative intent was performed in 497 patients; 136 (27%) died within the first year. A CACI score of >4 was predictive of increased duration of stay (P Conclusion CACI is useful to predict outcome after pancreatectomy for pancreatic cancer. Patients with a high CACI score have a
Carlos Fernandezdel Castillo - One of the best experts on this subject based on the ideXlab platform.
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the charlson age comorbidity index predicts early mortality after surgery for pancreatic cancer
Surgery, 2015Co-Authors: Daniela Diassantos, Cristina R Ferrone, Hui Zheng, Keith D Lillemoe, Carlos Fernandezdel CastilloAbstract:Background Although operative resection represents the only hope for cure in pancreatic cancer, it is associated with significant morbidity and mortality. Furthermore, in some patients disease progression occurs very early postoperatively and no Tangible Benefit is seen from the operation. Identification of preoperative predictors of death within the first year of surgery could help in the counseling of patients diagnosed with pancreatic cancer. Methods We studied retrospectively patients who underwent resection for pancreatic adenocarcinoma from 2002 to 2012. We calculated the age-adjusted Charlson Age Comorbidity Index (CACI) and used logistic regression models to determine predictors of mortality within 1 year of surgery. Kaplan–Meier curves and Cox proportional hazards models were developed to determine hazard ratios on survival. Results Surgery with curative intent was performed in 497 patients; 136 (27%) died within the first year. A CACI score of >4 was predictive of increased duration of stay (P Conclusion CACI is useful to predict outcome after pancreatectomy for pancreatic cancer. Patients with a high CACI score have a
Terry Haines - One of the best experts on this subject based on the ideXlab platform.
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what makes weekend allied health services effective and cost effective or not in acute medical and surgical wards perceptions of medical nursing and allied health workers
BMC Health Services Research, 2017Co-Authors: Lisa Obrien, Deb Mitchell, Elizabeth H Skinner, Romi Haas, Marcelle Ghaly, Fiona Mcdermott, Kerry May, Terry HainesAbstract:Abstract Background There is strong public support for acute hospital services to move to genuine 7-day models, including access to multidisciplinary team assessment. This study aimed to identify factors that might enable an effective and cost-effective weekend allied health services on acute hospital wards. Methods This qualitative study included 22 focus groups within acute wards with a weekend allied health service and 11 telephone interviews with weekend service providers. Data were collected from 210 hospital team members, including 17 medical, 97 nursing, and 96 allied health professionals from two Australian tertiary public hospitals. All were recorded and imported into nVivo 10 for analysis. Thematic analysis methods were used to develop a coding framework from the data and to identify emerging themes. Results Key themes identified were separated into issues perceived as being enablers or barriers to the effective or cost-effective delivery of weekend allied health services. Perceived enablers of effectiveness and cost-effectiveness included prioritizing interventions that prevent decline, the right person delivering the right service, improved access to the patient’s family, and ability to impact patient flow. Perceived barriers were employment of inexperienced weekend staff, insufficient investment to see Tangible Benefit, inefficiencies related to double-handling, unnecessary interventions and/or inappropriate referrals, and difficulty recruiting and retaining skilled staff. Conclusions Suggestions for ensuring effective and cost effective weekend allied health care models include minimization of task duplication and targeting interventions so that the right patients receive the right interventions at the right time. Further research into the effectiveness and cost effectiveness of these services should factor in hidden costs, including those associated with managing the service.
R Shepherd - One of the best experts on this subject based on the ideXlab platform.
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consumer attitudes towards different food processing technologies used in cheese production the influence of consumer Benefit
Food Quality and Preference, 1997Co-Authors: L J Frewer, Chaya Howard, Duncan Hedderley, R ShepherdAbstract:Abstract The relative importance of ‘production method’ and ‘Benefit’ to the purchase likelihood decisions of 120 consumers for novel cheeses was assessed. Genetic engineering (transfers of genetic material between species), protein engineering (altering the characteristics of micro-organisms without transferring genetic material), and traditional selective breeding were compared. Benefits were directed towards the health of the consumer, product quality, the environment, animal welfare or the manufacturer. Conjoint analysis indicated that 79% of the sample made decisions based on process considerations, although Tangible Benefit was a more important factor in their decisions. A further 19% did not consider process important, but tended to make decisions based on consumer Benefits alone. Positive correlations between perceived Benefit and need, and purchase likelihood were observed for those respondents who considered process important.
E C Taffe - One of the best experts on this subject based on the ideXlab platform.
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pneumatic compression device treatment of lower extremity lymphedema elicits improved limb volume and patient reported outcomes
European Journal of Vascular and Endovascular Surgery, 2013Co-Authors: S C Muluk, Alan T Hirsch, E C TaffeAbstract:Objectives Examine the effectiveness of an advanced pneumatic compression device (APCD) in reducing limb volume (LV), and to evaluate clinician and patient-reported outcomes. Design Device registry study. Materials and methods Data were collected prospectively for 196 lower extremity lymphedema patients prescribed an APCD. Baseline and post-treatment LVs were calculated and clinical outcomes (skin changes, pain, and function) were assessed. Patient-reported outcomes and satisfaction utilizing a pre- and post-treatment survey were also evaluated. Results 90% of APCD-treated patients experienced a significant reduction in LV with 35% enjoying a reduction >10%. Mean LV reduction was 1,150 mL or 8% ( p p Conclusion APCD use is associated with consistent reductions in LV, with favorable patient-reported outcomes. Results demonstrate that reduction in LV and pain, combined with functional improvement and patient satisfaction can be achieved, providing Tangible Benefit for lower extremity patients.
