Affect Patient Satisfaction Research Articles

Estudio sobre la eficacia de un gel que contiene betametasona al 0,05 %, lidocaína al 2 % y tetracaína al 1 % para reducir el dolor de garganta, la ronquera, la tos y la tos en el tubo durante la salida de la anestesia.

Postoperative sore throat is a common complaint and an undesirable outcome. It is often a side effect of general anesthesia, reported by 30% to 70% of patients following tracheal intubation. Despite advancements in laryngoscopy equipment, postoperative sore throat remains a common issue, requiring additional pharmacological interventions and negatively affecting patient satisfaction. This highlights the continued need for effective strategies to tackle this challenge in clinical practice. This study is a retrospective cohort analysis involving 101 patients who underwent elective plastic surgery with orotracheal intubation under general anesthesia. The research compares the incidence of postoperative sore throat, hoarseness, and cough, as well as coughing upon emergence from anesthesia, between two types of lubricated endotracheal tubes: one coated with a gel containing 0.05% betamethasone, 2% lidocaine, and 1% tetracaine, and another with 2% lidocaine jelly. At the 8-hour mark after extubation, the incidence of postoperative sore throat was significantly lower in the experimental group at 17.6%, compared to 58% in the 2% lidocaine jelly group (P<0.001). Over the 24-hour evaluation, the experimental group consistently showed a lower incidence of postoperative sore throat at all measured time points. The 2% lidocaine group had an OR 2.0 CI 95% (1.48-2.93), 2.28 CI 95% (1.54-3.3), and 2.4 CI 95% (1.64-3.5) for postoperative sore throat at post-anesthesia care unit, 8 hours and 24 hours after surgery evaluation respectively. Our research highlights the potential benefits of applying a gel that contains corticosteroids and local anesthetics to the tracheal tube. This application may help reduce postoperative complications associated with tracheal intubation, including sore throat, coughing, irritation from the tube, and hoarseness.

Patient Satisfaction with the Mawiidi Hospital Appointment Scheduling Application: Insights from the Information Systems Success Model and Technology Acceptance Model in a Moroccan Healthcare Setting

This article aims to find the determinants that affect patient satisfaction regarding the Mawiidi public portal in Moroccan public hospitals and assess its outpatient online booking system effectiveness using a model that integrates the Technology Acceptance Model (TAM) with the Information Systems Success Model (ISSM) while adopting a quantitative research methodology. The analysis was conducted using 348 self-administered questionnaires to analyze eight key constructs, such as information quality, patient satisfaction, perceived ease of use, and privacy protection, among others. The results of PLS-SEM verified six out of eleven hypotheses tested, which reflected that information quality has a positive influence on perceived ease of use, which again enhances patient satisfaction. The major factors influencing the satisfaction and trust of patients in online appointment scheduling systems at public hospitals are highlighted. Indeed, privacy protection enhances patient satisfaction and trust. Service quality positively affects satisfaction but to a lesser degree. Website-related anxiety impacts perceived ease of use, although it has a limited influence on satisfaction. Such findings can inform suggestions for the managers of hospitals and portal designers to increase user satisfaction. This study uses a model from the TAM and ISSM frameworks, including cultural and socioeconomic aspects that apply to Morocco’s healthcare context.

PREDICTPredicting and Reducing Patient Waiting Times in Dental Clinics Using Machine Learning: A Case Study from TürkiyeING AND REDUCING PATIENT WAITING TIMES IN DENTAL CLINICS USING MACHINE LEARNING: A CASE STUDY FROM TURKEY

Long waiting times in polyclinics are a critical factor affecting patient satisfaction and the efficient use of healthcare personnel and resources. This study applied machine learning (ML) algorithms to predict and reduce patient waiting times in a dental clinic in Turkey. The daily data collected from the clinic included variables such as patient satisfaction, appointment patients, Walk-in patients, number of doctors and nurses, and dental technicians on duty. Six ML algorithms were tested: Decision Trees (DT), Linear Regression (LR), Support Vector Machines (SVM), Gaussian Process Regression (GPR), Kernel Regression (KR), and Neural Networks (NN). Among these, the GPR model achieved the best performance, accurately predicting patient waiting times with an R2 value of 0.936 and RMSE of 0.075. This study highlights the potential of ML methods to enhance operational efficiency in healthcare management.

ANALISIS KUALITAS PELAYANAN PENDAFTARAN BPJS TERHADAP KEPUASAN PASIEN RAWAT JALAN DI RSUD DOLOKSANGGUL KECAMATAN DOLOKSANGGUL KABUPATEN HUMBANG HASUNDUTAN TAHUN 2024

Quality health services will provide satisfaction to patients who leave the hospital. Factors that affect patient satisfaction include physical evidence (tangibility), responsiveness (responsiveness), caring attitude (emphaty), assurance (assurance), and reliability (reliability). The purpose of this study is to find out the relationship between patient satisfaction and tangibility, responsiveness, emphaty, assurance, and realibility. This type of research is quantitative research. The population in this study is all outpatient BPJS patients at the Doloksanggul Regional General Hospital. The sample size of the study was 100 respondents using the accidental sampling technique with the slovin formula. The data collection technique was carried out by distributing questionnaires. The analysis used was univariate and bivariate analysis. Tested using the Chi-Square test. The results of the study showed that in the tangibility variable (physical evidence), 85% of respondents rated physical appearance as good and 15% rated it as poor. In the responsiveness variable, 87% of respondents felt a quick response and 13% felt a slow response. On the emphaty variable, the majority of respondents felt 84% concerned while only 16% felt less caring. In the Assurance variable, 88% of respondents felt that they received good security guarantees and 12% felt that they were not good. In terms of reability, 87% of respondents rated reliability as high, while 13% rated it low. Bivariate analysis obtained a p-value of <0.05, which is 0.000 for the variables tangibility, responsiveness, emphaty, assurance and realibility with outpatient satisfaction. Therefore, it can be concluded that there is a significant relationship between the variables of tangibility, responsiveness, emphaty, assurance and realibility with outpatient satisfaction at Doloksanggul Hospital. It is hoped that health workers will continue to maintain the quality of BPJS registered health services so that patient satisfaction is better.

Sleep Quality Improves Post Total Knee Arthroplasty: Addressing Early Disturbance and Risk Factors

ObjectivesSleep is an important determinant of quality of life. Sleep disturbance is concomitant with end-stage knee osteoarthritis for which Total Knee Arthroplasty (TKA) is the most commonly done procedure. However, literature on this topic is lacking in terms of the impact of sleep quality on patient satisfaction after arthroplasty, especially the adverse associations of surgery on sleep quality. Improvement in sleep quality may be a necessary prerequisite for any effective rehabilitation program. In our study we aim to assess the changes in sleep quality after TKA, and how it affects patient satisfaction of TKA and other quality of life indicators, post-operatively. MethodsOver a period of two years, 104 patients undergoing primary total knee arthroplasty were assessed prospectively using the Pittsburgh Sleep Quality Index (PSQI), Knee Society Score (KSS), Oxford Knee Score (OKS); pre-operatively and post-operatively at 3 months, 6 months and 1-year. Obesity and diabetes status were also included in the analyses. ResultsPreoperatively, most patients exhibited a poor sleep quality (mean PSQI score 9.23 (Standard deviation(SD)=3.03), which subsequently improves after surgery. Immediately after surgery there is an initial worsening in the PSQI scores until 6 weeks (12.58 (SD=3.59)). However, at 1-year there is a statistically significant improvement to a mean of 5.69 (SD=1.91). The mean Visual Analogue Scale (VAS) score showed a statistically significant decrease from 7.26 (SD=1.90) pre-operatively to 1.80 (SD=1.37) at 1-year post-operatively (p<0.001). The mean OKS showed a statistically significant increase from pre-operative 18.15 to 33.81 at 1-year and the composite KSS increased from 36.22 pre-operative to 87.09 at 1-year (p<0.001). Improvement in sleep was observed for 61% of non-obese patients while obese patients did not observe any improvement in sleep. Only 8% of diabetics showed improved sleep compared to 55% of non-diabetics. ConclusionsWe observed an overall improvement in sleep quality after total knee arthroplasty. However, there was an initial stage of sleep disturbance immediate post operatively. Obesity and diabetes may lower the chances of achieving optimal improvements in both functional and sleep outcomes. Level of EvidenceLevel III

Finite-element investigations on the influence of material selection and geometrical parameters on dental implant performance

Abstract Dental implants provide functional and aesthetically pleasing dental replacements, but their longevity depends on biomechanical factors, physical characteristics, and patient variability. The present study used finite-element analysis to reveal the biomechanical response and potential modes of failure of dental implant systems subjected to normal occlusal loads. A generalized comparative assessment was carried out to measure the effect of the choice of crown material with zirconia, porcelain-fused-to-metal, and ceramic crowns. Such simulations showed complex patterns of stress distribution and deformation in the implant assembly with significant variation due to the mechanical properties of the crown material. Stiffer zirconia crowns magnified stress concentrations by 12.6, 10.8, 11.4, and 9.1% in the implant fixture, crown, cortical bone, and cancellous bone, respectively, compared with more compliant ceramic crowns. Furthermore, the maximal deformation of both the cortical and cancellous bone induced by zirconia crowns was higher by 21.1 and 19.2%, respectively, compared with the ceramic crowns. These results emphasize that the crown material properties are significant for controlling and modulation biomechanical load transfer, which plays a decisive role in the long-term durability and resistance to failure mechanisms such as interfacial debonding, bone resorption, and fatigue cracking. This study provides valuable information for optimizing implant designs and material selection that may improve clinical results, positively affecting patient satisfaction with dental implant therapy.

Dental impact on daily life and oral health in alcohol use disorder patients

ObjectivesIndividuals with Alcohol Use Disorder (AUD) are at a higher risk of developing dental problems. The present study assessed the dental impact on daily performances among AUD patients seeking treatment in a de-addiction centre and correlated it with their clinical dental status using the WHO oral health assessment form (2013). Materials and methodsThis research took place from January to May 2022. A cross-sectional study was carried out to collect data from 103 subjects among alcohol dependents taking treatment in a de-addiction centre of Dakshina Kannada district, Karnataka state. The Dental Impact on Daily Living Questionnaire (DIDL) assessed patients' satisfaction with their teeth, while the WHO Oral Health Assessment Form for Adults was used for dental caries (DMFT) and periodontal status. Data analysis was performed using the jamovi open-source software (version 2.3), employing t-test, chi-square test, hierarchical regression analysis, and Spearman correlation coefficient. ResultsThe study found low yet significant correlations between clinical oral health and dimensions of the DIDL scale. Social class and the number of decayed teeth emerged as significant predictors of the total DIDL score. ConclusionOral health conditions can adversely affect patient satisfaction, emphasizing the need for healthcare providers to consider these findings when offering comprehensive oral healthcare services. Clinical relevanceThis study underscores the necessity of integrating oral healthcare into the overall treatment regime for individuals with Alcohol Use Disorders (AUDs) to improve their quality of life and satisfaction.

The Disaggregated Oswestry Disability Index: What is the Most Predictive Subsection for Patient Satisfaction After Lumbar Surgery?

Retrospective review of cohort studies. To analyze how different ODI subsections and their improvement affect patient satisfaction 2 years after elective lumbar surgery for degenerative lumbar spondylolisthesis (DLS). The Oswestry Disability Index (ODI) is crucial in evaluating outcomes of spinal disorders and provides valuable insights into a patient's preoperative status. There is limited information available on the individual characteristics of its subsections and their relation to postoperative patient satisfaction. Pre- and 2-year postoperative ODI and patient satisfaction were assessed. The analysis included preoperative scores and improvements in each ODI subsection 2 years postoperatively. Satisfaction was rated on a scale of 1 to 5, with scores ≥4 deemed satisfactory. Univariate linear regression and ROC analysis established cutoffs for subsection improvement and postoperative target values to achieve postoperative satisfaction. 265 patients (60% female, 67±8 years) were included. ODI improvement was achieved in 91%, and postoperative patient satisfaction in 73%. Patients with lower postoperative subsection scores and greater differences between pre- and postoperative scores were more likely to be satisfied (all P<0.001). A postoperative subsection target score of ≤1 was associated with patient satisfaction. Change in degree of pain was the most predictive subsection for satisfaction, with an AUC of 0.84 (sensitivity 79%, specificity 86%). Walking (AUC 0.83, sensitivity 87%, specificity 65%), pain intensity (AUC 0.82, sensitivity 79%, specificity 79%), personal care (AUC 0.82, sensitivity 83%, specificity 68%), and standing (AUC 0.82, sensitivity 83%, specificity 83%) all had an AUC greater than 0.80. The postoperative subsection with the lowest predictability was sleeping (AUC 0.69). Pain domains, walking, standing, and personal care were the subsections with the highest predictability for patient satisfaction. These findings on the correlation between different ODI subscales and patient satisfaction are valuable for improving preoperative education, addressing disability, and ensuring postoperative satisfaction.

Comprehensive Analysis of UBE-Related Complications: Prevention and Management Strategies from 4685 Patients.

Unilateral biportal endoscopy (UBE) surgery is a minimally invasive approach for treatment of spinal disorders, which usually requires creation of a working and viewing channel on 1 side. The UBE technique has developed rapidly in China in recent years, and many spine surgeons have started to apply it and have shared the initial clinical research results many times at minimally invasive spine conferences. Unfortunately, these studies actually translated into fewer publications. In addition, most patients have good outcomes after UBE surgery, but a minority still experience UBE surgery-related complications, including epidural hematoma, dural sac tears, retroperitoneal effusions, inadequate decompression, postoperative back pain and headache, early recurrence, iatrogenic spinal instability, anemia, and infection, which can prolong hospital stay and seriously affect patient satisfaction. Therefore, this article reviews the complications of UBE surgery for lumbar degenerative diseases and discusses ways to prevent and handle complications associated with UBE to help spine surgeons make smart treatment decisions.

Satisfaction questionnaire survey after surgical orthodontic treatment in patients with jaw deformities

ObjectiveSurgical orthodontic treatment leads to morphological, functional and psychological changes in patients with jaw deformities. For the evaluation of outcomes of surgical orthodontic treatment from the patient's point of view, a questionnaire survey was performed after treatment and factors affecting patient satisfaction were examined. MethodsA survey by mailing questionnaires that each consisted of 30 items was conducted in 250 patients with jaw deformities who underwent orthognathic surgery in our department during the period from January 2015 to December 2020. Eighty-four patients responded (response rate of 34.0%). The patients who responded included 24 males and 60 females. The mean age at the time of surgery was 26 years. ResultsFifty-four patients complained of morphological abnormalities such as facial appearance and malocclusion, and 30 patients complained of functional disturbances such as masticatory disabilities. Eighty-two patients were satisfied with the outcome of surgery, but there were two patients with postoperative paresthesia and residual facial asymmetry who were not satisfied with the outcome. Improvements were observed in mastication and pronunciation in 74 and 46 patients, respectively. Psychologically, 26 patients showed positive personality changes postoperatively. Thirty-three patients had TMJ symptoms before surgery, and the symptoms were resolved after surgery in 24 of those patients. Two patients developed snoring during sleep after surgery. ConclusionsThis survey showed that most patients with jaw deformities were satisfied with the results of surgical orthodontic treatment.

Analisis waste pada depo rawat jalan dengan menggunakan lean hospital di Rumah Sakit Islam Siti Hajar Mataram

Pharmaceutical installations can provide substantial revenue if managed properly and efficiently. Good or bad service can affect patient satisfaction. For this reason, pharmaceutical installations must improve quality in terms of patient satisfaction, one of which is by reducing waste that occurs in the pharmaceutical service process in hospitals. This study aims to analyze what waste occurs in outpatient depot services to improve service efficiency. This research is descriptive qualitative. Data were obtained through document review, direct observation, interviews. Waste identification uses Value Stream Mapping and Fishbone Diagram to determine the root causes of critical waste that occurs. The results showed that the highest percentage of value added was in the ordinary prescription service of 63.41%, the highest percentage of necessity but non-value added was in the prescription service that required drug distribution from the warehouse unit of 70.79%, and the highest non-value added was in the compounded prescription service process of 36.59%. By using lean hospital, it can be identified that many wastes occur including waiting, transportation, and defects. Increasing service efficiency at the Siti Hajar Mataram Islamic Hospital Outpatient depot can be done by minimizing non-value added activities.

From Filters to Scalpels-Understanding Perceptions of Facial Asymmetry: An AAFPRS Survey.

Facial asymmetries can significantly affect patient satisfaction post-surgery. Social media can impact a patient's perception of their asymmetries. To gather insights into the practices, perceptions, and approaches concerning facial asymmetry among facial plastic surgeons. The aim of this study was to understand the impact of social media on perceptions of facial asymmetry. This is an American Academy of Facial Plastic and Reconstructive Surgeons (AAFPRS) survey consisting of 46 questions that sought to understand facial plastic surgeons' perceptions of facial asymmetry, their consultation process, their patients' perspectives on their own facial asymmetries, and patient satisfaction. The survey was distributed to 1,269 members of AAFPRS across community hospitals, private practices, and academic hospitals. Sixty-seven members completed the survey. The survey revealed that 31% (21) of surgeons face challenges in managing patient expectations regarding facial asymmetry. In addition, 12% (8) of surgeons felt that patients did not initially recognize their own asymmetries. Eighty-seven percent (58) of surgeons emphasize the natural occurrence of asymmetry during consultations to set realistic expectations. This study emphasizes the need for thorough patient education during initial consultations to align expectations with achievable outcomes. Surgeons should explain the natural occurrence of asymmetry clearly and use digital imaging to show patients realistic previews of surgical results.

A study of the crucial Role of Telehealth in Saudi Arabia's Nursing Care Changes

This research investigates how telehealth affects nursing care in Saudi Arabia, with particular attention to how it affects patient satisfaction, healthcare accessibility, and the management of chronic illnesses. The study used a mixed-methods approach to look at the experiences of 300 patients and 200 nurses in both urban and rural settings. It included both qualitative interviews and quantitative surveys. According to the findings, telehealth greatly improves accessibility by removing geographical barriers, and urban nurses use it at a somewhat higher rate than their rural colleagues. The majority of patient satisfaction ratings are positive, which is consistent with other research showing how telehealth can enhance patient experiences. According to the study, telemedicine interventions can effectively manage chronic diseases, including diabetes, as evidenced by a significant decrease in hospital visits and an improvement in medication adherence. Notwithstanding these advantages, considerable impediments were found to include technological hurdles including internet connectivity and digital literacy. The study's conclusions are in line with previous research, highlighting the necessity for continual advancements in technology and education while reiterating the role that telehealth has played in revolutionising healthcare delivery. All things considered, telehealth seems to be a useful instrument for improving nursing care, providing significant advantages and highlighting areas that require further development to reach its full potential in the Saudi healthcare system.

Factors associated with patient satisfaction after arthroscopic rotator cuff repair: do they differ by age?

Several studies have investigated factors affecting patient satisfaction after arthroscopic rotator cuff repair (ARCR); however, it is unknown if these factors vary according to age. Therefore, this study aimed to evaluate the factors associated with satisfaction of ARCR in individuals 70 years and older versus younger patients. Among 319 consecutive patients who underwent ARCR, 173 were included. Patients were divided into an old age group (≥70 years) and a young age group (<70 years), and the two age groups were further divided into satisfied and unsatisfied subgroups. Patient satisfaction was evaluated at the final follow-up visit using a binary question (yes or no). Clinical outcomes were assessed preoperatively and at the final follow-up. Satisfaction rates in the older and younger age groups were 75.41% and 79.47%, respectively. Mean changes in Constant and American Shoulder and Elbow Surgeons scores were significantly different between the satisfied and unsatisfied subgroups (P=0.031 and P=0.012, respectively) in the young patients. In the old patients, there was a significant difference in the mean change in depression subscale of the Hospital Anxiety and Depression Scale (P=0.031) and anxiety subscale of the Hospital Anxiety and Depression Scale (P=0.044) scores between the satisfied and unsatisfied subgroups. Factors affecting patient satisfaction after ARCR differed according to age. Psychological improvement was more important to elderly patients, whereas restoration of function was more important to younger patients. Pain relief was important for both age groups. Level of evidence: III.

Empirical Study on the Relationship Between Quality of Nursing Services and Postoperative Satisfaction of Patients with Acute Appendicitis: Intermediation Based on Information Flows

This study investigated the relationship between nursing care and patient satisfaction, with a specific focus on postoperative satisfaction in patients with acute appendicitis. The shift in China's medical model from a biomedical approach to a biopsychosocial framework emphasizes patient-centered care, with patient satisfaction becoming a key indicator of service quality. The study used a survey-based approach to collect data from 384 patients in hospitals in Guangxi, China. Through statistical analysis, the study explores how the quality of care services, doctor-patient communication processes, and information exchange affect patient satisfaction. The research results show that there is a significant positive correlation between the quality of nursing services and patient satisfaction. In particular, the professional level and effective communication skills of nursing staff significantly improve patient satisfaction. This study provides practical recommendations for enhancing the training process in clinical settings.

Analisis Mutu Pelayanan Kesehatan Masyarakat terhadap Kepuasan Pasien di Puskesmas Bukit Lawang Kabupaten Langkat Tahun 2023

The quality of health services is very important to measure how far the Community Health Center is in providing services to patients by looking at the number of BPJS patient visits at the Bukit Lawang Community Health Center, Langkat Regency, which only reached 82.00% in 2020, 77.9% in 2022 and 76.9% in 2023 compared to the target of 95%. Data from the Bukit Lawang Community Health Center, Langkat Regency for the period 2021-2023 showed fluctuations in the number of BPJS patient visits every month. The purpose of this study was to analyze the effect of the quality of public health services on patient satisfaction at the Bukit Lawang Health Center, Langkat Regency in 2023. The research design used a quantitative method with a cross-sectional study approach. The population in this study were all patients who visited the Bukit Lawang Health Center, Langkat Regency in 2023 with an average number of visits of 292 patients per month, the number of samples of 75 people was obtained using a purposive sampling technique. Data analysis used univariate, bivariate and multivariate analysis with logistic regression tests. The results of the study using the chi-square test showed that the variables reliability, assurance, tangible, empathy and responsiveness had a p-value &lt;0.05. The results of the study using the logistic regression test showed that the variables reliability, empathy and responsiveness had a sig. &lt;0.05 and the variables assurance and tangible had a sig.&gt; 0.05. The conclusion of the study is that the variables that significantly affect patient satisfaction are the variables reliability, empathy and responsiveness and the variable that most significantly affects patient satisfaction is the variable reliability.

Adjunctive treatment of atopic dermatitis with novel at-home handheld narrow-band UVB phototherapy.

While conventional in-office phototherapy has long been utilized as a successful treatment for atopic dermatitis (AD), it is associated with potential barriers including inconvenience, poor adherence, time and financial expense. In this retrospective study, we examine the efficacy, adherence, and patient-satisfaction of using adjunctive at-home, self-administered phototherapy utilizing a novel handheld narrow-band ultraviolet B (NB-UVB) device for the treatment of refractory mild to severe AD. Included AD patients were initially trained on proper use of the device. These patients treated involved areas three times per week for a period of 12weeks. Phototherapy dosing protocol was based on skin type. The cohort included 52 patients, who were aged 20-69 and represented all skin types. They were initially categorized by disease involvement as mild, moderate, and severe. Patients were also queried to self-score their disease severity and level of satisfaction. Compared to baseline, at 12weeks, 48% percent of patients indicated that at least one site was Clear/Almost Clear, 38% stated that more than 50% of body locations were Clear/Almost Clear, and 28% reported that 100% (all) treated sites were Clear/Almost Clear. After using at-home hand-held NB-UVB for the study duration, 67% (35/52) of patients experienced disease improvement. Mean overall satisfaction was extremely high at 4.43 on a 5-point scale. Skin type, age, gender, and disease severity at inception did not significantly affect patient satisfaction scores. Overall adherence rate among participants across all groups was 73%. In this small retrospective study, at-home handheld NB-UVB phototherapy was found to be an effective, well-tolerated, adjunctive treatment method for patients with refractory AD, which was associated with a high level of patient satisfaction and adherence.

BREAST-Q Analysis of Reduction Mammaplasty: Do Postoperative Complications of Breast Reduction Surgery Negatively Affect Patient Satisfaction?

Reduction mammaplasty can provide symptomatic relief to patients suffering from macromastia; however, complications such as dehiscence are common. It is unknown if the presence of complications affects patient-reported outcomes. The aim of this study was to determine the risk factors for the development of complications, and to examine the correlation between postoperative complications and patient-reported outcomes in reduction mammaplasty. A single-center retrospective chart review was undertaken of patients who received reduction mammaplasties (CPT 19318), performed by 13 surgeons, between January 2017 and February 2023. Breast cancer cases and oncoplastic reconstructions were excluded. Patients with >1 complication were grouped into the complications cohort. Satisfaction was assessed by administering the BREAST-Q survey. A total of 661 patients were included for analysis, 131 of whom developed at least 1 complication. Patients in the group with complications had significantly higher average ages and BMIs, and a higher likelihood of hypertension and diabetes (P < .01). Among 180 BREAST-Q responders, 41 had at least 1 complication. There were no significant differences between the 2 groups (complications vs no complications) across survey outcomes. Although obese patients were more likely to develop infection and require revisions (P < .01), no significant differences in subgroup analysis of patient-reported outcomes focusing on obese patients were observed. Obesity, hypertension, and diabetes were associated with postoperative complications of reduction mammaplasty. Patients with complications had similar postoperative BREAST-Q satisfaction to patients without complications. Although risk optimization is critical, patients and surgeons should be reassured that satisfaction may be achieved even in the event of a complication.

The prognosis of iatrogenic saphenous nerve injuries during hamstring tendon harvesting in anterior cruciate ligament reconstruction

PurposeThis study aims to evaluate the long-term outcomes of saphenous nerve (SN) injuries from hamstring tendon harvesting during ACL reconstruction, focusing on clinical results and patient satisfaction after at least two years. Additionally, it investigates the incidence, recovery patterns, and impact of these injuries on functional outcomes, daily activities, and ACL re-rupture rates immediately post-surgery and at final follow-up.Materials and methodsA retrospective review was conducted on patients who had undergone ACL reconstruction with hamstring tendon grafts at a single institution between January 2015 and January 2020. The incidence of SN injuries was assessed immediately after surgery and at final follow-up. Additionally, the recovery rate and time were evaluated, and the impact of these injuries on functional outcomes was measured using the Lysholm Knee Score (LKS) and patient-reported effects on daily activities.ResultsOf the 159 patients analyzed, iatrogenic SN injuries were initially observed in 87 (54.7%) patients post-ACLR. By the final follow-up, paresthesia had resolved in 36 (22.6%) patients within an average of 11.1 months. Persistent SN injuries were recorded in 51 (32.1%) patients, affecting various extents of the infrapatellar branch (IPBSN) and the sartorial branch (SBSN) of the saphenous nerve. Patients with persistent SN injuries experienced a significant impact on daily activities and had lower LKS scores compared to those without injuries or with recovered injuries. Furthermore, a higher re-rupture rate was associated with persistent SN injuries.ConclusionsThe study finds that SN injuries during hamstring graft harvesting for ACL reconstruction are common, with a significant portion of patients experiencing persistent sensory deficits for at least two years postoperatively. These injuries are observed to adversely affect patient satisfaction and functional outcomes and to increase the re-rupture rate.

Cross-Cultural Adaptation of The Indonesian Version Functional Assessment of Denture Instrument as a Measuring Tool for Complete Denture Functional Quality.

Making good quality dentures is necessary to avoid patients' discomfort when adapting to new dentures. Several studies regarding the assessment of the quality of dentures have been carried out in many other countries, such as using the Functional Assessment of Dentures (FAD) by Anastassiadou. However, studies have yet to be conducted in Indonesia. This study aims to obtain a valid and reliable instrument to measure the quality of complete dentures (CDs). This study also aims to find out whether the functional quality of a CD measured with the Indonesian version of the FAD Instrument (PFGT) can affect patient satisfaction in receiving CD treatment (measured with Indonesian version of Patient's Denture Assessment [PDA-Id]) and to find contributing factors to the functional quality of a CD. The study was conducted in two stages. The first stage was a qualitative study using cross-cultural adaptation methods and focus group discussions with experts. The second stage was a quantitative test with a total of 40 subjects for statistical analysis in the form of a kappa test, test-retest, Kuder-Richardson (KR) 20, and a correlation test between PDA-Id and PFG. Multivariate analysis was done to analyze contributing factors to the functional quality of CD. The final instrument was obtained from the qualitative test, which was tested for content and face validation. The interrater kappa test result of 0.828 shows an almost perfect agreement. The results of the intrarater test-retest (0.564; p > 0.05; intraclass correlation coefficient 0.889) showed excellent instrument stability. The results of the internal consistency test with Kuder-Richardson 20 (1.08; KR > 1) showed good internal consistency. The correlation test results between PFGT and PDA-Id (0.044; p < 0.05) showed a positive correlation. Multivariate analysis showed a relationship between the quality of the CD, the length of time the CD was used, and the patient's satisfaction with CD treatment. The PFGT instrument is considered a valid and reliable tool to measure the functional quality of a denture that can distinguish between good and bad quality.