Rate Of Complaints Research Articles

The Swallowable Intragastric Balloon Combined with Lifestyle Coaching: Short-Term Results of a Safe and Effective Weight Loss Treatment for People Living with Overweight and Obesity

BackgroundSome patients with overweight or obesity are not eligible for surgery according to international guidelines or do not wish a surgical intervention. For these patients, different treatment options are being explored. In this study, we examined the effectiveness of the swallowable intragastric balloon (IB) combined with lifestyle coaching, in patients living with overweight and obesity.MethodA retrospective data study was conducted on patients with a swallowable IB placement between December 2018 and July 2021, combined with a 12-month coaching program. Before balloon placement, patients underwent multidisciplinary screening. The IB was swallowed and filled with fluid once in the stomach and naturally excreted around 16 weeks.ResultsA total of 336 patients, 71.7% female, were included with a mean age of 45.7 (±11.7) years. Mean baseline weight and BMI were 107.54 (±19.16) kg and 36.1 (±5.02) kg/m2. After 1 year, the mean total weight loss was 11.0% (±8.4). The mean placement duration was 13.1 (±2.82) min, and in 43.7%, a stylet was used to facilitate placement. The most common symptoms were nausea (80.4%) and gastric pain (80.3%). In the majority of patients, complaints were resolved within a week. The early deflation of the balloon occurred in 8 patients (2.4%) of which one showed symptoms suggesting a gastric outlet obstruction.ConclusionGiven the low rate of long-term complaints while providing a positive effect on weight loss, we conclude that the swallowable intragastric balloon, combined with lifestyle coaching, is a safe and effective treatment option for patients living with overweight and obesity.Graphical

Analysis of patients' complaints in primary healthcare centres through the Mawid appl in Riyadh, Saudi Arabia; a cross-sectional study.

The Saudi Ministry of Health launched a central appointment mobile application system (Mawid) that is linked to all primary healthcare (PHC) centres in the kingdom. The application allows patients to evaluate the healthcare services they receive. This study aimed to determine the frequency and nature of the complaints of patients visiting PHC centres through the Mawid application. This cross-sectional study was conducted using 3-month secondary data from the Mawid application. The study included 3134 comments from 380,493 patients who visited 38 PHC centres in Riyadh and responded to the Mawid application evaluation questionnaire. Data were analysed using SPSS version 21. Approximately 59.1% of the patients' comments were negative (patients' complaints); only 19%, positive; 8.40%, mixed; and 13.6%, unrelated. The patients' complaints (n=2969) were obtained from 380,493 patients within 3 months, yielding a complaint rate of 2.6 per 1000 attendances per month. The majority of the complaints (79.3%) were from patients visiting nonspecialised PHC centres. Approximately 59.1% of the complaints fell under the management domain; 23.6%, patient-staff relationship domain; and only 17.2%, clinical domain. Management and interpersonal problems constituted the main patients' complaints in the PHC centres in Saudi Arabia. Therefore, future studies must clarify the reasons contributing to these complaints. Increasing the number of physicians, providing staff training and continuous auditing are mandatory to improve patients' experiences in PHC centres.

Analysis of complaints regarding recreation and animation services in hotel businesses

With the rapid development of digital media, consumer awareness has also soared. People who do not refrain from asking questions and doing research share their complaints not only with institutions but also through online tools. Today, with the increase in complaint channels, the complaint rate is also increasing. In this study, the document analysis was conducted to examine 317 complaints written by hotel business customers on the sikayetvar.com portal, one of the channels through which complaints can be reported online. In the study, consumer complaints were evaluated by expressing a complaint, waiting for a solution, and warning. It also analyzed complaint issues in staff, location, physical facilities, fees, and activity management. The study found that the most common purpose of the complaints was to express grievances. In the analysis of the subject of complaints, the variety of activities, the inadequacies of the animation areas, and the behavior of the staff was identified as the most problematic issues.

Epidemiology of oral health in Korean elderly and their significance

Evidence shows oral health is essential for preventing general frailty and increasing healthy life expectancy.In this study, the oral health of the elderly over sixty-five years old was examined through representative indi-cators selected in the 5th National Health Plan(HP2030). Data from the 5th (2010-2012), 6th (2013-2015), 7th (2016-2018), and 8th (2019) Korea National Health and Nutrition Examination Surveys were used. The subjects were aged sixty-five years or older, and the percentage of having twenty or more natural teeth, the complaint rate of chewing discomfort, the rate of brushing right after lunch, and the rate of oral examination were calcu-lated by year.The percentage of people aged sixty-five or older with twenty or more teeth increased from 45.8% in 2010 to 56.3% in 2019. Also, the complaint rate of chewing discomfort decreased from 44.3% in 2010 to 37.0% in 2019. The practice rate of tooth brushing right after lunch increased from 24.6% in 2010 to 34.5% in 2019.Meanwhile, the oral examination rate increased from 12.2% in 2010 to 28.1% in 2019.The level of oral health of Korean elderly over 65 is improving. Nevertheless, almost half of all older adults do not have 20 or more natural teeth. Also, the degree of discomfort experienced in chewing did not decrease significantly. Therefore, continuous efforts are needed to improve the oral health problems of the elderly.

Characterizing Single-star Negative Online Reviews of Orthopaedic Trauma Association Members.

The purpose of this study was to characterize factors that contribute to 1-star negative reviews regarding orthopaedic trauma surgeons. A search was done for Orthopaedic Trauma Association members on Yelp.com , Healthgrade.com , and Vitals.com in New York, Boston, San Francisco, Los Angeles, Dallas, Phoenix, Seattle, Baltimore, Denver, Houston, Philadelphia, and Washington, DC. All single-star reviews (out of a possible 5 stars) were included in this study. Reviews were categorized as either clinical or nonclinical and then further subcategorized. Categorical variables were analyzed using a chi-square test. The rate ratio (the ratio of the rate for nonsurgical divided by surgical reviews) was determined for each category. Two hundred eighty-eight single-star reviews were included in the study, comprising 655 total complaints. Of all complaints, 274 (41.8%) were clinically related and 381 (58.2%) were nonclinical. Of the 288 single-star reviews, 96 (33.3%) were from surgically treated patients and 192 (66.7%) were from nonsurgical patients. Most complaints were in reference to nonclinical aspects of care such as physician bedside manner (173 reviews, 60%), not enough time spent with provider (58 reviews, 20%), and wait time (42 complaints, 15%). The most common clinical complaints were for complication (61 reviews, 21%), disagree with decision/plan (49 reviews, 17%), and uncontrolled pain (45 reviews, 16%). Surgical patients had a significantly higher rate of clinical complaints than nonsurgical patients (1.57 vs. 0.64 clinical complaints per review, P < 0.001). Nonsurgical patients had a significantly higher rate of nonclinical complaints than surgical patients (1.43 vs. 1.10 nonclinical complaints per review, P < 0.001). Most 1-star reviews referenced a nonclinical aspect of care with a physician's bedside manner being the most common complaint. Surgical patients were markedly more likely to reference a clinical aspect of care, such as complications or misdiagnosis compared with nonsurgical patients, who more commonly referenced nonclinical aspects of care.

Complaints, Restraint, and Seclusion in Massachusetts Inpatient Psychiatric Facilities, 2008-2018.

There has been limited research on the quality of inpatient psychiatry, yet policies to expand access have increased, such as the use of Medicaid Section 1115 waivers for treatment in "Institutions for Mental Disease" (IMD). Using data from public records requests, we evaluated complaints, restraint, and seclusion from inpatient psychiatric facilities in Massachusetts occurring from 2008 to 2018, and compared differences in the rates of these events by IMD status. There were 17,962 total complaints, with 48.9% related to safety and 19.9% related to abuse (sexual, physical, verbal), and 92,670 episodes of restraint and seclusion. On average, for every 30 census days in a given facility, restraint, and seclusion occurred 7.47 and 1.81 times, respectively, and a complaint was filed 0.94 times. IMDs had 47.8%, 68.3%, 276.9%, 284.8%, 183.6%, and 236.1% greater rates of restraint, seclusion, overall complaints, substantiated complaints, safety-related complaints, and abuse-related complaints, respectively, compared to non-IMDs. This is the first known study to describe complaints from United States inpatient psychiatric facilities. Policies should strengthen the implementation of patients' rights and patient-centeredness, as well as external critical-incident-reporting systems.

Disease-Modifying Antirheumatic Drugs in the Treatment of Autoimmune Inner Ear Disease: A Systematic Review and Meta-Analysis of Auditory and Vestibular Outcomes.

To answer the following question: In patients with primary autoimmune inner ear disease (AIED), (population) what impact do disease-modifying antirheumatic agents (DMARDs) (intervention) when compared with no treatment or corticosteroids (comparison) have on auditory and vestibular outcomes (outcome)? Systematic review and meta-analysis. According to PRISMA guidelines, PubMed, Scopus, CINAHL, and Cochrane Library databases were searched from inception to March 10, 2022. Studies of patients receiving DMARDs for the treatment of AIED were selected for review. Case reports, phase I/II trials, studies of patients with secondary AIED, and studies of AIED patients receiving solely corticosteroids were excluded. Primary outcomes were pure-tone audiometry and speech discrimination scores at baseline and after DMARD treatment. Secondary outcomes were rates of subjective audiovestibular complaints and rates of adverse reactions. No objective vestibular outcomes underwent meta-analysis. Mean differences were calculated using RevMan 5.4. Heterogeneity was assessed with the Q test and I2 statistic. Pooled prevalence rates of audiovestibular symptoms were expressed as a percentage with 95% confidence intervals. Ten studies with a total of 187 patients were included. Treatments included methotrexate, etanercept, azathioprine, anakinra, cyclophosphamide, rituximab, and infliximab. Mean treatment duration was 10.8 ± 22.2 months and mean follow-up was 13.7 ± 8.1 months. The pure-tone audiometry and speech discrimination scores mean differences between baseline and post-DMARD were -2.1 [-4.1, -0.1] dB and 13.9 [8.5, 19.4] %, respectively. Seven studies reported 38 adverse events, four of which were classified as serious. DMARDs showed statistically significant improvement in auditory outcomes, as well as subjective symptoms, with relatively low rates of adverse events. They warrant further exploration to better compare with corticosteroids.

A randomized trial of one versus three hyperbaric oxygen sessions for acute carbon monoxide poisoning

Introduction: Hyperbaric oxygen (HBO2) improves outcome in patients with acute carbon monoxide (CO) poisoning, but optimal dose/timing are unknown. In this double-blind, sham-controlled randomized trial, we compared neuropsychological sequelae at 6 weeks and 6 months in patients receiving 3 HBO2 sessions or 1 HBO2 session and 2 sham chamber sessions after acute CO poisoning. Methods: After completing 1 HBO2 session (3.0 ATA, 60 minutes, 2.0 ATA, 65 minutes), CO-poisoned patients were randomized (1:1): 2 sham chamber sessions (1 ATA air, 120 minutes) or 2 additional HBO2 sessions (2.0 ATA, 90 minutes at pressure, 120 minutes in chamber) completed within 24 hours. Eligible patients were &lt;24 hours from accidental poisoning, English-speaking, and not intubated. We planned 150 participants. Results: The study was stopped early for enrollment futility. From 2006-2016, we screened 395 patients, 136 were deemed eligible to participate, and 75 signed informed consent. Two were later withdrawn for past brain injury/PTSD (1 sham, 1 HBO2), and 1 for performance validity (sham). Of the 72 analyzed, mean age was 42±15 years, 40 (56%) were male, 20 (28%) had loss of consciousness, and mean initial carboxyhemoglobin was 22±9%. The rate of 6-week neuropsychological sequelae was 50% in the 1 HBO2 session group and 55% in the 3 HBO2 sessions group (p=0.80), and at 6 months was 42% vs 46%, respectively (p=0.76). Conclusions: There was no difference in the rate of neuropsychological sequelae in those who received 3 HBO2 sessions and those who received 1 HBO2 sessions and 2 sham sessions. The higher rate of neuropsychological sequelae compared to an earlier study may be due to neuropsychological test-retest effects or previously identified risk factors for cognitive sequelae (age, duration of poisoning, cerebellar dysfunction). This study’s rates of cognitive difficulties, affective complaints, and other symptoms suggest brain injury after CO poisoning is common.

Pattern of Various Male Breast Diseases in a Tertiary Care Centre of Aurangabad District, Maharashtra, India- A Prospective Interventional Study

Introduction: A small percentage of men are affected by breast diseases and awareness of male breast disease is less and presentation is often delayed due to embarrassment. The most common presentation is gynaecomastia, where cosmetic correction is sought. Over the last two decades the rate of male breast complaints increased from 0.8% to 2.4%, while 1% of all breast cancer occur in males. Aim: To study the pattern of various male breast diseases in a tertiary care centre of Aurangabad District in Maharashtra, India. Materials and Methods: This prospective clinical interventional study was carried out in 44 male patients above age of 12 years coming with complaints related to breast to Department of General Surgery of Government Medical College, Aurangabad from 1st August 2017 to 31st July 2019. Detailed history was taken and any underlying causative disease/risk factor or medication if any was noted. Thorough clinical examination and laboratory investigations were done. Ultra-sonography of breast was done in all patients. Mammography was done in three patients who were having clinical suspicion of malignancy. Continuous variables were presented as mean, Standard Deviation (SD) or median if the data is unevenly distributed. Categorical variables are expressed as absolute numbers and percentages. Data was analysed using Statistical Package for the Social Sciences (SPSS) version 17.0. Results: The youngest patient was 12 years old and eldest was 85 years old. In the present study, 38 benign and 6 malignant male breast diseases were diagnosed. Out of total, 33 had gynaecomastia, 2 had breast abscess, 5 Infiltrating duct carcinoma and 1 each of mastitis, eczema of nipple, sebaceous cyst of areola and primary breast sarcoma. Out of 44 patients, 12 patients underwent surgery for benign and malignant breast diseases, 24 patients of gynaecomastia were managed by reassurance, 5 males with infiltrating ductal carcinoma were managed by modified radical mastectomy and 3 patients by medical therapy. Conclusion: It was concluded that benign male breast diseases were more common and ultrasound together with mammography should be used to differentiate characteristics of benign and malignant male breast lesions.

Post-COVID-19 condition in the German working population: A cross-sectional study of 200,000 registered stem cell donors.

The SARS-CoV-2 pandemic has strained health systems worldwide, and infection numbers continue to rise. While previous data have already shown that many patients suffer from symptoms for months after an acute infection, data on risk factors and long-term outcomes are incomplete, particularly for the working population. We aimed to provide information on the prevalence of post-COVID-19 conditions in a subset of the German working-age population (18-61 years old) and to analyze risk factors. We conducted an online survey with a health questionnaire among registered potential stem cell donors with or without a self-reported history of polymerase chain reaction (PCR)-confirmed SARS-CoV-2 infection. Logistic regression models were used to examine the risks of severity of acute infection, sex, age, body mass index, diabetes mellitus, and arterial hypertension medication on post-COVID-19 symptoms. A total of 199,377 donors reported evaluable survey questionnaires-12,609 cases had a history of SARS-CoV-2 infection and 186,768 controls had none. Overall, cases reported physical, cognitive, and psychological complaints more frequently compared to controls. Increased rates of complaints persisted throughout 15 months postinfection, for example, 28.4%/19.3% of cases/controls reported fatigue (p<0.0001) and 9.5%/3.6% of cases/controls reported loss of concentration (p<0.0001). No significant differences were observed in the frequency of reported symptoms between 3 and 15 months postinfection. Multivariate analysis revealed a strong influence of the severity of the acute SARS-CoV-2 infection episode and age on the risk for post-COVID-19 conditions. We report the prevalence of post-COVID-19 conditions in mainly unvaccinated individuals with SARS-CoV-2 infections between February 2020 and August 2021. The severity of the acute course and age were major risk factors. Vaccinations may reduce the risk of post-COVID-19 conditions by reducing the risk of severe infections.

Multi-View High Precise 3D Human Body Reconstruction Method for Virtual Fitting

Online shopping has experienced rapid development recently. However, compared to offline shopping, the return rate and complaint rate of online shopping are much higher, especially for online clothes shopping. In order to solve this problem, virtual fitting technology arises at the right moment, and 3D human modeling is a crucial part of virtual fitting technology. The reconstruction of the parametric 3D human models often faces challenges as long fitting time, low accuracy and fuzzy depth information. Although the reconstruction of nonparametric 3D human model has improved accuracy and detail to some extent, such models typically lack flexibility and controllability. Therefore, this paper reconstructs a high-precision parametric 3D human model by proposing a multi-view iterative registration strategy based on pose prior estimation, which is integrated with a nonparametric 3D human model based on implicit functions. The resulting model retains not only high-precision and detail but also high flexibility and controllability, which has achieved a good effect on the application of 3D virtual fitting. The proposed method is tested on the open-source 3D human body dataset multi-garment network (MGN). The Chamfer distance of the SMPL mannequin reconstructed from multiple views can reach 2.18[Formula: see text]cm and the per-vertical-error can reach 1.63[Formula: see text]cm.

Analysis of Negative Reviews of Orthopedic Oncology Surgeons: An Investigation of Reviews from Healthgrades, Vitals, and Google.

Physician review websites (PRWs) are increasing in usage and popularity. Our purpose is to characterize one-star reviews of orthopedic oncology surgeons to understand factors in healthcare that contribute to patient satisfaction. Orthopedic oncology surgeons were randomly selected from the Musculoskeletal Tumor Society. A search for one-star reviews was performed on Google Reviews, Healthgrades, and Vitals.com. Reviews were classified as clinical or nonclinical. Statistical analyses were performed regarding the frequency of reviews and complaints for each category. Of the 7,733 reviews discovered, 908 (11.7%) were identified as one-star reviews. Of 907 usable complaints, 362 (40.8%) were clinical and 545 (59.2%) were nonclinical. The most common nonclinical complaints included bedside manner (65%) and limited time with providers (19%). The most common clinical complaints included complications (26%) and disagreements with the treatment plan (26%). There were 120 surgical and 221 nonsurgical reviews. Surgical patients had a higher rate of clinical complaints. Nonsurgical patients had a higher rate of total complaints. To the best of our knowledge, this is the first study examining PRWs regarding orthopedic oncology surgeons. Most one-star reviews were due to nonclinical complaints from nonsurgical patients. The most common factors are bedside manner, limited time with provider, phone communication issues, and rude/unprofessional conduct.

Impact of the Destination Weather Conditions on Decision and Complaint Behavior of Guests Who Booked Vacation Rentals

Climate and weather conditions at a destination influence the decision regarding what season and which location tourists might travel to. Assuming that the holiday experiences and satisfaction during their stay are influenced by weather and climate as well, this study investigates the question: does bad weather lead to a higher complaint rate among guests who booked vacation rentals? To answer this question, the complaint behavior and the weather parameters temperature, precipitation, wind speed and humidity are examined. The correlations between weather and complaining behavior are proven using the four-field coefficient. The chi-square four-field test is used to subsequently test independence. As a result, a correlation between the weather parameters and complaints cannot be proven based on the applied methods and used data. The four-field coefficient cannot confirm a correlation, as it is close to zero for all four weather parameters. For further investigations, more complaint data are required to obtain more significant results.

Impact of psychosocial, behavioral and lifestyle factors on subjective cognitive complaints and perceived quality of life in a large cohort of Italian breast cancer patients.

The impact of psychosocial and behavioral factors on Cancer Related Cognitive Impairment manifestations is still under debate. Study's purpose is to determine the prevalence rate of cancer related cognitive impairment in a cohort of Italian breast cancer patients and to evaluate the implication of specific behavioral factors. For these purposes, a total of 233 women (106 breast cancer patients and 127 age-matched controls without oncological diagnosis) completed a questionnaire investigating cognitive functionality (FACT-Cog v3.0), sociodemographic characteristics, clinical information, psychosocial and behavioral factors (cognitive reserve, sleep quality, dietary habits, physical activity). The results indicated a higher prevalence rate of subjective cognitive complaints in breast cancer patients (37%) compared to a representative sample of women in the same age group without an oncological diagnosis (p < 0.001). Moreover, breast cancer patients showed significantly lower levels of cognitive reserve (p < 0.05) and worse sleep quality (p < 0.01) compared to age-matched controls. Further analysis revealed that breast cancer patients reporting subjective cognitive complaints differed significantly from breast cancer patients without subjective cognitive complaints on measures of perceived cognitive abilities (p < 0.001) and on the impact of cognitive difficulties on perceived quality of life (p < 0.01). Future studies are needed to examine behavioral directed interventions to prevent subjective cognitive deficits in breast cancer patients.

Quality Performance Indicators Evaluation and Ranking by Using TOPSIS with the Interval-Intuitionistic Fuzzy Sets in Project-Oriented Manufacturing Companies

Project-oriented manufacturing companies aim to produce high-quality products according to customer requirements and a minimum rate of complaints. In order to achieve this, performance indicators, especially those related to product quality, must be measured and monitored by managers. This research proposes a fuzzy multi-criteria model for the selection of key performance indicators that are critical to product quality. The uncertainties in the relative importance of decision-makers, performance indicators, and their values are described by sets of natural language words that are modeled by the interval-valued intuitionistic fuzzy numbers. The assessment of the relative importance of the decision-makers and the determination of their weights are based on the inclusion comparison probability between the closeness intuitionistic fuzzy sets. The determination of the weights vector of performance indicators is based on the integration of an interval-value fuzzy weighted geometric operator and the inclusion comparison probability between the closeness intuitionistic fuzzy sets. TOPSIS expanded with interval-valued intuitionistic fuzzy numbers for ranking performance indicators is proposed. The developed model was tested on the real data collected from three manufacturing companies in the Republic of Serbia. Based on the obtained results, the top-ranked performance indicators were marked as critical for product quality and selected as quality key performance indicators.

LBODP088 The Modified Ferriman-gallway Score Based On Obtained Pictures Is Comparable To In-person Evaluation: An Alternative Tool To Diagnose Hirsutism

Abstract Hirsutism is a common endocrine problem among women of reproductive age. Currently, the gold standard to establish the diagnosis of hirsutism is made through the modified Ferriman-Gallway score (mFG), which demands a trained and in-person evaluation. Other alternatives to determine the presence of hirsutism, such as self-reported questionnaires, have been proposed, but with a high rate of complaints of hair growth in non-hirsute women. Our study aimed to address if the use of images of the nine areas of mFG obtained by mobile phone could offer an alternative way to establish the diagnosis of hirsutism. This is a cross-sectional study approved by the local Ethics Committee (HC-UFMG/ Brazil). All patients from endocrine outpatient clinics were submitted to an initial evaluation of the mFG by two blind examiners, followed by the acquisition of images of the nine areas of mFG using a mobile (Samsung A51, 48 MP) under standard conditions. After being stored, the images of individual patients were submitted to the analysis of mFG for three independent blind examiners. We obtained information about the clinical diagnosis, medications, menses, history of alopecia or complaints about excessive hair growth, anthropometric data, and the recent history of hair removal or discoloration. A cuttoff of mFG of equal or superior to 4 was established as the criteria for hirsutism. Overall, 70 women were evaluated; 21.5% of the patients have a mFG superior or equal to 4. The mean age + SEM was 33.2 + 1.13 years, BMI 32.1 + 0.97 kg/m2. Most of these women (57.1%) have complain about excessive hair growth and 60% have abnormal menstrual cycles. In relation to ethnicity, 21% self-reported white, 32% black, and 47% other background. The (mean + SEM) of mFG was 3.32 + 0.44 ranging from 0 to 16; at the time of the evaluation, 22 patients (31%) had at least one area with a recent hair removal or discoloration. The evaluation of the three independent examiners identified a Fleiss’Kappa agreement of 81.4% with a Kappa index of 0.75 considered good for clinical evaluations. The Bland-Altman analysis used to compare in-person versus image-based approaches, showed a satisfactory concordance between the methods of 0.89 (95% CI from 0.83 to 0.92). The lower limit of agreement of mFG estimated was -2. 08 (95% CI -2.73 to -1.43) and the upper limit of agreement 4.14 (95% CI 3.491 to 4.79). To conclude, we observed an acceptable concordance between the mFG scores established in images obtained by mobiles (analyzed by clinicians) and those assessed in the presence of two trained examiners. Our results support the use of image acquisition of mFG areas as a valid approach for the diagnosis of hirsutism. More studies are necessary to make possible to use this resource in epidemiological studies or to improve the management of hirsute patients. Presentation: No date and time listed

Personality characteristics associated with satisfaction with healthcare and the wish to complain

BackgroundThere is increasing evidence that satisfaction with healthcare and complaint rates vary with patients’ socio-demographic characteristics. Likewise, patient personality might influence the perception of health care; however, empirical research has been scarce. The aim of this study was to investigate associations between health care user personality and satisfaction with care and urge to complain.MethodsThis study is a randomized survey among Danish men aged 45 to 70 years (N = 6,756; 30% response rate) with hypothetical vignettes illustrating different courses of healthcare. Assuming they received the care described in vignettes, participants rated their satisfaction and wish to complain on a five-point Likert scale. Information on personality characteristics was obtained through self-reports using the standardized Big Five Inventory-10 (BFI-10).ResultsIn multivariate analyses, we found respondents with higher scores on the agreeableness dimension expressing greater satisfaction with care (Likert difference 0.06, 95% CI 0.04 to 0.07; p < 0.001) and decreased wish to complain (-0.07, 95% CI -0.08 to -0.05; p < 0.001) while high neuroticism scores were associated with less satisfaction (-0.02, 95% CI -0.03 to -0.00, p = 0.012) and an increased wish to complain about healthcare (0.04, 95% CI 0.03 to 0.06, p < 0.001). Interaction analyses could demonstrate no statistically significant interaction between the level of patient involvement in decision making in the scenarios and the effect of personality on respondents' satisfaction and wish to complain. Generally, however, when adjusting for personality, respondents’ satisfaction increased (P < 0.001) with greater patient involvement illustrated in case scenarios while the wish to complain decreased (P < 0.001).ConclusionOur findings suggest low agreeableness and high neuroticism scores are associated with lower patient satisfaction with healthcare and increased wish to complain. Irrespective of personality, however, the wish to complain seems responsive to changes in patient involvement, underscoring the importance of inclusive healthcare communication.

PO148 / #309 EVALUATION OF SPINAL CORD STIMULATION THORACOLUMBAR COMPRESSION FRACTURE AND SPINAL CANAL STENOSIS: E-POSTER VIEWING

According to the 2019 National Survey on Basic Living Conditions by the Ministry of Health, Labor and Welfare, low back pain is a common disease with the complaint rate ranking the first for men and the second for women. Relating the orthopedic diseases of low back pain, many patients visit medical institutions, with thoracolumbar compression fracture and lumbar spinal canal stenosis caused by osteoporosis. However, many patients do not respond to analgesics and nerve block injections, and hesitate to undergo surgery with consideration of the risks associated with age and underlying diseases.

Impairment of Vestibular Function in Patients with Vestibular Schwannoma According to the Presence of Dizziness

Objectives: Vestibular schwannoma (VS) is a benign Schwann cell-derived slow growing tumor originating from the vestibular nerve. Here, we aimed to investigate the correlation between the presence of the dizziness symptoms and several vestibular function test results.Methods: We analyzed 32 patients who diagnosed with VS from 2010 to 2021 in our hospital. Caloric test, cervical vestibular-evoked myogenic potential (cVEMP) test, and video head impulse test (vHIT) were analyzed.Results: Age, sex, pure tone audiometry, and tumor size did not show any statistical significance according to the presence or absence of dizziness. There was also no association between the presence of dizziness symptom or dizziness type and the results of the caloric test, vHIT, and cVEMP test, respectively. However, patients with dizziness had a higher rate of tumors confined to the inner auditory canal than those without dizziness.Conclusions: In this study, the rate of complaints of dizziness was higer in patients with intracanalicular VS. The diagnostic role of vestibulsr function tests in VS is limited. The dissociation of the results of caloric test, vHIT, and cVEMP test suggest that these test are complementary.

When Hotel Guests Complain About Tobacco, Electronic Cigarettes, and Cannabis: Lessons for Implementing Smoking Bans.

We analyzed reviews on tripadvisor.com from a random sample of N = 477 hotels in ten large cities in the US to examine how well existing policies protect guests from exposure to tobacco, electronic cigarette, and cannabis (TEC) smoke. We examined the association between complaints per 100 reviews with hotel smoking policies, star rating, cost, brand, and location. Of all TEC complaints, 80% were associated with thirdhand smoke residue lingering in hotels from previous guests. Compared to the hotel brands with the best records, the two worst-performing brands had 3.4- and 3.6-times higher complaint rates (P < .001). Hotels with ≤2-star ratings had twice the complaints as higher-rated hotels (P < .001). Compared to 100% smokefree hotels, those offering designated smoking rooms had a 35% higher rate of complaints (P < .05). The success of some hotel brands demonstrates it is feasible to protect guests by fully committing to, implementing, and enforcing 100% smokefree building policies.