Questionnaire In November Research Articles

Factors associated with mosquito-borne disease protective behaviour in metropolitan France

Abstract Background Mosquito-borne diseases (MBD) are increasing and expanding their range throughout metropolitan France. Promoting individual protective behaviour is imperative, but research on its determinants is limited to southern regions. This study examines factors influencing MBD protective behaviour in the metropolitan French population. Methods 2,087 subjects responded to a self-administered online questionnaire in November 2023. The analysis plan was pre-registered. We fitted two mixed effects models to estimate the frequency and count of protective behaviours across sociodemographic groups and to identify which factors predict protective behaviour. Results Frequency of protective behaviour is significantly positively associated with getting bitten by mosquitoes often (β = 3.39; 95% CI: 3.10, 3.69) and sometimes (β = 1.54; 95% CI: 1.31, 1.76) compared to almost never, perceived MBD threat (β = 0.11; 95% CI: 0.06, 0.15), and having financial difficulties (β = 0.23; 95% CI: 0.02, 0.43). Count of protective behaviours is associated with getting bitten by mosquitoes often (β = 0.39; 95% CI: 0.30, 0.49) and sometimes (β = 0.14; 95% CI: 0.05, 0.23), perceived MBD threat (β = 0.02; 95% CI: 0.00, 0.03), MBD knowledge (β = 0.06; 95% CI: 0.04, 0.08), and having a chronic disease (β = 0.08; 95% CI: 0.02, 0.14). Models were adjusted for place of residence, education, and age. No associations were found between sex, having experienced an MBD, or confidence in public authorities to manage health crises. Conclusions This study provides the first insights into MBD protective behaviour and its associated factors considering all metropolitan French regions. Our results highlight several factors which may inform MBD prevention communication and policies focused on increasing individual protective behaviour. Key messages • People often bitten by mosquitoes are more likely to engage in more frequent and a higher number of mosquito-borne disease protective behaviour than people almost never bitten by mosquitoes. • Higher perceived mosquito-borne diseases threat is associated with more frequent and a higher number of mosquito-borne disease protective behaviour.

Association between childhood abuse and risk of post-COVID-19 conditions: Results from three large prospective cohort studies

BackgroundSignificant early life adversities, such as childhood sexual and physical/emotional abuse, are associated with risk of poor health outcomes but are understudied risk factors for post-COVID-19 conditions. In this prospective study, we examined the associations between combined exposure to sexual and physical/emotional abuse during childhood with risk of post-COVID-19 conditions in adulthood. Additionally, we explored the extent to which lifestyle, health-related and psychological factors explain this association. MethodsWe used data from three large, ongoing cohorts: Nurses’ Health Study (NHS)-II, NHS3, and the Growing Up Today Study. Between April 2020 and November 2021, participants responded to periodic COVID-19 surveys. Participants were included if they responded to a questionnaire about childhood abuse, subsequently tested positive for SARS-CoV-2 infection and responded to questions about post-COVID-19 conditions. Childhood sexual abuse was measured before the COVID-19 pandemic with the Sexual Maltreatment Scale of the Parent-Child Conflict Tactics Scale, and physical/emotional abuse was measured with the Physical and Emotional Abuse Subscale of the Childhood Trauma Questionnaire. Post-COVID-19 conditions, defined as COVID–19–related symptoms lasting 4 weeks or longer (e.g., fatigue, dyspnea), were self-reported in the final COVID-19 questionnaire in November 2021. Sexual abuse and physical/emotional abuse were examined separately and jointly in relation to post-COVID-19 conditions. Data on key lifestyle (e.g., cigarette smoking), health-related (e.g., asthma, diabetes), and psychological factors (e.g., depression and anxiety) were obtained. ResultsOf 2851 participants, the mean age (range) was 55.8 (22.0–75.0) years; 2789 (97.8 %) were females, and 2750 (96.5 %) were whites. We observed a dose-dependent relationship between severity of childhood abuse and post-COVID conditions (p-trend:<0.0001); participants with severe versus no childhood abuse had a 42 % higher subsequent risk of post-COVID conditions [relative risk (95 % confidence interval): 1.42 (1.25 to 1.61)]. Key lifestyle, health-related, and psychological factors mediated 25.5 % of this association. Both sexual and physical/emotional abuse, were independently associated with post-COVID conditions. ConclusionsIn this prospective study of 2851 participants, childhood abuse was significantly associated with increased risk of post-COVID conditions. Biological pathways connecting childhood abuse with subsequent risk of post-COVID conditions should be investigated.

IJCM_260A: Utilization of dbt(direct benefit transfer) under Nikshay poshan yojana by tuberculosis patients attending to tuberculosis unit in a government general hospital.

Background: Nikshay Poshan Yojana was launched by MoH&amp;FW, a centrally sponsored scheme under National Health Mission (NHM)on April 2018. Under the programme financial incentive of Rs.500/- per month is given for each notified TB patient, whether treated in public or private sector notified on the Nikshay platform. This study aims to understand the utilization of NPY. Objectives: 1. To know the purpose of utilizing the NPY by the TB patients. 2. To assess the gaps for delay in credit the amount. Methodology: It’s a cross-sectional study done among patients who were registered at DTC-TB unit of Government Medical College Kakinada through telephonic interview. Sample size was estimated to be 64 taking prevalence of NPY as 80% with absolute error of 10%. Data was collected by using questionnaire in November 2023 and analyzed by SPSS 21.0. Prior permission from Institutional Ethics committee was obtained. Results: Mean age of participants was 41.4+12.4yrs. Males contributing 85.4% and females 14.6%. Nearly half (48%) has taken 2months of treatment, 97.9%were under category I treatment and all were enrolled under NPY. Awareness on NPY was 79.2% and 95.8% reported irregularity in getting NPY. Out of those who received NPY, only 42.1% utilized it for nutrition. Conclusion: DBT enrolment was good. Availability of DBT to the patients was very minimal.

Attitudes toward and management of fibromyalgia: A national survey of Saudi Arab's medical practitioners.

Widespread pain is characteristic of fibromyalgia. Patients consult different specialities, and hence, diagnosis and treatment is often delayed. To evaluate and assess the attitudes and management of fibromyalgia among medical practitioners in Saudi Arabia a cross-sectional study was conducted through an online questionnaire in November 2021. Screening demographics included age, sex, place of work, speciality, year of graduation, and practical experience. Questions about fibromyalgia (general knowledge and management, ACR criteria 2010, essential symptoms, diagnosis, and treatment) were also part of the questionnaire. There were 103 respondents, out of which 88(85.4%) have heard about fibromyalgia and 21(20.4%) had managed cases of fibromyalgia, while 32(31.1%) knew about the 2010 ACR diagnostic criteria. Commonest reported characteristics of fibromyalgia were excessive fatigue 74(71.8%), widespread pain 71(68.9%), weakness 54(52.4%), and sleep disturbance 38(36.9%). About 76(73.8% reported it is a clinical diagnosis and 75(72.6%) reported having the knowledge about the treatment of fibromyalgia. It was concluded that 88(85.4%) practitioners know fibromyalgia. However, knowledge about the diagnosis and treatment of fibromyalgia was not satisfactory.

Breast Cancer Survivors and COVID-19: Prevalence and Risk of Severe Disease in a Screening Study.

Determining the risk of severe course coronavirus disease 2019 (COVID-19) and its related factors in survivors of common cancers such as breast cancer is important. This study has been designed to evaluate the prevalence of COVID-19 infection in breast cancer survivors and also estimate the risk of severe disease in this population. Out of 6134 patients in the Shiraz Breast Cancer Registry (SBCR), A total of 292 patients who elapsed less than a year from their breast cancer diagnosis were excluded. We called 5842 patients. Finally, 4135 breast cancer survivors who agreed to cooperate were screened for COVID-19 symptoms by a symptom-based questionnaire in November 2020. COVID-19 in symptomatic participants was confirmed by a polymerase chain reaction (PCR) test. The clinical and paraclinical data of the COVID-19 course were collected for patients with a positive PCR test. A total of 247 (5.9%) participants had at least reported one of the COVID-19 symptoms. Also, 17% of symptomatic participants had a positive PCR test; 83.7% had mild disease, 9.5% moderate, and 16.7% had severe conditions. Chronic cardiovascular disease, hypertension, and diabetes were related to an increased risk of severe illness ( P = 0.018, P = 0.018, P = 0.002). This study suggests that breast cancer intermediate and longtime survivors without other underlying diseases are considered at low risk for developing severe/critical COVID-19.

Overtourism in a City Destination from the Perspective of Entrepreneurs: Evidence from Wroclaw, Poland

This study investigates how overtourism, as perceived by entrepreneurs operating in the local tourism economy, manifests itself in a large city – Wroclaw (Poland). Data were collected via a questionnaire in November 2021. The study reveals overtourism symptoms in Wroclaw, while their influence on selected city features is not recognized by entrepreneurs as a threat. Negative and positive effects of tourism in Wroclaw are identified on the basis of research that considered (via nonprobability sampling) the opinions of entrepreneurial representatives participating in tourism organization and service from several sectors of the tourism economy. The findings presented here will help mitigate the above issues while neutralizing the threat of overtourism and its negative impacts.

COVID-19 vaccines-related adverse events and associated factors reported among adult Egyptians

COVID-19 vaccine recipients are more likely to experience post-vaccination adverse events, which are considered the source of concerns about vaccine safety. This study aims to describe the utilization of COVID-19 vaccines and the associated adverse events and their possible predictors among adult Egyptians. An online cross-sectional study was designed to collect data through a Google Form questionnaire in November 2021. Adults who received at least one dose of the COVID-19 vaccine were asked to report their experience with vaccination and associated adverse events. A total of 853 participants were included in the study after receiving Sinopharm/Sinovac (63%), AstraZeneca (27%), Pfizer-BioNTech (4.8%), and other vaccines (5.2%). Around 50% of participants thought that COVID-19 vaccines were safe, 30.8% advised others with vaccination, and 68.3% reported post-vaccination adverse events. The most commonly encountered adverse symptoms were injection site pain (82.5%), fatigue (67.4%), flu-like symptoms (59.6%), and bone and muscle pains (59.6%). Most adverse events were less likely reported by Sinopharm/Sinovac recipients than recipients of other vaccines. The significant predictors for reporting adverse events were female gender, the first dose of vaccination, and vaccine type (AstraZeneca versus Sinopharm/Sinovac) with multivariable-adjusted OR (95% CI) = 1.85 (1.34-2.54); 2.01 (1.24–3.25), and 3.86 (2.54–5.86). Findings revealed that adverse events of COVID-19 vaccines are common. Sinopharm/Sinovac recipients were reported to have lesser adverse events than other recipients. However, serious reactions were rare which ensures the safety of all vaccine types among the adult Egyptian population.

Frail Older Adults without Occupational Dysfunction Maintain Good Subjective Well-Being: A Cross-Sectional Study.

The purpose of this cross-sectional study was to clarify the relationship between frailty/occupational dysfunction (OD), both with and without, and subjective well-being among community-dwelling older adults. A total of 2308 (average age: 72.2 ± 5.1, female: 47.0%) independently living older adults in Kasama City, Japan, completed a self-administered questionnaire in November 2019. OD, frailty, and subjective well-being were assessed. Participants were classified into six groups: robust and healthy occupational function (HOF), robust and OD, pre-frail and HOF, pre-frail and OD, frail and HOF, and frail and OD. To examine the relationship between frailty/OD and subjective well-being, we performed an analysis of variance with subjective well-being as the dependent variable and with and without frailty/OD (six groups) as the independent variables. The results showed a significant association between with and without frailty/OD and subjective well-being in community-dwelling older adults. The subjective well-being of the pre-frail and HOF group was significantly better than that of the robust and OD group. Furthermore, the subjective well-being of the frail and HOF group was significantly better than that of the pre-frail and OD group. These results can be used to develop a new support method for frailty.

Trends in social exposure to SARS-Cov-2 in France. Evidence from the national socio-epidemiological cohort-EPICOV.

We aimed to study whether social patterns of exposure to SARS-CoV-2 infection changed in France throughout the year 2020, in light to the easing of social contact restrictions. A population-based cohort of individuals aged 15 years or over was randomly selected from the national tax register to collect socio-economic data, migration history, and living conditions in May and November 2020. Home self-sampling on dried blood was proposed to a 10% random subsample in May and to all in November. A positive anti-SARS-CoV-2 ELISA IgG result against the virus spike protein (ELISA-S) was the primary outcome. The design, including sampling and post-stratification weights, was taken into account in univariate and multivariate analyses. Of the 134,391 participants in May, 107,759 completed the second questionnaire in November, and respectively 12,114 and 63,524 were tested. The national ELISA-S seroprevalence was 4.5% [95%CI: 4.0%-5.1%] in May and 6.2% [5.9%-6.6%] in November. It increased markedly in 18-24-year-old population from 4.8% to 10.0%, and among second-generation immigrants from outside Europe from 5.9% to 14.4%. This group remained strongly associated with seropositivity in November, after controlling for any contextual or individual variables, with an adjusted OR of 2.1 [1.7-2.7], compared to the majority population. In both periods, seroprevalence remained higher in healthcare professions than in other occupations. The risk of Covid-19 infection increased among young people and second-generation migrants between the first and second epidemic waves, in a context of less strict social restrictions, which seems to have reinforced territorialized socialization among peers.

Factors Associated with Anxiety and Depression Among Micro, Small, and Medium Enterprise Restaurant Entrepreneurs Due to Thailand's COVID-19-Related Restrictions: A Cross-Sectional Study.

PurposeCOVID-19 has become a global pandemic. Since the Thai government announced its pandemic-related restrictions, economic indicators have inevitably been impacted. Micro, small, and medium enterprise (MSME) entrepreneurs have adapted to the unexpected changes, undoubtedly requiring government assistance. Therefore, this study assessed the prevalence of anxiety and depression in MSME restaurant entrepreneurs after the government announced its COVID-19-related restrictions.Patients and MethodsAn online questionnaire was developed and distributed to MSME entrepreneurs’ restaurants in Songkhla province, southern Thailand, in November 2021. Thai Hospital Anxiety and Depression Scales (Thai HADS) were used to assess the prevalence of anxiety and depression. Multiple logistic regression was used to analyze the factors associated with depression and anxiety, and the adjusted odds ratio (OR) for both variables was reported at a P-value < 0.05 for significance.ResultsIn total, 181 MSME restaurant entrepreneurs responded to our online questionnaire in November 2021. The prevalence of anxiety and depression was 12.2% and 11.6%, respectively. Participants with a family history of psychological disorders (OR 34.9, P-value 0.003), an underlying disease (OR 7.14, P-value 0.032), a high debt-to-income ratio (OR 73.75, P-value 0.007), or a low education level were more likely to have anxiety. Similarly, participants who had an underlying disease (OR 14.29, P-value 0.032) and lacked access to supportive measures from the government (OR 6.94, P-value 0.009) were more likely to suffer from depression.ConclusionThe period of restrictive policies during the COVID-19 pandemic had a negative impact on MSME restaurant entrepreneurs’ mental health. The factors that were significantly associated with anxiety were debt-to-income ratio and concern about COVID-19 prevention and treatment. The factors that were significantly associated with depression included inadequate access to government aid. Hence, the government should focus on providing and allocating healthcare resources during the COVID-19 pandemic.

GPs education about organ donation: what factors influence the success?

According to the new legislation on organ donation in Germany, general practitioners (GPs) should regularly inform and educate their patients about organ donation from March 1, 2022. This is because of the persistently low organ donation rate in Germany. So far, there is a lack of information about the factors influencing the medical education of patients regarding organ donation provided by GPs. GPs were surveyed via a web-based questionnaire in November and December 2021. 215 data sets have been utilized. GPs see themselves in charge for educating people about organ donation (86%). However, most of them invest little time in educating patients. 75% of GPs think that there is no time available for educational talks in the daily routine and 80% perceive difficulties in raising the issue of organ donation due to social taboos. Only 24% of GPs are aware of the new legislation. Only half of the respondents feel sufficiently informed to provide information about organ donation. On average, GPs consider a reimbursement of about 40 euros to be appropriate. GPs have not dealt much with the topic of organ donation and need more comprehensive information for the education of patients. GPs require more time to accommodate education in everyday life. Younger citizens can only be reached by GPs to a limited extent. This group must be addressed by other means.

Pattern of Health Promotion on Smokers Active to Stop Smoking Interest

Smoking is a cause of mortality and morbidity that can be prevented by the healthcare sector in high-income and middle-income countries. Indonesia ranks third in the list of ten countries with the largest population and consumption of cigarettes in the world after China and India in 2008 according to WHO and continues to increase. Health promotion is an effort to improve the ability of the community through learning from, by, for and with the community, so that they can help themselves, and develop community-based activities, in accordance with local social culture and supported by sound public policy. According to Ajzen and Fishbain, interest is a good predictor of smoking behavior in an individual. The theory of planned behavior (TPB) states that interest or intention is the closest determinant of behavior. The purpose of this study is to know the proportion of Sriwijaya University students who are interested to stop smoking, to know and analyze the dominant health promotion factors that influence the interest of active smokers to quit smoking and to determine health promotion pattern in active smokers to quit smoking. This research is an analytic research with cross sectional study design conducted at Sriwijaya University through distribution of questionnaire in November 2017. The sample of this research is active smokers in Sriwijaya University Palembang were taken by purposive sampling technique. The data obtained were analyzed by univariate analysis, chi square test, and multivariate logistic regression using IBM SPSS statistic version 22. This study obtained 392 respondents who match the inclusion criteria of 16 faculties. The results of statistical tests in this study found a significant relationship between students' interest to stop smoking with ever with the pattern of health promotion in the form of seminars and direct counseling mainly due to health factors, smoking frequency, age start smoking, medical personnel notice, doctor advice, family affection, and bad habits, with a value of p &lt;0.05. The result of multivariate analysis showed that the most dominant health promotion pattern to play a role in the interest of quitting smoking on active smokers is promotion health health pattern. Each faculty should be able to make health promotion in the form of seminar or direct counseling to the community to get more comprehensive result.

Association between Occupational Dysfunction and Social Isolation in Japanese Older Adults: A Cross-Sectional Study.

We clarified the relationship between occupational dysfunction and social isolation among community-dwelling adults. We used a self-administered questionnaire with a cross-sectional study for 2879 independently living older adults in Kasama City, Japan. Participants responded to a self-reported questionnaire in November 2019. Occupational dysfunction and social isolation were assessed. The participants were classified into two groups: healthy occupational function group, and occupational dysfunction group. To examine the relationship between occupational dysfunction and social isolation, we performed a logistic regression analysis with social isolation as a dependent variable and occupational dysfunction as an independent variable. In the crude model, the occupational dysfunction group had a higher risk of social isolation than the healthy occupational function group (odds ratio (OR) = 2.04; 95% confidence interval (CI), 1.63–2.55; p < 0.001). In the adjusted model, the occupational dysfunction group had a higher risk of social isolation than the healthy occupational function group (OR = 1.51; 95% CI, 1.17–1.94; p = 0.001). The results showed that occupational dysfunction was significantly associated with social isolation. These results can be used in constructing a support method for social isolation from a new perspective.

Short-term impact of co-payment level increase on the use of medication and patient-reported outcomes in Finnish patients with type 2 diabetes

A new reimbursement scheme for non-insulin medications used for treatment of hyperglycemia in type 2 diabetes (T2D) was implemented in Finland on January 1, 2017. The aim of the study was to evaluate the impact of this co-payment increase (i.e. + 35 percentage points) on patient-reported satisfaction for diabetes care, diabetes medication use, and financial difficulties. Baseline data were collected in 114 pharmacies, where patients with T2D were asked to fill in a questionnaire in November 2016. Follow-ups were conducted at 6 and 12 months. In total, 955 participants with T2D attended the baseline examination. During the follow-up, satisfaction with diabetes care decreased significantly (p < 0.001). Use of insulin increased (OR 1.16, 95 % CI 1.06–1.27) whereas use of metformin and DPP-4 inhibitors decreased (metformin: OR 0.80, 95 % CI 0.70‒0.90; DPP-4 inhibitors: OR 0.82, 95 % CI 0.73‒0.93). Financial difficulties with the purchase of diabetes medications were reported more often both at 6 (OR 2.44, 95 % CI 1.96–3.03) and at 12 months (OR 2.70, 95 % CI 2.18–3.35) than at baseline. These negative short-term effects require future studies. If persistent, the long-term effects of lower treatment satisfaction and increased financial difficulties may imply impaired metabolic control and increased diabetes complication risk and health care costs. Patient perspective should be taken into account in future policy making.

Investigation of the effects of awakening daylight on the morning alertness, mood, and sleep quality of male college students

A dormitory is one of the most important places for college students at a university. The daylight of a dormitory has an important impact on students' work efficiency, mood, and sleep quality. To explore the influence of daylight exposure on morning alertness, mood, and sleep quality before waking up, a study was conducted based on the hourly dynamic meteorological parameters of Beijing to simulate the daylight exposure at eye level of students on different beds on the sixth floor of the No. 11 apartments at Tsinghua University. The data for sleep quality, morning alertness, and mood were collected by a subjective questionnaire in November and December in 2017 for 88 male students in 28 dormitories and in May and June for 90 male students in 36 dormitories. The results showed that the positive correlation between the eye light exposure before waking up and the quality of sleep and morning alertness was significant. This study can provide a reference for the daylight design of dormitory spaces and the scientific arranging of beds and orientations; it can also provide a reference for a rotation system.

Empiryczna analiza zachowań młodego pokolenia klientów na rynku usług wymiany walut

Purpose – Defining preferences of the young generation of Poles’ representatives with regard to using services of the currency exchange market. Research method – A survey conducted on a group of 671 respondents aged 18 – 25 studying at the Podkarpackie Province’s universities and carried out in the form of a questionnaire in November 2017. It was preceded by a pilot dated to October 2017. Results – The behaviour of the young generation of Poles on the financial services market, the reasons for foreign exchange transactions by this group of clients, the determinants of the selection of a currency exchange site and the nature and frequency of using such services were determined. In addition, types of currencies and average amounts that were the subject of transactions on the currency exchange market for the analysed research sample were identified. Originality /value – The research outcome serves broadening knowledge about the behaviour of homogeneous groups of clients on the Polish currency exchange market.

The Protective Role Social Support Plays in Determining Adolescent Mental Health Outcomes

Background: Social support is one of several protective factors important to our understanding of adolescent mental health; family, friends, or teachers often provide critical assistance. Objectives: The purpose of this cross-sectional pilot study was to investigate how social support (support from family, friends and significant others) was related to mental health outcomes among a sample of Jordanian adolescents. Methods and Material: Data were collected from public and private schools in Irbid governorate located in Northern Jordan affiliated with the Jordanian Ministry of Education. Multistage cluster sampling was used to recruit students from 8th to 12th grades (N = 112; ages 13-18 years; 54.5% boys). Data were collected using a self-administered online questionnaire in November, 2018. Besides socio-demographics, Multidimensional Scale of Perceived Social Support, Diener’s Satisfaction with Life Scale, Rosenberg’s Self-Esteem Scale and the Center for Epidemiological Studies Depression Scale for Children (CES-DC) were measured. Results: Depressive symptomatology was related to lower levels of life satisfaction among both boys and girls. The negative association between self-esteem and depressive symptoms was only significant for girls. In a preliminary multivariate analyses, family support played the most decisive role, and for girls, self-esteem acted as a protective mechanism as well. Conclusion: These findings underscore the important role of effective social support from parents and other family members, who were capable of providing a peaceful and safe environment for youth. Cultural factors may also contribute to the altering roles of different types of social support across gender groups.

Health insurance literacy: A mixed methods study of college students

Objective: This study examines the health insurance literacy, or the ability to use health insurance effectively, of college students. Participants: A total of 455 students from a large, public university completed an online questionnaire in November 2016. Methods: A questionnaire examined students’ knowledge of commonly encountered health insurance terms and ability to apply that knowledge to determine cost-sharing in a clinical setting. Results: The majority of students were able to correctly identify the most commonly encountered terms, but could not identify terms related to plan types and options. Eighty-eight percent of students could not determine their cost-sharing for two presented scenarios. Approximately half of the students indicated they had been confused about their health insurance plan, with one-quarter of students stopping or delaying medical care due to confusion. Conclusions: Outreach and education for students should target specific deficits in knowledge such as those identified in this study.

Long-term Functional Outcome After Right-Sided Complete Mesocolic Excision Compared With Conventional Colon Cancer Surgery: A Population-Based Questionnaire Study.

Complete mesocolic excision improves the long-term outcome of colon cancer but might carry a risk of bowel dysfunction. This study aimed to investigate whether right-sided complete mesocolic excision is associated with an increased risk of long-term bowel dysfunction and reduced quality of life compared with conventional colon cancer resections. Data were extracted from a population-based study comparing complete mesocolic excision and conventional colon cancer resections and from a national questionnaire survey regarding functional outcome. Elective right-sided colon resections for stage I to III colon adenocarcinoma were performed at 4 university colorectal centers between June 2008 and December 2014. Seven hundred sixty-two patients were eligible to receive the questionnaire in November 2015. The primary outcomes measured were the risk of diarrhea (Bristol stool scale score of 6-7), 4 or more bowel movements daily, and the impact of bowel function on quality of life. Secondary outcomes were other bowel symptoms, chronic pain, and quality of life measured by the European Organisation for Research and Treatment of Cancer QLQ-C30. One hundred forty-one (63.8%) and 324 (59.9%) patients undergoing complete mesocolic excision and conventional resections responded after a median of 3.99 (interquartile range, 2.11-5.32) and 4.11 (interquartile range, 3.01-5.53) years (p = 0.04). Complete mesocolic excision was not associated with increased risk of diarrhea (adjusted OR, 1.07; 95% CI, 0.57-1.95; p = 0.84), 4 or more bowel movements daily (adjusted OR, 1.16; 95% CI, 0.57-2.24; p = 0.68), or lower quality of life (adjusted OR, 0.84; 95% CI, 0.49-1.40; p = 0.50). Complete mesocolic excision was associated nonsignificantly with nocturnal bowel movements, but not associated with chronic pain or other secondary outcomes. This study was limited by the retrospective design with unknown baseline symptoms. Responding patients were younger but without obvious selection bias. The outcome "diarrhea" seemed somehow sensitive to information bias. Right-sided complete mesocolic excision seems associated with neither bowel dysfunction nor impaired quality of life when compared with conventional surgery. See Video Abstract at http://links.lww.com/DCR/A665.

Patient-rated importance of key information on screening colonoscopy in Germany: a survey of statutory health insurance members

BackgroundPrimary colonoscopic screening is considered to be of great benefit but also has the potential to cause severe harm. Thus, eligible subjects should be supported in making an informed choice...