Risk Factors For Dissatisfaction Research Articles

Clinical affect of contralateral knee pain on patients undergoing total knee arthroplasty

To evaluate the effect of contralateral knee pain on joint dysfunction and treatment satisfaction on the operative side 1 year after total knee arthroplasty（TKA） in patients with osteoarthritis. From March 2019 to January 2021, 635 patients underwent TKA including 296 males and 339 females, with an average age of （69.33±9.38） years old, the duration of symptoms was （1.15±0.44） years. According to the degree of pain visual analogue scale（VAS） in the contralateral knee joint 12 months after operation, the patients were divided into three groups, 423 patients with no or mild pain（VAS 0 to 3）, 105 patients with moderate pain（VAS 4 to 6）, 107 patients with severe pain（VAS 7 to 10）. The related factors of knee function and satisfaction score 12 months after operation were analyzed and compared on different contralateral knee pain levels. The contralateral knee pain VAS was significantly reduced after TKA. Old age, high body mass index, high WOMAC scores of postoperative knee joint, moderate and severe pain of contralateral knee joint were the risk factors of dissatisfaction （P<0.05）, OR were 1.285, 1.665, 2.319, 1.863 respectively. The high degree of knee pain on the operation side and the ladder room in the home environment were the risk factors for the high WOMAC scores 1 year after discharge（P<0.05）. Adherence to exercise and functional training after discharge were the protective factors for patients with high WOMAC scores 1 year after discharge（P<0.05）, OR were 3.016, 1.738, 0.619, 0.574 respectively. TKA can alleviate the pain of contralateral knee joint. Contralateral knee pain does not affect the WOMAC scores after TKA, but it will reduce the treatment satisfaction of patients.

Does Your Patient Need to Lose Weight? Weight Change Before and After Total Hip Arthroplasty Does Not Affect Health Care Utilization and Achievement of the Minimal Clinically Important Difference

BackgroundDespite the potential negative impact of preoperative obesity on total hip arthroplasty (THA) outcomes, the association between preoperative and postoperative weight change and outcomes is much less understood. Therefore, this study aimed to determine the impact of preoperative and postoperative weight change and preoperative body mass index (BMI) on health care utilization, satisfaction, and achievement of minimal clinically important difference (MCID) for Hip Disability and Osteoarthritis Outcome Score Physical Function Short-Form (HOOS PS) and HOOS Pain. MethodsPatients who underwent primary elective unilateral THA between January 2016 and December 2019 were included (N = 2,868). Multivariable logistic regression assessed the association between BMI and preoperative and postoperative weight change on outcomes while controlling for demographic characteristics. ResultsThere was no association between preoperative weight change and prolonged length of stay (> 3 days), 90-day readmission, nonhome discharge, patient dissatisfaction at 1 year, or achievement of HOOS Pain or HOOS PS MCID. Postoperative weight loss was an independent risk factor for patient dissatisfaction at 1 year but was not associated with achievement of either HOOS Pain or HOOS PS MCID at 1-year postoperative. Preoperative obesity classes I to III were independent risk factors for nonhome discharge. Nevertheless, preoperative obesity class I and class II were associated with an increased probability of reaching HOOS Pain MCID. Preoperative BMI was not associated with an increased risk of patient dissatisfaction. ConclusionsPreoperative weight change does not appear to influence health care utilization, satisfaction, or achievement of MCID in pain and function following THA. Postoperative weight loss may play a role as a risk factor for dissatisfaction following THA. Additionally, patients who had a higher baseline BMI may be more likely to see improvement in pain following THA. Therefore, when counseling obese patients for THA, surgeons must balance the risk of perioperative complications with the expectation of greater improvements in pain.

Predictors of pediatric surgeons’ career satisfaction

Objective: A survey was performed to identify factors for professional career satisfaction and for dissatisfaction. Methods: During General Assembly of CSPS, attendees answered the 37-question form grouped into the following categories: demographic, professional activity and organizational issues, type of service, education, and compensation and status. Data were analyzed using the Pearson x 2 test ( P < 0.05). Results: The response rate was 74.5% ( n = 44/59). The average age was 46 years, and 91% were male. The average participant had 17 years of surgical practice, worked 8.5 hours daily and 208 hours monthly, in children’s (49%), university (35%), or community (16%) hospital. Pediatric surgeons were satisfied with professional career (77%), and 88% would chose the same profession again. Patient satisfaction (85%), quality of care (79%), and professional achievements (76%) were rated very high. Dissatisfaction responders pointed at shortage of time for effective communication (69%), excessive administrative work (88%), too many working hours (73%), professional burnout (66%), and technical issues – IT technology (73%) and equipment (79%) out of date or old/unsuitable facilities (73%). An overall 57% of responders had presented paper on international congresses, and 32% had published paper in indexed journals. Two major concerns about education are insufficient training (61%) and lack of time for continuous education (79%). Conclusion: Pediatric surgeons are satisfied with professional career. Patient care is a leading area of satisfaction. Educational, organizational, technical, and structural issues need improvements. A large pay gap exists between expectations and real income. Keywords: pediatric surgeons, professional career satisfaction, risk factors for dissatisfaction

Assessment of Tamsulosin 0.2 mg for Symptomatic Bladder Outlet Obstruction Secondary to Benign Prostatic Enlargement: Data from a Korean Multicenter Cross-Sectional Study

Aims: To estimate efficacy and treatment satisfaction with tamsulosin 0.2 mg in patients with symptomatic bladder outlet obstruction secondary to benign prostatic enlargement and lower urinary tract symptoms in relation to personal satisfaction. Methods: The study was conducted in 1,260 subjects who were asked to fill in detailed questionnaires designed to evaluate their satisfaction with the treatment and symptom improvement 8 weeks after receiving tamsulosin 0.2 mg. Results: After being treated with tamsulosin 0.2 mg for 8 weeks, the International Prostate Symptom Score (IPSS) score improved significantly. Among the 1,260 patients, 813 (64.52%) were satisfied, while 447 (35.48%) were dissatisfied with tamsulosin 0.2 mg. The reasons for patient dissatisfaction were efficacy problems (79.87%) and side effects (4.25%). Treatment satisfaction was affected by age, underlying medical disease and baseline IPSS severity (p = 0.020, 0.0427 and <0.001, respectively), but only age and baseline IPSS were risk factors for dissatisfaction. Conclusions: Tamsulosin 0.2 mg was effective in symptomatic improvement, but a relatively high proportion of patients were dissatisfied with the treatment. Efficacy problems were selected by patients as the main reason for dissatisfaction. It is also significant to note that the degree of satisfaction was related to age and baseline IPSS severity.

Body image perception and associated factors among elderly residents in a city in northeast Brazil: a population-based study

The article aims to verify body image perception and associated factors among elderly individuals in Campina Grande, State of Paraiba. It involves a cross-sectional, population and home-based study, with individuals 60 years or older of both sexes. Body image perception was considered the dependent variable for purposes of analysis and study of possible associations. The independent variables were: age group, nutritional status, number of diseases, health perception and regular practice of physical activities. To identify associated factors, univariate and multivariate regression analyses were carried out using SPSS 17.0 software. Overall, 806 elderly individuals were interviewed. Men showed greater satisfaction with body image when compared to women and older participants were more satisfied than younger participants. Among the factors related to dissatisfaction in women, underweight and overweight/obesity were associated with an increased risk of dissatisfaction. Among men, older age constituted a protective factor for dissatisfaction, while underweight and overweight/obesity were risk factors for dissatisfaction. The results of this study suggest a possible influence of nutritional status on body image perception among the elderly, negatively affecting their perception of body image.

Birth experience of women conceiving with assisted reproduction: a prospective multicenter study.

To determine how infertility and subsequent assisted reproductive treatment (ART) affect a woman's childbirth experience. Prospective multicenter case-control study. We recruited women pregnant with a singleton fetus after either ART (n=324) or spontaneous conception (n=304) from five infertility clinics and one university maternity clinic in Finland. We studied their childbirth experience with the Delivery Satisfaction Scale. We compared how psychosocial and obstetric factors affected satisfaction and dissatisfaction with childbirth between and within the ART and the control group. Logistic regression was then used to analyse the most important contributors to the experienced dissatisfaction. Dissatisfaction with childbirth was as common in the ART group (11%) as in the control (10%) group. In the ART group, the women's education level, cesarean section (CS) and their partner's absence from the delivery were associated with dissatisfaction. In the control group, significant factors for dissatisfaction were nulliparity, severe pregnancy-related anxiety, emergency CS, recalled intense pain and the partner's absence from the delivery. According to adjusted logistic regression analysis of the whole sample, the independent risk factors were elective CS [odds ratio (OR) 5.7; 95% confidence interval (CI) 2.2-14.1] and emergency CS (OR 2.9; 95% CI 1.3-6.5), recalled intense pain (OR 6.8; 95% CI 3.3-16.2) and the partner's absence from the delivery (OR 2.7; 95% CI 1.1-7.3). ART is not a risk factor for dissatisfaction with childbirth by itself. However, the contributors to an unsatisfactory childbirth differ partly between women conceiving with ART and those conceiving spontaneously.

Women’s postnatal psychological functioning: the role of satisfaction with intrapartum care and the birth experience

Objective: To investigate the relationship between women’s postnatal psychological well-being and retrospective, self-reported satisfaction with intrapartum care and the birth experience. Background: The period immediately following childbirth can be marked by various problems that can affect a woman’s happiness and functioning. Previous research has suggested that aspects of the maternal experience of childbirth may act as predictors for specific indicators of women’s postnatal functioning. This study aimed to determine the relationship between satisfaction with labour and birth care and the general childbirth experience and a broad, comprehensive measure of subsequent psychological functioning. Methods: Data for this study was taken from relevant items in the Having a Baby in Queensland 2009 Pilot Survey. Researchers assessed maternal socio-demographic characteristics, perceptions of labour and birth care, satisfaction with labour and birth care, and perceived positivity of the birth experience. A dichotomous, composite measure of postnatal psychological functioning was derived from women’s responses to five separate survey items. Results: The multivariate logistic regression analysis showed that women who felt they were looked after ‘very well’ and women who rated their birth experience as ‘very positive’ were significantly more likely to experience high postnatal functioning than women who did not rate their intrapartum care and birth experience as highly. Conclusions: Reducing the risk factors for dissatisfaction is critical in order to improve the likelihood of high maternal postnatal functioning. The findings of this study emphasise the importance of intrapartum care in the development of positive functioning in women who have recently given birth.

Morphologic assessment of mandibular reconstruction by free fibula flap and donor-site functional impairment in a series of 23 patients

Micro-anastomosed free fibula flap is an attitude of choice in mandibular defect repair in oncology, enabling effective functional rehabilitation. The present study assessed donor and recipient site morphology and donor-site sequelae. The study consecutively recruited patients undergoing mandibular resection with free fibula flap reconstruction in our centre between December 2003 and September 2008. Assessment on adapted scales was performed by two independent expert physicians and patient self-assessment. Out of 49 mandibular reconstructions performed in the centre over the 5-year study period, 23 patients free of recurrence were included. Satisfaction rates were 73% for the recipient site and 70% for the donor-site, with patient/expert agreement of 47% and 49.5% respectively. Donor-site impact was mainly in terms of reduced ankle range of motion (43% of cases) and flexion strength (39%) and discomfort in running (35%) and walking (26%). Risk factors for dissatisfaction were more than 5% weight loss at admission for recipient site dissatisfaction (patient, P=0.012; expert, P=0.046), and skin graft for donor-site dissatisfaction (patient, P=0.04; expert, P=0.035). Free fibula flap was associated with high satisfaction rates, but non-negligible donor-site impact.

One-year Outcome of Monocular Implant of Aspheric Multifocal IOL

Purpose: To evaluate near and far visual acuity, subjective visual symptoms, and patient satisfaction with a monocular implant of aspheric multifocal IOL (AMO Tecnis ZM900). Methods: Thirty eyes of 30 patients received phacoemulsifications and monocular implantation of Tecnis ZM900 IOL. The main outcome measures at postoperative 1 week, 1 month, 3 months, and 1 year were uncorrected and corrected near and distant visual acuity, refractory errors, contrast sensitivity, subjective visual symptoms (glare and halo), spectacle independency, and satisfaction. Results: At a 3 month postoperative visit, the mean uncorrected near and distant visual acuities were 0.290.17 (logMAR) and 0.160.12 (logMAR),respectively. At 1 year, the mean uncorrected near and distant visual acuities were 0.250.17 (logMAR) and 0.110.08 (logMAR). Glare and halo decreased, and contrast sensitivity increased upon 1-year follow-up after monocular implantation of ZM900. Most patients (87%) were satisfied with their visual outcome. Conclusions: Monocular implantation of multifocal IOL Tecnis ZM900 shows stable surgical outcomes with a high satisfaction rate and enables a high rate of spectacle independency. Postoperative glare and halo, youth, and residual refractive error could be risk factors for dissatisfaction with monocular implantation of multifocal IOL Tecnis ZM900. Proper patient selection can lead to satisfying outcomes.

Risk factors for dissatisfaction with the indoor environment in open-plan offices: an analysis of COPE field study data

We applied binary logistic regression techniques to data collected from 779 participants in a field study of open-plan ('cubicle') offices conducted in nine buildings. Independent variables were physical conditions in the workplace, and dependent variables were derived from occupant satisfaction measures; personal characteristics were included as covariates. There was a significantly higher risk of dissatisfaction with privacy and acoustics (defined as being below the 20th percentile as opposed to being above the 80th percentile) associated with being in a small workstation, or being seated next to a window. A higher risk of dissatisfaction with ventilation was associated with being seated next to a window, temperatures substantially higher than the average neutral temperature, and a carbon dioxide concentration greater than 650 ppm. A higher risk of dissatisfaction with lighting was associated with panel heights greater than 66 inches (1.7 m), high reflected glare on computer screens, desktop illuminances outside 300-500 lux, desktop illuminance uniformity (min/max ratio) less than 0.5, and being in a workstation distant from a window. We have demonstrated statistically significant relationships between indoor environment conditions in office spaces and environmental dissatisfaction risk. Although generally supported by prior research, not all of these risk factors are reflected in existing recommended practice documents for office design. Consideration of these findings in future revisions of such documents may be warranted.

Impact of dental caries and dental fluorosis on 12-year-old schoolchildren's self-perception of appearance and chewing

It has been suggested that psychosocial dimensions be used to assess the impact of oral health on people's quality of life. The purpose of this study was to measure the impact of dental caries and dental fluorosis on children's self-perception of appearance and mastication. A dental caries and dental fluorosis cross-sectional study was conducted with twelve-year-old schoolchildren (n = 695) in Chapec , Santa Catarina, Southern Brazil. A questionnaire to assess dental care and dental habits was applied. Risk factors were identified using unconditional multiple logistic regression analysis. None of the variables investigated was associated with dissatisfaction in relation to self-perceived appearance. Independent risk factors for dissatisfaction with self-perceived mastication included enrollment in a public school, caries in an anterior tooth and at least two posterior teeth, and female gender. By way of conclusion, dental fluorosis had no impact on children's self-perception of appearance. Increased severity of dental caries was associated with greater self-perception of impact on chewing. This impact was greater in public schoolchildren, suggesting that there are different values and perceptions between socially different groups.

Mammography: influence of departmental practice and women's characteristics on patient satisfaction: comparison of six departments in Norway.

OBJECTIVE: To investigate how departmental practice and women's characteristics are related to low patient satisfaction with mammography. DESIGN: Survey of patients by means of self administered questionnaires before and after...