Capturing the full measure of patient outcome improvement using a self-assessed health adjustment.

Abstract:

RATIONALE:Self-assessed health (SAH) status is a very simple four-, or five-category self-reported measure of health status that has been shown to be a powerful predictor of mortality, service use and total cost of medical care treatment. It is therefore reasonable to suggest that pre-intervention SAH may influence the extent to which patient outcomes improve following surgery. METHODS:Using the four-category measure of SAH of Excellent; Good; Fair; Poor, we developed an adjustment factor based on the mean improvement of the SAH category relative to the mean improvement of the overall sample. RESULTS:The results clearly indicate that the higher patients rated their pre-operative health, the greater their pre-post-operative improvement. Adjusting the outcome improvement by this SAH factor provides for the adjustment of the overall sample results by extent to which each category of SAH contributes to the overall mean. CONCLUSION:The results indicate that by adjusting patient outcome improvement measures by a factor based on pre-intervention SAH, overall sample patient outcome improvement increased 5.8%. The results also indicate that failure to adjust for pre-intervention SAH will result in an understatement of patient outcome improvement following surgery.

journal_name

J Eval Clin Pract

authors

Long MJ,McQueen DA,Lescoe-Long M,Schurman JR 2nd

doi

10.1111/j.1365-2753.2005.00563.x

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

484-8

issue

5

eissn

1356-1294

issn

1365-2753

pii

JEP563

journal_volume

11

pub_type

杂志文章
  • Reductionism in medicine: some thoughts on medical education from the clinical front line.

    abstract::In clinical medicine, a balance needs to be struck between reductionism (the view that a system can be fully understood in terms of its isolated parts) and holistic complexity appreciation (the view that the whole may not be discernible from knowledge of its parts). Reductionism, which currently is associated with ren...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1046/j.1365-2753.1999.00188.x

    authors: Welsby PD

    更新日期:1999-05-01 00:00:00

  • Tai chi for lowering resting blood pressure in the elderly: a systematic review.

    abstract:OBJECTIVES:To assess the evidence for tai chi in reducing resting blood pressure (BP) in the elderly. METHODS:Databases were searched up to February 2009. All randomized clinical trials (RCTs) testing the effects of tai chi on resting BP in the elderly were considered. The selection of studies, data extraction and val...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2753.2009.01210.x

    authors: Lee MS,Lee EN,Kim JI,Ernst E

    更新日期:2010-08-01 00:00:00

  • Efficacy and safety of recombinant human interleukin-11 in the treatment of acute leukaemia patients with chemotherapy-induced thrombocytopenia: A systematic review and meta-analysis.

    abstract:RATIONALE, AIMS, AND OBJECTIVES:Current meta-analysis was conducted aiming to assess the efficacy and safety of recombinant human interleukin-11 (rhIL-11) in the treatment of acute leukaemia (AL) patients with chemotherapy-induced thrombocytopenia (CIT). METHODS:We searched PubMed, Embase, Chinese National Knowledge I...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13152

    authors: Liu Z,Wang Y,Yan J,Liu J,Chen B,Zhang L,Cheng L

    更新日期:2020-02-01 00:00:00

  • The mind electric: Challenges to clinical categories from a person-centred perspective and the possibilities of metaphysics and art for clinician, patient, and treatment.

    abstract::The paper proposes that frameworks typical to metaphysics and art could be used in clinical treatment in somatic and psychiatric contexts to ensure improved care. The concept of the "body electric" of somatic patients which I introduced in previous work is developed further and paired with the "mind electric" of psych...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12964

    authors: Pârvan A

    更新日期:2018-10-01 00:00:00

  • Balancing quality improvement and unintended effects: The impact of implementing admission order sets for chronic obstructive pulmonary disease and heart failure at two teaching hospitals.

    abstract:RATIONALE, AIMS, AND OBJECTIVES:Local health administrators implemented chronic obstructive pulmonary disease and heart failure admission order sets to increase guideline adherence. We explored the impact of these order sets on workflows and guideline adherence in the internal medicine specialty in two Canadian teachin...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13080

    authors: Lander B,Balka E

    更新日期:2019-06-01 00:00:00

  • Selective prevention of cardiometabolic diseases in general practice: attitudes and working methods of male and female general practitioners before and after the introduction of the Prevention Consultation guideline in the Netherlands.

    abstract:RATIONALE, AIMS AND OBJECTIVES:In 2011 the module cardiometabolic risk of the Prevention Consultation guideline was introduced in the Netherlands in order to prevent cardiometabolic diseases. We aimed to compare attitudes and working methods of Dutch general practitioners (GPs) towards selective prevention of cardiomet...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12179

    authors: Vos HM,Van Delft DH,De Kleijn MJ,Nielen MM,Schellevis FG,Lagro-Janssen AL

    更新日期:2014-08-01 00:00:00

  • Morbidity figures from general practice: sex differences in traumatology.

    abstract:BACKGROUND:Trauma prevention starts with to find out the extent of the problem and who it affects. Insight into morbidity figures is therefore necessary. AIM:To explore sex differences in traumatology and secondary medical care utilization in primary care related to age and socio-economic status (SES). METHODS:Data w...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2009.01172.x

    authors: Lagro-Janssen T,Grosicar J

    更新日期:2010-08-01 00:00:00

  • Co-designing diagnosis: Towards a responsible integration of Machine Learning decision-support systems in medical diagnostics.

    abstract:RATIONALE:This paper aims to show how the focus on eradicating bias from Machine Learning decision-support systems in medical diagnosis diverts attention from the hermeneutic nature of medical decision-making and the productive role of bias. We want to show how an introduction of Machine Learning systems alters the dia...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13535

    authors: Kudina O,de Boer B

    更新日期:2021-01-22 00:00:00

  • Prevalence and factors associated with potentially inappropriate prescriptions among older patients at hospital discharge.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Explicit criteria have been used worldwide to identify suboptimal prescribing such as potentially inappropriate prescriptions (PIPs). The objective of our study was to determine prevalence, types and factors associated with PIPs in older people discharged from an Albanian hospital. METHO...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12521

    authors: Hudhra K,Beçi E,Petrela E,Xhafaj D,García-Caballos M,Bueno-Cavanillas A

    更新日期:2016-10-01 00:00:00

  • Keeping vulnerable elderly patients free from pressure ulcer is associated with high caregiver burden in informal caregivers.

    abstract:RATIONALE AND OBJECTIVES:The effect of the presence of pressure ulcers on burden of caregivers is unknown. We investigated the relationship between the state of pressure ulcers in vulnerable elderly patients and the burden on their informal caregivers. METHODS:This cross-sectional study enrolled 137 patients aged > or...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2009.01171.x

    authors: Yamamoto Y,Hayashino Y,Higashi T,Matsui M,Yamazaki S,Takegami M,Miyachi Y,Fukuhara S

    更新日期:2010-06-01 00:00:00

  • Comparison of the metabolic and economic consequences of long-term treatment of schizophrenia using ziprasidone, olanzapine, quetiapine and risperidone in Canada: a cost-effectiveness analysis.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Second-generation antipsychotic agents have varying propensities to cause weight gain, elevated lipid levels and associated long-term complications. This study evaluates the cost-effectiveness of four second-generation antipsychotic agents used in Canada for the treatment of schizophrenia...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2009.01189.x

    authors: McIntyre RS,Cragin L,Sorensen S,Naci H,Baker T,Roussy JP

    更新日期:2010-08-01 00:00:00

  • Characteristics of shared decision making in Romania from the patient perspective: A cross-sectional multicentric study.

    abstract:BACKGROUND:Shared decision making (SDM) is very important from patients' perspective. This process has not yet been evaluated in Romania. The study aims to evaluate SDM from the patients' perspective and to evaluate patients' characteristics that associate with SDM. MATERIAL AND METHODS:A cross-sectional multicentric ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,多中心研究

    doi:10.1111/jep.13257

    authors: Baicus C,Balanescu P,Zeh S,Oprisan E,Lapadatu R,Gurghean A,Padureanu V,Rezus C,Mitu F,Jurcut R,Balanescu AR,Daha I,Balanescu E,Bojinca M,Pinte L,Constantin AM,Dima N,Floria M,Leon-Constantin MM,Roca M,Mitu M,Chi

    更新日期:2019-12-01 00:00:00

  • Visualizing variations in organizational safety culture across an inter-hospital multifaceted workforce.

    abstract:RATIONALE, AIMS AND OBJECTIVES:To develop a reliable and valid questionnaire that can distinguish features of organizational culture for patient safety across subgroups such as hospitals, professions, management/non-management positions and units/wards. METHODS:We developed a Hospital Organizational Culture Questionna...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12123

    authors: Kobuse H,Morishima T,Tanaka M,Murakami G,Hirose M,Imanaka Y

    更新日期:2014-06-01 00:00:00

  • Challenges to validity in single-group interrupted time series analysis.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Single-group interrupted time series analysis (ITSA) is a popular evaluation methodology in which a single unit of observation is studied; the outcome variable is serially ordered as a time series, and the intervention is expected to "interrupt" the level and/or trend of the time series, ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12638

    authors: Linden A

    更新日期:2017-04-01 00:00:00

  • Clinicians' perceptions of rounding processes and effectiveness of clinical communication.

    abstract:RATIONALE, AIMS, AND OBJECTIVES:Ward rounds present opportunities for medical officers, nurses, allied health clinicians, and patients to interact and plan patient care. A recent literature review found eight types of rounding processes. Different purposes, varying levels of representation from clinical professions, an...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13248

    authors: Walton V,Hogden A,Long JC,Johnson J,Greenfield D

    更新日期:2020-06-01 00:00:00

  • Trust and world view in shared decision making with indigenous patients: A realist synthesis.

    abstract:INTRODUCTION:How shared decision making (SDM) works with indigenous patient values and preferences is not well understood. Colonization has affected indigenous peoples' levels of trust with institutions, and their world view tends to be distinct from that of nonindigenous people. Building on a programme theory for SDM,...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13307

    authors: Groot G,Waldron T,Barreno L,Cochran D,Carr T

    更新日期:2020-04-01 00:00:00

  • Perspectives on an amended law addressing pharmacists' availability in community pharmacies.

    abstract:RATIONALE, AIMS, AND OBJECTIVES:Little attention has been given to perceptions of pharmacist availability and role in the community setting following policy changes. The Pakistani model is particularly interesting as it encompasses three different pharmacy practice licensure types with major differences in credentials,...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13405

    authors: Qadeer G,Amin MEK

    更新日期:2020-04-22 00:00:00

  • Exploring the continuum: medical information to effective clinical practice. Paper I: the translation of knowledge into clinical practice.

    abstract::This paper investigates the translation of medical information into clinical practice and the role of thoughtful dissent by exploring the influence of sociological factors on change, the impact of evidence-based medicine (EBM), and the role of industry. Changing practice related to hormone therapy for menopausal and p...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2005.00608.x

    authors: Genuis SK,Genuis SJ

    更新日期:2006-02-01 00:00:00

  • Our genes are not our destiny: incorporating molecular medicine into clinical practice.

    abstract::In many developed nations, the state of publicly administered health care is increasingly precarious as a result of escalating numbers of chronically ill patients, inadequate medical personnel and hospital facilities, as well as sparse funding for ongoing upgrades to state-of-the-art diagnostic and therapeutic technol...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2753.2007.00808.x

    authors: Genuis SJ

    更新日期:2008-02-01 00:00:00

  • Effect of a 7-day acute inpatient neurophysiotherapy service on physiotherapy provision, length of stay, and patient experience.

    abstract:RATIONALE, AIMS, AND OBJECTIVES:National policy, guided by research, suggests several patient and service benefits achieved by providing 7-day health care. Therefore, a 7-day inpatient neurophysiotherapy service was introduced at a large teaching hospital in London. The study's aim was to evaluate the effect of the 7-d...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13237

    authors: McGlinchey MP,Buttery C

    更新日期:2020-06-01 00:00:00

  • Explaining inequalities in access to treatment in lung cancer.

    abstract:BACKGROUND:Geographical inequalities in lung cancer treatment and patient survival have been described. We hypothesized that lung cancer patients' access to treatment may be influenced by deprivation and the pathway to care. METHODS:Case notes were reviewed for patients resident in south-east London who were registere...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2006.00644.x

    authors: Jack RH,Gulliford MC,Ferguson J,Møller H

    更新日期:2006-10-01 00:00:00

  • Interpreting chronic disorders of consciousness: medical science and family experience.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Chronic disorders of consciousness (CDoC) pose significant problems of understanding for both medical professionals and the relatives and friends of the patient. This paper explores the tensions between the different interpretative resources that are drawn upon by lay people and professio...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12220

    authors: Edgar A,Kitzinger C,Kitzinger J

    更新日期:2015-06-01 00:00:00

  • Hospital doctors' views of factors influencing their prescribing.

    abstract:RATIONALE, AIM AND OBJECTIVE:Factors influencing doctors in prescribing of drugs have mostly been studied in primary care. Studies performed in hospital care have primarily focused on new drugs, not prescribing in general. An in-depth understanding of the prescribing process in the more specialized secondary care is no...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2006.00751.x

    authors: Ljungberg C,Lindblad AK,Tully MP

    更新日期:2007-10-01 00:00:00

  • Test-retest reliability of the VA National Center for Patient Safety culture questionnaire.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Patient safety culture may have a significant influence on safety processes and outcomes. Therefore, it is important to have valid tools to measure patient safety culture in order to identify potential levers for cultural change that could improve patient safety. The 65-item Department of...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12589

    authors: Shiner B,Ronconi JM,McKnight S,Young-Xu Y,Mills PD,Watts BV

    更新日期:2016-12-01 00:00:00

  • Evidence-based medicine training in a resource-poor country, the importance of leveraging personal and institutional relationships.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Efforts to implement evidence-based medicine (EBM) training in developing countries are limited. We describe the results of an international effort to improve research capacity in a developing country; we conducted a course aimed at improving basic EBM attitudes and identified challenges....

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2011.01635.x

    authors: Tomatis C,Taramona C,Rizo-Patrón E,Hernández F,Rodríguez P,Piscoya A,Gonzales E,Gotuzzo E,Heudebert G,Centor RM,Estrada CA

    更新日期:2011-08-01 00:00:00

  • Prescribing pattern of antihypertensive drugs by family physicians and general practitioners in the primary care setting in Bahrain.

    abstract::The aim was to determine whether there are differences among family physicians (FPs) and general practitioners (GPs) in terms of their preference for different classes of antihypertensives, either alone or in combinations, in uncomplicated cases of hypertension and to determine the extent of adherence to WHO/ISH guide...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1046/j.1365-2753.2002.00370.x

    authors: Sequeira RP,Jassim KA,Damanhori AH,Mathur VS

    更新日期:2002-11-01 00:00:00

  • A return to reasonableness and virtue in medical epistemology.

    abstract::The foundationalist and anti-foundationalist conceptions of medical knowledge have been at loggerheads for decades. Evidence-based medicine (EBM), the most prominent form of foundationalism, has attained wide appeal and acceptance among authorities. It proposes that evidence is the "base" upon which all clinical decis...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13273

    authors: Ghinea N

    更新日期:2020-04-01 00:00:00

  • Computer programs to estimate overoptimism in measures of discrimination for predicting the risk of cardiovascular diseases.

    abstract:BACKGROUND:Development of chronic disease risk prediction models has become a growing area of research in recent years. The internal validity of such models is sometimes lower than estimated from the development sample. Overfitting or overoptimism of the developed model and/or differences between the samples are likely...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2012.01834.x

    authors: Mannan HR,McNeil JJ

    更新日期:2013-04-01 00:00:00

  • Using hospital administrative data to evaluate the knowledge-to-action gap in pressure ulcer preventive care.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Issues of overuse, underuse and misuse are paramount and lead to avoidable morbidity and mortality. Although evidence-based practice is advocated, the widespread implementation of this kind of practice remains a challenge. This is also the case for evidence-based practice related to the p...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2008.01019.x

    authors: Van Herck P,Sermeus W,Jylha V,Michiels D,Van den Heede K

    更新日期:2009-04-01 00:00:00

  • HIT or miss: the application of health care information technology to managing uncertainty in clinical decision making.

    abstract:OBJECTIVE:To discuss the usefulness of health care information technology (HIT) in assisting care providers minimize uncertainty while simultaneously increasing efficiency of the care provided. STUDY DESIGN:An ongoing study of HIT, performance measurement (clinical and production efficiency) and their implications to ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2010.01483.x

    authors: Kazandjian VA,Lipitz-Snyderman A

    更新日期:2011-12-01 00:00:00