At-home monitoring after surgery/anaesthesia - a challenge.

Abstract:

RATIONALE, AIMS AND OBJECTIVES:Day surgery is evolving, with a majority of recoveries occurring at home. There is, in parallel, an evolution in telemedical technology. The aim of the present project was to identify patients' willingness to use predefined follow-up techniques and to clinically test preferred techniques at home using a two-step study.┅ METHODS: In Part I, a paper-based questionnaire study of identified patients' attitudes with three follow-up techniques was used. In Part II, a feasibility test of a mobile (smart-phone) application for follow-up at home was used. RESULTS:Part I showed overall positive attitudes to telemedical follow-ups. Part II showed the preference for a follow-up technique with a mobile application was not fully consistent with the clinical study of the smart-phone app, where there was a large non-response. The application provided safe transfer of data to the hospital and helped make it easy to retrieve and analyse patient self-assessment of recovery. This application is one-way directed, and no feedback to the patient was given, which may have influenced the non-response. CONCLUSION:Bringing telemedicine into follow-up after surgery/anaesthesia is requested, and furthermore, the feasibility study on day surgery presented here shows that it is technically easy to perform and will provide robust information. It should be noted that further studies are needed in order to find better patient cooperation.

journal_name

J Eval Clin Pract

authors

Warren-Stomberg M,Jacobsson J,Brattwall M,Jildenstål P

doi

10.1111/jep.12551

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

882-886

issue

6

eissn

1356-1294

issn

1365-2753

journal_volume

22

pub_type

杂志文章
  • Hearing what cannot be said.

    abstract:RATIONALE, AIMS, AND OBJECTIVES:The way in which care providers describe incapacitated elderly people is not without implications. The different ways in which they describe their patients-client, patient, or a sick human being-have consequences for their relationships with these patients and the decision-making process...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13357

    authors: de Bock BA,Willems DL

    更新日期:2020-04-01 00:00:00

  • Frequent emergency department visitors are frequent primary care visitors and report unmet primary care needs.

    abstract::A small percentage of emergency department (ED) visitors account for a disproportionate portion of ED visits. Little is known about their relationships with their primary care providers (PCPs). This study compares frequent and infrequent ED visitors' primary care utilization and perceptions of primary care access, con...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12672

    authors: Cunningham A,Mautner D,Ku B,Scott K,LaNoue M

    更新日期:2017-06-01 00:00:00

  • Which risk-adjustment index performs better in predicting 30-day mortality? A systematic review and meta-analysis.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Individual comparisons of the performance of risk-adjustment indices have been widely conducted. Few reviews have been conducted to summarize the performance of different risk-adjustment indices. A 30-day mortality rate is widely used to evaluate the quality of care in hospitals by federa...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/jep.12307

    authors: Yang M,Mehta HB,Bali V,Gupta P,Wang X,Johnson ML,Aparasu RR

    更新日期:2015-04-01 00:00:00

  • Implementation of patient involvement methods in the clinical setting: A qualitative study exploring the health professional perspective.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Patient involvement is increasingly recognized as a key component on the international health care agenda. This attention has brought a need for developing generic and standardized open-source methods, tools, and guidelines on how to systematically implement patient involvement initiative...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13217

    authors: Jørgensen MJ,Pedersen CG,Martin HM,Lomborg K

    更新日期:2020-06-01 00:00:00

  • Comparison of four heterogeneity measures for meta-analysis.

    abstract:RATIONALE, AIMS, AND OBJECTIVES:Heterogeneity is a critical issue in meta-analysis, because it implies the appropriateness of combining the collected studies and impacts the reliability of the synthesized results. The Q test is a traditional method to assess heterogeneity; however, because it does not have an intuitive...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13159

    authors: Lin L

    更新日期:2020-02-01 00:00:00

  • Using the Internet to teach melanoma management guidelines to primary care physicians.

    abstract::The aim of this study was to determine whether a brief Internet-based education programme could improve physicians' abilities to manage pigmented skin lesions. A pre-test-post-test assessment was used of subjects' knowledge of skin cancer, confidence in their management abilities and actual ability to recommend approp...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1046/j.1365-2753.1999.00194.x

    authors: Harris JM Jr,Salasche SJ,Harris RB

    更新日期:1999-05-01 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 factor structure of the SF-36 in adults with progressive neuromuscular disorders.

    abstract:OBJECTIVE:Quality of life (QoL) is an important consideration in the care of patients with chronic neuromuscular disorder (NMD). The current study sought to determine the factor structure of the Medical Outcomes Study Short-Form 36 (SF-36) version 2 in patients with NMD to determine the appropriateness of using this in...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2010.01513.x

    authors: Banks P,Martin CR,Petty RK

    更新日期:2012-02-01 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

  • Thiele massage as a therapeutic option for women with chronic pelvic pain caused by tenderness of pelvic floor muscles.

    abstract:AIMS AND OBJECTIVES:Musculoskeletal system has been found to be involved in genesis and perpetuation of chronic pelvic pain (CPP) and has strong evidences that up to 80% of women with CPP present dysfunction of the musculoskeletal system. In this study, we report a series of women with CPP caused by tenderness of pelvi...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2009.01202.x

    authors: Montenegro ML,Mateus-Vasconcelos EC,Candido dos Reis FJ,Rosa e Silva JC,Nogueira AA,Poli Neto OB

    更新日期:2010-10-01 00:00:00

  • Appropriateness of colonoscopy in a digestive endoscopy unit: a prospective study using ASGE guidelines.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Appropriate indications for colonoscopy (C) are essential for a rational use of resources. The aim of this study is to evaluate the appropriateness of indication for C according to the American Society for Gastrointestinal Endoscopy (ASGE) guidelines and to evaluate whether appropriate us...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2008.00950.x

    authors: Suriani R,Rizzetto M,Mazzucco D,Grosso S,Gastaldi P,Marino M,Sanseverinati S,Venturini I,Borghi A,Zeneroli ML

    更新日期:2009-02-01 00:00:00

  • Strategies for ensuring effective surveillance in post-transplant patients: practical organization and clinical evaluation.

    abstract::Results of renal transplantation have improved steadily over the years. This article reviews the current status of patient and graft survival and discusses major causes of mortality and renal allograft failure. Review of recent literature demonstrates that the traditional enemies of transplantation, acute rejection an...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2753.2003.00408.x

    authors: Jurewicz WA,Miles A

    更新日期:2004-02-01 00:00:00

  • Methodological limitations of cost-effectiveness analysis in health care: implications for decision making and service provision.

    abstract::This article reviews the methodological limitations identified in a recent authoritative US report by the Public Health Service, which provides the theoretical background to several other guidelines on cost effectiveness, such as those of the British Medical Journal. It places each limitation in context and discusses ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2753.1999.00179.x

    authors: Raftery J

    更新日期:1999-11-01 00:00:00

  • Cognitive balanced model: a conceptual scheme of diagnostic decision making.

    abstract:RATIONALE:Diagnostic reasoning is a critical aspect of clinical performance, having a high impact on quality and safety of care. Although diagnosis is fundamental in medicine, we still have a poor understanding of the factors that determine its course. According to traditional understanding, all information used in dia...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2011.01771.x

    authors: Lucchiari C,Pravettoni G

    更新日期:2012-02-01 00:00:00

  • A P5 cancer medicine approach: why personalized medicine cannot ignore psychology.

    abstract::A system approach termed P4 medicine has recently been proposed in the field of oncology. This approach has been advanced as an extension of what is usually called 'personalized' or 'genomic medicine'. P4 medicine creates effective predictive, personalized, preventive and participatory models to treat patients. In ord...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2011.01709.x

    authors: Pravettoni G,Gorini A

    更新日期:2011-08-01 00:00:00

  • Mental health triage in the ER: a qualitative study.

    abstract:RATIONALE, AIMS AND OBJECTIVES:The London Health Sciences Centre found that its emergency room (ER) mental health services were affected by people presenting with problems that did not require psychiatric intervention. Consequently, a second triage using a crisis worker (CW) was introduced in the ER to identify those p...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2006.00759.x

    authors: Coristine RW,Hartford K,Vingilis E,White D

    更新日期:2007-04-01 00:00:00

  • Assessment of quality performance measures in patients with acute coronary syndromes: Data from the Portuguese Registry of Acute Coronary Syndromes (ProACS), a nationwide registry.

    abstract:RATIONAL, AIMS, AND OBJECTIVES:Registries are a powerful tool to assess specific performance measurements and quality of care in acute coronary syndromes (ACSs). In Portugal, ProACS is a nationwide registry of ACS that has been active for the past 15 years, and our objective was to assess specific quality indicators fo...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,多中心研究

    doi:10.1111/jep.12881

    authors: Timóteo AT,Mimoso J,ProACS Investigators.

    更新日期:2018-04-01 00:00:00

  • Applying a propensity score-based weighting model to interrupted time series data: improving causal inference in programme evaluation.

    abstract::Often, when conducting programme evaluations or studying the effects of policy changes, researchers may only have access to aggregated time series data, presented as observations spanning both the pre- and post-intervention periods. The most basic analytic model using these data requires only a single group and models...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2010.01504.x

    authors: Linden A,Adams JL

    更新日期:2011-12-01 00:00:00

  • Medical humanities' challenge to medicine.

    abstract::Medicine is predicated on a view of human nature that is highly positivist and atomistic. This is apparent in the way in which its students are taught, clinical consultations are structured and medical evidence is generated. The field of medical humanities originally emerged as a challenge to this overly narrow view, ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2011.01728.x

    authors: Macnaughton J

    更新日期:2011-10-01 00:00:00

  • For a critical appraisal of artificial intelligence in healthcare: The problem of bias in mHealth.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Artificial intelligence and big data are more and more used in medicine, either in prevention, diagnosis or treatment, and are clearly modifying the way medicine is thought and practiced. Some authors argue that the use of artificial intelligence techniques to analyze big data would even ...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13528

    authors: Brault N,Saxena M

    更新日期:2020-12-23 00:00:00

  • Safety and efficacy of laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass: A systematic review and meta-analysis.

    abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) are widely performed to cure obesity and obesity-related diseases. Our aim was to compare these two procedures. MATERIALS AND METHODS:An electronic literature search was performed from inception to December 2018. The cli...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13170

    authors: Zhao K,Liu J,Wang M,Yang H,Wu A

    更新日期:2020-02-01 00:00:00

  • Therapist self-disclosure and the problem of shared-decision making.

    abstract::Therapist self-disclosure is one of the most controversial topics in the history of psychotherapy. The controversies reflect some basic discussions regarding the nature of psychotherapy practice. In psychotherapy practice, a particular concern is the interaction between the psychotherapist and the patient. The expert-...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.13289

    authors: Berg H,Bjornestad J,Våpenstad EV,Davidson L,Binder PE

    更新日期:2020-04-01 00:00:00

  • Evaluating the impact of an evidence-based medicine educational intervention on primary care doctors' attitudes, knowledge and clinical behaviour: a controlled trial and before and after study.

    abstract:RATIONALE, AIMS AND OBJECTIVES:Traditional continuing medical education programmes that offer passive learning have been shown to be poorly effective at changing doctors' clinical behaviour. A multifaceted evidence-based medicine (EBM) intervention was conducted at the largest health maintenance organization (HMO) in I...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2753.2007.00859.x

    authors: Shuval K,Berkovits E,Netzer D,Hekselman I,Linn S,Brezis M,Reis S

    更新日期:2007-08-01 00:00:00

  • A critique of hypertension treatment trials and of their evaluation.

    abstract::Progressive improvements in antihypertensive drug therapy over the past four decades have provided clear benefits in limiting cardiovascular complications. Unfortunately, and largely inexplicably, the inclusion in meta-analyses of defective trials plus the employment of inappropriate diagnostic criteria for adverse co...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2753.2001.00300.x

    authors: Robertson JI

    更新日期:2001-05-01 00:00:00

  • The role of prudent love in the practice of clinical medicine.

    abstract:RATIONALE:Virtues are an important component in the practice of clinical medicine. Prudence or wisdom and charity or love are often viewed as crucial for virtuous practice. Generally, the two virtues are discussed separately, with no connection between them; however, a synergy exists between the two virtues as a compou...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2011.01719.x

    authors: Marcum JA

    更新日期:2011-10-01 00:00:00

  • Automated calculation of ptosis on lateral clinical photographs.

    abstract:RATIONALE, AIMS AND OBJECTIVES:The goal is to fully automate the calculation of a breast ptosis measure from clinical photographs through automatic localization of fiducial points relevant to the measure. METHODS:Sixty-eight women (97 clinical photographs) who underwent or were scheduled for breast reconstruction were...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/jep.12397

    authors: Lee J,Kim E,Reece GP,Crosby MA,Beahm EK,Markey MK

    更新日期:2015-10-01 00:00:00

  • The Critical Care Research Network: a partnership in community-based research and research transfer.

    abstract::The objectives of this study were to present a short history of the Critical Care Research Network (CCR-Net), describe its approach to health services research and to summarize completed and current research projects. In doing this, we explored the question is this research network accomplishing its goals? We reviewed...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2753.2000.00214.x

    authors: Keenan SP,Martin CM,Kossuth JD,Eberhard J,Sibbald WJ

    更新日期:2000-02-01 00:00:00

  • Teleological care and the last years of life.

    abstract::The final years of life present challenges for care. In middle-/high-income countries, the percentage of people of advanced age in the population is growing, and the dying process continues to become more complex and protracted. We propose that a new understanding of care, 'teleological care', be considered as an impo...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/jep.12211

    authors: Cellarius V,Upshur R

    更新日期:2014-12-01 00:00:00

  • The relationship between second-year medical students' OSCE scores and USMLE Step 2 scores.

    abstract:RATIONALE, AIMS AND OBJECTIVES:A valid tool to measure clinical competency early in medical school could identify students who may require special educational attention. The overall aim is to assess the relationship between students' scores on an objective structured clinical examination (OSCE) given in the second year...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2006.00768.x

    authors: Simon SR,Bui A,Day S,Berti D,Volkan K

    更新日期:2007-12-01 00:00:00

  • Evaluating health management programmes over time: application of propensity score-based weighting to longitudinal data.

    abstract::Health management programmes are generally evaluated as point treatment studies in which only a baseline and outcome measurement are used in the analysis, even when multiple observations for each individual are available. By summarizing observations into two distinct measurements the evaluator loses any ability to dis...

    journal_title:Journal of evaluation in clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1365-2753.2009.01361.x

    authors: Linden A,Adams JL

    更新日期:2010-02-01 00:00:00