Abstract:
BACKGROUND:Gastroparesis (Gp) is a poorly understood chronic gastrointestinal medical condition for which patient reported outcomes (PRO) are lacking. Previously developed symptoms scoring has been used for several decades. Using symptoms scores as a basis for documentation, 12 years of support/focus group patient feedback from the nearly 1000 attendees were integrated with medical care and recommendations for treatment were developed. Early attenders of the support group were compared with non-attendees for illness acuity, disability, and duration and number of office phone calls. METHODS:Patients cared for in an academic medical practice were assessed for patient-derived PRO symptoms, coupled with standardized Health Related Quality of Life (HRQOL) measures. Based on factors identified by the patients via support/focus groups, a diagnostic and prognostic tool was developed. RESULTS:The new tool utilized PRO symptoms and included provider assessments of medical illnesses as well as resource utilization. This 'post PRO' tool has been applied in a variety of settings for patients with the symptoms of Gp over the last two decades. The 'pre-PRO' factors from the support/focus groups were compared to the PRO measures as well as the 'post-PRO' scale to assess their usefulness. Using methods that combine chart data, including electronic medical records (EMR), with PRO symptoms may have design implications for PRO assessment. The resultant scales, as part of a new tool, can allow for sharing of PRO derived scores in a chronic gastrointestinal (GI), illness with different practitioners. CONCLUSIONS:These newly-derived scales offer a potentially useful tool for clinical decision-making, tailoring treatment to patient subgroups and engaging both patients and their families and caregivers in more active partnerships with providers to improve health outcomes.
journal_name
BMC Gastroenteroljournal_title
BMC gastroenterologyauthors
Cutts T,Holmes S,Kedar A,Beatty K,K Mohammad M,Abell Tdoi
10.1186/s12876-016-0523-3subject
Has Abstractpub_date
2016-08-31 00:00:00pages
107issn
1471-230Xpii
10.1186/s12876-016-0523-3journal_volume
16pub_type
杂志文章abstract:BACKGROUND:Leukocytoclastic vasculitis (LCV) is an immune-complex mediated vasculitis characterized by neutrophilic inflammation and nuclear debris in post capillary venules. LCV is a rare dermatologic manifestation of Crohn's disease (CD) and may occur with the onset of the disease or any time after the diagnosis incl...
journal_title:BMC gastroenterology
pub_type: 杂志文章
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更新日期:2020-07-29 00:00:00
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journal_title:BMC gastroenterology
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abstract:BACKGROUND:The assessment of residual gastric volume is common practice in critical care units. However, the effects and safety of discarding or returning gastric aspirates remain uncertain. Therefore, we aimed to evaluate the role of discarding or returning gastric aspirates on the gastric residual volumes in critical...
journal_title:BMC gastroenterology
pub_type: 杂志文章,meta分析
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更新日期:2019-06-28 00:00:00
abstract:BACKGROUND:The current clinical practice on chronic hepatitis B (CHB) requires better on-treatment monitoring of viral persistence. Quantified assays for hepatitis B surface antigen (HBsAg) and core-related antigen (HBcrAg) hold promise for further optimization of therapy. Here, we aimed to characterize HBcrAg during t...
journal_title:BMC gastroenterology
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journal_title:BMC gastroenterology
pub_type: 杂志文章
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journal_title:BMC gastroenterology
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更新日期:2018-04-04 00:00:00
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journal_title:BMC gastroenterology
pub_type: 杂志文章,随机对照试验
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journal_title:BMC gastroenterology
pub_type: 杂志文章
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journal_title:BMC gastroenterology
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更新日期:2011-07-16 00:00:00
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journal_title:BMC gastroenterology
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abstract:BACKGROUND:High dose intravenous proton pump inhibitor after endoscopic therapy for peptic ulcer bleeding has been recommended as adjuvant therapy. Whether oral proton pump inhibitor can replace intravenous proton pump inhibitor in this setting is unknown. This study aims to compare the clinical efficacy of oral and in...
journal_title:BMC gastroenterology
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-230X-12-66
更新日期:2012-06-08 00:00:00
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journal_title:BMC gastroenterology
pub_type: 杂志文章
doi:10.1186/1471-230X-12-142
更新日期:2012-10-15 00:00:00
abstract:BACKGROUND:The evidence on the role of gut microbiota in post-infectious irritable bowel syndrome (PI-IBS) is convincing. Lactobacillus spp. positively affect IBS symptoms, although the mechanisms through which probiotics exert their beneficial effects are largely unknown. The aim of the study is to evaluate the role o...
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pub_type: 杂志文章
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更新日期:2017-04-14 00:00:00
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journal_title:BMC gastroenterology
pub_type: 杂志文章
doi:10.1186/s12876-019-1137-3
更新日期:2019-12-16 00:00:00
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journal_title:BMC gastroenterology
pub_type: 杂志文章
doi:10.1186/s12876-018-0917-5
更新日期:2019-01-08 00:00:00
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journal_title:BMC gastroenterology
pub_type: 杂志文章
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更新日期:2010-01-10 00:00:00
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更新日期:2021-01-26 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2018-08-31 00:00:00
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更新日期:2017-08-07 00:00:00
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更新日期:2020-07-06 00:00:00
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更新日期:2016-06-04 00:00:00
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更新日期:2020-06-10 00:00:00
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