Background: Prior studies have suggested that misconceptions (i.e., unhelpful thoughts or cognitive errors resulting from bias) and distress (symptoms of anxiety depression) are key factors associated with variation in health, as quantified use patient-reported outcome measures. The primary purpose the present study was to identify mental-health phenotypes combinations various types distress) might help direct care test for differences magnitude activity tolerance, pain intensity,...

The coronoid process has been shown to play a critical role in ulnohumeral stability. Coronoid fractures can occur isolation or as part of complex injury pattern. most common pattern, known the “terrible triad,” includes radial head fracture and elbow dislocation along with fracture. Failure address these ligamentous injuries result recurrent instability progression painful arthrosis. Both medial lateral approaches have popularized recent literature, but there is no universally accepted...

Background: Perceived physician empathy is a strong driver of patient satisfaction. We assessed the influence wait time, time spent with surgeon, and surgeon stress level on way patients rated empathy. Methods: One hundred fourteen visiting 1 6 participating surgeons were prospectively enrolled in study. recorded demographics rating perceived Time waiting for measured use ambulatory tracking systems by research assistants stopwatches outside rooms. Patient ratings Jefferson Scale Patient’s...

Abstract Background Intolerance of uncertainty—the tendency to overestimate the chance and be unwilling accept potential, but unlikely, negative outcomes in uncertain situations—is a cognitive construct that has been shown affect symptoms limitations for patients with traumatic nontraumatic upper-extremity conditions. Cognitive flexibility tolerance uncertainty can trained practiced, potential increase musculoskeletal health. However, our knowledge, degree which intolerance might associated...

Background and Objectives: This study measured patient reactions to medical metaphors used in musculoskeletal specialty offices asked: (1) Are there any factors associated with thoughts emotions response common metaphors? (2) Is a difference between ratings of rated as potentially reinforcing misconceptions those that are more neutral? Methods: In cross-sectional study, 228 patients presenting multiple 4 presented randomly from set 14. Two were categorized 2 relatively neutral. Bivariate...

Of the strategies considered to limit discomfort of corticosteroid injection, one is inject without lidocaine reduce total volume and avoid acidity. In a Bayesian trial, adults receiving injections were randomized receive 0.5 mL triamcinolone with or lidocaine. Serial analysis was performed until 95% probability presence absence 1.0-point difference in pain intensity on 0–10 Numerical Rating Scale reached. Injections associated median 2.4-point lower during injection at least 1-point...

Empathy is a key component of therapeutic relationship. Perceived empathy and compassion are associated with patient satisfaction, reduced symptoms, adherence to treatment.To assess the advantages disadvantages validated Jefferson Scale Patient's Perception Physician (JSPPPE) Consultation Relational (CARE) tools.Eighty-four patients completed JSPPPE CARE measure. With Pearson's correlation exploratory factor analysis, we measured underlying construct. Flooring ceiling effects were measured....

There are several metabolic factors known to be important for the maintenance of bone and muscle function. Causes deficiency multifactorial can include such things as geographic region, latitude, socioeconomic factors. The purpose this study was determine prevalence deficiencies.Level 1, urban trauma center.Prospective laboratory evaluation.The subjects included 652 consecutive admits orthopaedic surgery service between July 2011, June 30, 2012.Laboratory evaluation.Metabolic endocrine...

Patient reported experience measures (PREMs) can quantify the quality of patient-clinician relationship, which is associated with adherence and improved health. However, scales used to assess PREMs have large ceiling effects, limits our ability learn improve. This study assessed correlation four PREMs: patient-doctor relationship questionnaire (PDRQ), a measure perceived empathy, satisfaction visit, communication effectiveness. We also effects. prospectively enrolled 103 new return patients...

Abstract Background Unhelpful thoughts and feelings of distress regarding symptoms account for a large proportion variation in patient’s symptom intensity magnitude capability. Clinicians vary their awareness this association, ability to identify unhelpful or symptoms, the skills help address them. These nontechnical are important because they can improve treatment outcomes, increase patient agency, foster self-efficacy without diminishing experience. Questions/purposes In survey-based...

Renal cell carcinoma metastases to bone are classically considered radioresistant. We reviewed 28 patients who underwent irradiation for metastatic renal carcinomas test the hypothesis that of provides adequate palliation in carefully selected patients. Metastases were multifocal all All followed until death. Overall, 36 index radiotherapy treatments given as palliative initial treatment osseous sites. Twenty-five sites (69.5%) had no subsequent radiotherapy. Eight (22.2%) repeat at a mean...

Background: The Tampa Scale for Kinesiophobia (TSK) is used to quantify fear of painful movement. A shorter form with only 4 questions (TSK-4) can be by physicians look movement independent catastrophic thinking less responder and survey burden. We assessed the difference explained in amount variation Patient-Reported Outcomes Measurement Information System Physical Function Upper Extremity (PROMIS PF UE) between TSK TSK-4. Additionally, we looked other factors that were associated PROMIS...