<h3>Objective</h3> To identify clinical predictors of quality life (QoL) in a head and neck cancer patient population. <h3>Design, Patients, Setting</h3> A convenience sample 570 patients with upper aerodigestive tract cancers were surveyed at tertiary care oncology clinic Veterans Affairs otolaryngology clinic. <h3>Interventions</h3> self-administered health survey was constructed to collect demographic, health, smoking, alcohol, depression symptom, QoL information. Tumor site tumor stage,...

Abstract BACKGROUND. Increased pretreatment serum interleukin (IL)‐6 levels among patients with head and neck squamous cell carcinoma (HNSCC) have been shown to correlate poor prognosis, but sample sizes in prior studies small thus unable control for other known prognostic variables. METHODS. A longitudinal, prospective cohort study determined the correlation between IL‐6 levels, tumor recurrence all‐cause survival a large population (N = 444) of previously untreated HNSCC patients. Control...

Catheter-associated urinary tract infection (UTI) is a common device-associated in hospitals. Both technical factors — appropriate catheter use, aseptic insertion, and proper maintenance socioadaptive factors, such as cultural behavioral changes hospital units, are important preventing catheter-associated UTI.

Abstract Background: Smoking, alcohol use, and depression are interrelated highly prevalent in patients with head neck cancer, adversely affecting quality of life survival. alcohol, share common treatments, such as cognitive behavioral therapy antidepressants. Consequently, we developed tested a tailored smoking, intervention for cancer. Methods: Patients cancer at least one these disorders were recruited from the University Michigan three Veterans Affairs medical centers. Subjects...

Purpose The purpose of this study was to examine whether quality life (QOL) scores predict survival among patients with head and neck cancer, controlling for demographic, health behavior, clinical variables. Patients Methods A self-administered questionnaire given 495 being treated cancer while they were waiting be seen a clinic appointment. Data collected from the survey included demographics, behaviors, QOL as measured by Short Form-36 (SF-36) physical mental component Head Neck scores....

Purpose Our prior work has shown that the health behaviors of head and neck cancer patients are interrelated associated with quality life; however, other than smoking, relationship between survival is unclear. Patients Methods A prospective cohort study was conducted to determine five pretreatment (smoking, alcohol, diet, physical activity, sleep) all-cause among 504 patients. Results Smoking status strongest predictor survival, both current smokers (hazard ratio [HR] = 2.4; 95% CI, 1.3 4.4)...

Background The Institute of Medicine (IOM) report, "Unequal Treatment," which defines disparities as racially based, indicates that in cancer diagnosis and treatment are less clear. While a number studies have acknowledged disparities, they limitations retrospective nature, small sample sizes, inability to control for covariates, measurement errors. Objective purpose this study was examine predictors survival among newly diagnosed head neck patients recruited from 3 hospitals Michigan, USA,...

Interventions to reduce urinary catheter use involve lists of "appropriate" indications developed from limited evidence without substantial multidisciplinary input. Implementing these lists, however, is challenging given broad interpretation indications, such as "critical illness." To refine criteria for appropriate use-defined in which benefits outweigh risks-the RAND/UCLA Appropriateness Method was applied. After reviewing the literature, a 15-member panel physicians, nurses, and...

Indwelling urethral catheters (ie, Foley catheters) are important in caring for certain hospitalized patients but can also cause complications patients.To determine the incidence of infectious and noninfectious patient-reported associated with indwelling catheter.A prospective cohort study consecutive placement a new catheter while at 1 4 US hospitals 2 states. The was conducted from August 26, 2015, to 18, 2017. Participants were evaluated baseline contacted 14 days 30 after insertion about...

Patients with head and neck cancer often experience debilitating speech, eating, respiratory problems as well the psychological effects of loss function change in body image. These patients become unemployed a result their disease process, which adds financial burden to already stressful lives. Yet specific factors associated unemployment have not been systematically studied.This multisite study used survey chart data determine predictors work-related disability.Of 384 who were working prior...

This study investigated racial/ethnic preferences, sex and perceived discrimination related to end-of-life care. Ten focus groups a follow-up survey were conducted obtain in-depth information on preferences across five in Michigan stratified by sex. There 73 group participants, including Arab Muslims, Christians, Hispanics, blacks, whites. The mean age+/-standard deviation was 67+/-8.5 (range 50-83). A screener used recruit participants. moderator discussion guide the groups. take-home...

To characterize and compare quality of life (QOL) in patients with head neck cancer shortly before initial treatment 1 year later to study the predictors changes QOL over year.Prospective cohort study.Three otolaryngology clinics.Three hundred sixteen having newly diagnosed squamous cell cancer.Health-related was assessed using 36-item Short-Form Health Survey a cancer-specific scale.Over year, decreased for physical functioning measures eating but improved mental health QOL. Depression...

Abstract Background Diagnosis requires that clinicians communicate and share patient information in an efficient manner. Advances electronic health records (EHRs) technologies have created both challenges opportunities for such communication. Methods We conducted a multi-method, focused ethnographic study of physicians on general medicine inpatient units two teaching hospitals. Physician teams were observed during after morning rounds to understand workflow, data sharing communication...

Abstract Background Hand hygiene is recommended for all clinicians at entry to and exit from patients’ rooms. Adhering such recommendations remains suboptimal possibly due, in part, cognitive biases among who believe they are more compliant with hand than actually are. We observed actual adherence room bedside nurses compared these observations self-reported perceptions of adherence. Methods (during day night shifts) were made during their normal workflow six inpatient general medicine wards...

This prospective, cohort study is the first to describe 5 health behaviors of head and neck cancer patients year after diagnosis.Patients (N = 283) were recruited in otolaryngology clinic waiting rooms asked complete written surveys. A medical record audit was also conducted. Descriptive statistics multivariate analyses conducted determine which variables associated with behaviors.Half smoked 25% problem drinkers. Over half smokers drinkers quit 1 post-diagnosis. Smoking drinking highly both...

To identify clinical factors associated with enteral feeding tube placement in a head and neck cancer population.A self-administered survey was given to patients being treated for while they were waiting be seen 1 of 4 otolaryngology clinics. The post hoc analysis presented here combines chart review data determine demographic variables placement.Four clinics.Otolaryngology clinic cancer.Enteral placement.Of the 724 eligible this study, 14% (n = 98) required placement. Multivariate found...

Abstract Objectives/Hypothesis: The objective of this study was to determine the predictors sleep quality among head and neck cancer patients 1 year after diagnosis. Study Design: This a prospective, multisite cohort (N = 457). Methods: Patients were surveyed at baseline Chart audits also conducted. dependent variable self‐assessed score independent variables pain score, xerostomia, treatment received (radiation, chemotherapy, and/or surgery), presence feeding tube tracheotomy, tumor site...

Objective. To examine regional variation in the use and appropriateness of indwelling urinary catheters catheter-associated tract infection (CAUTI). Design Setting. Cross-sectional study. Participants. US acute care hospitals. Methods. Hospitals were divided into 4 regions according to Census Bureau. Baseline data on catheter use, appropriateness, CAUTI collected from participating units. The utilization ratio was calculated by dividing number catheter-days patient-days. We used National...

Background Numerous initiatives have focused on reducing device-associated infections, contributing to an overall decrease in infections nationwide. To better understand factors associated with this decline, we assessed the use of key practices prevent by US acute care hospitals from 2005 2013. Methods We mailed surveys infection preventionists at a national random sample ∼600 2005, 2009 and Our survey asked about 3 most common infections: central line-associated bloodstream (CLABSI),...

Background Despite focused initiatives to reduce device-associated infection among hospitalised patients, the practices US hospitals are currently using unknown. We thus used a national survey ascertain use of several established and novel prevent infections. Methods mailed surveys preventionists in random sample nearly 900 acute care 2017. Our asked about three common infections: catheter-associated urinary tract (CAUTI), central line-associated bloodstream (CLABSI) ventilator-associated...

Indwelling urinary catheters are commonly used for patients undergoing general and orthopaedic surgery. Despite infectious non-infectious harms of catheters, there is limited guidance available to surgery teams regarding appropriate perioperative catheter use.Using the RAND Corporation/University California Los Angeles (RAND/UCLA) Appropriateness Method, we assessed appropriateness indwelling placement different timings removal routine procedures.Two multidisciplinary panels consisting 13 11...

Objectives To determine the accuracy of self‐reported comorbidities compared with medical record review and clinical sociodemographic characteristics associated comorbidities. Study Design We conducted a prospective study 458 newly diagnosed head neck cancer patients using self‐administered questionnaire chart data. Overall itemwise consistency between self‐report was evaluated. Social, clinical, demographic consistent versus inconsistent responders were analyzed. Results Seventy‐four...

Health behaviors have been shown to be associated with recurrence risk and survival rates in patients cancer are also interleukin-6 (IL-6) levels, but few epidemiologic studies investigated the relationship of health IL-6 among populations. The purpose study is look at between five behaviors, viz.: smoking, alcohol problems, body mass index (BMI; a marker nutritional status), physical activity, sleep pretreatment levels persons head neck cancer.