Background/Objectives: Spinal Phenol IN Glycerol (SPING) block is a novel palliative pain treatment for the non-operative management of proximal femur fractures (PFFs) in older adults living with frailty. Effective that aligns patient preferences and minimizes opioid use critical this setting. This study evaluated patient, safety, process outcomes SPING population. Methods: A retrospective cohort was conducted suburban teaching hospital from March 2021 to June 2024, which included...

Objectives To assess the effectiveness and cost-utility of a multifaceted eHealth strategy compared to usual care in improving patients’ back pain beliefs, decreasing disability absenteeism. Design Stepped-wedge cluster randomised trial with parallel economic evaluation. Setting Dutch primary healthcare. Participants Patients diagnosed non-specific low by their general practitioner or physiotherapist. serious comorbidities confirmed pregnancy were excluded. 779 patients into intervention...

The COVID-19 pandemic significantly impacted the conduct of clinical trials through delay, interruption or cancellation. Decentralised methods in could help to continue during a pandemic. This paper presents results an exploratory study conducted early gain insight into and describe experiences organisations involved trials, with regard impact on adoption decentralised prior to, as mitigation for impact, COVID-19.A survey 11 open-ended four multiple choice questions was June 2020 among...

Low back pain (LBP) is one of the most common and costly healthcare problems worldwide. Disability from LBP associated with maladaptive beliefs about condition, such can be influenced by public health interventions. While socioeconomic status (SES) has been identified as an important factor in literacy inequalities, not much known association between SES LBP. Therefore, this study examined relationship measures belief that should stay active through a representative sample general population...

To improve patient care, and to reduce unnecessary referrals for diagnostic imaging medical specialist care low back pain, an evidence-based guideline pain was developed in the Netherlands 2010. The current study evaluated effect of a multifaceted implementation strategy on adherence among Dutch general practitioners. included multidisciplinary training, provision educational material interactive website healthcare professionals, supported by multimedia eHealth intervention patients with...

Low back pain (LBP) is one of the most prevalent and costly disorders worldwide. To reduce its burden in Netherlands, implementation a multidisciplinary guideline for LBP was supported by multifaceted eHealth campaign patients with LBP. The current study aims 1) to evaluate whether strategy performed as planned; 2) assess feasibility, barriers facilitators patient based campaign; 3) gain insight into satisfaction experiences various ethnic backgrounds make comparison between them; 4) explore...

Background To reduce the burden of low back pain (LBP) in Netherlands, a multidisciplinary guideline for LBP has been implemented Dutch primary care using multifaceted implementation strategy targeted at health professionals (HCPs) and patients. The current paper describes process evaluation among HCPs. Methods aimed to improve collaboration communication, consisted 7 components. This was performed Linnan Steckler framework. Data were collected mixed methods approach quantitative qualitative...

Low back pain (LBP) is one of the most prevalent and expensive health care problems in industrialised countries. LBP leads to high utility productivity losses; leaving individual, employer, society with substantial costs. To improve for patients reduce societal financial burden LBP, 2010 'Multidisciplinary guideline nonspecific low pain' was developed Netherlands. The current paper describes design a study aiming evaluate (cost-) effectiveness multifaceted strategy implement this...

Aims The current evidence comparing the two most common approaches for reverse total shoulder arthroplasty (rTSA), deltopectoral and anterosuperior approach, is limited. This study aims to compare rate of loosening, instability, implant survival between rTSA using data from Dutch National Arthroplasty Registry with a minimum follow-up five years. Methods All patients in registry who underwent primary January 2014 December 2016 an or approach were included, Cox logistic regression models used...

The aim was to identify the most important determinants of practice for implementation person-centered tools which enhance work participation patients with chronic health conditions.

The purpose of the study is to ascertain endovascular aneurysm repair (EVAR) suitability in relation stent-graft-specific instructions for use (IFU) patients with a ruptured abdominal aortic (RAAA).Using preoperative computed tomography angiography (CTA), morphology undergoing surgical RAAA 2 Dutch hospitals between January 2014 and December 2019 was retrospectively assessed. Three-dimensional central luminal line reconstructions were used. Anatomical defined according IFU stent graft system...

<h3>Introduction</h3> Specific low back problems are a common and costly problem in Western societies. The vast majority (88%) of these costs caused by indirect costs, including job absenteeism, productivity losses, disability. To reduce multimedia campaign was developed for patients with pain. This aimed to improve patient cognitions knowledge regarding pain, stimulated active coping continuing work. <h3>Methods</h3> We recruited via general practitioners physiotherapists, used RCT design...

Background: A self medication is most common in almost all countries on the globe. The practice of care high both educated and uneducated population .These medications has beneficial potential risk need proper knowledge towards care.Objectives: objectives study were: To know reason for to determine various illness use over -the -counter drugsMethods: In this cross-sectional study, a validated self-administered, questionnaire was used collect data among pharmacy students.Results: Of 117...

OPAT it is a frequent source of questions and formal infectious diseases consultations. always less expensive than inpatient therapy. Financial savings have been found with when compared in hospital stays. The use intravenous (IV) antibiotics for the treatment serious infections has become common around world. It accepted as standard many including other chronic infection like sepsis, meningitis, endocarditis etc. goals program are to provide expert care patients on IV antibiotics, manage...