There are several measures of coping strategies in response to nociception. These all correlate highly both with each other and symptom intensity magnitude disability patients upper limb illness. This study aims determine if distinct nociception address the same underlying aspect human illness behavior.Our primary question was: is there one common behavior measured by (1) Pain Catastrophizing Scale (PCS); (2) Psychological Inflexibility (PIPS); (3) Patient-Reported Outcomes Measurement...

Proximal femoral fractures resulting from metastatic disease often require surgical management. Few studies have compared techniques, and physicians' preferred strategies vary. This study revision complication rates among strategies. The consisted of a retrospective review electronic medical records 417 consecutive patients with proximal metastasis or multiple myeloma who underwent intramedullary nailing (n = 302), endoprosthetic reconstruction 70), open reduction internal fixation 45)...

Background: No consensus exists on the best method of articular reconstruction in patients who require proximal humerus resection for management primary bone sarcomas, soft-tissue sarcomas extending into bone, benign and locally aggressive tumors, metastatic disease. Methods: We identified from two institutions underwent wide along with oncologic using osteoarticular allografts (OAs), endoprostheses, or allograft-prosthesis composites. prospectively collected functional outcomes...

There are substantial variations in medical services that difficult to explain based on differences pathophysiology alone. The scale of variation and the number people affected suggest potential lower healthcare costs with reduction practice variation. Our study assessed across three affiliated urban sites one city United States related following diagnosis hand osteoarthritis (OA) patients.(1) What factors associated increased surgery first year after OA? (2) How much exists among surgeons...

Musculoskeletal specialists who attempt to discuss the connection between mental health (thoughts and emotions) physical (symptom intensity activity tolerance) with patients, may fear that they risk offending those patients. In a search for language creates comfort difficult conversations, some favor biomedical framework, such as central sensitization, which posits abnormal neuron activity. Without addressing relative accuracy of mind- or brain-based conceptualizations, we addressed crafted...

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...

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....

Nearly 44% of practicing physicians in the USA report symptoms burnout. Psychological distress and loss joy medicine are associated with malpractice lawsuits attrition from medical practice may correlate rate perceived errors.We sought to answer two questions: (1) What physician factors number errors among surgeons prior 3 months? (2) characteristics burnout surgeons?We created a cross-sectional survey invited members Science Variation Group respond between December 2018 January 2019....

Background: Misperception that an established, gradual-onset disease such as osteoarthritis started when the symptoms were first noticed might lead to testing and treatment choices are inconsistent with what matters most a patient. In present study, primary null hypothesis was there no factors associated patient-reported symptom duration (in months). The secondary hypotheses independently (1) sudden versus gradual perception of onset, (2) event or injury-related age-related perceived cause...

Background: Measures of patient satisfaction are increasingly used to measure experience. Most measures have notable ceiling effects, which limits our ability learn from variation among relatively satisfied patients. This study tested a variety single-question for their mean overall score, and floor effect, data distribution. In addition, we assessed the correlation between psychological factors how various methods measuring affected net promoter scores (NPSs). Methodology: A total 212...

This study assessed the correlation of 9 questions addressing communication effectiveness (the Communication Effectiveness Questionnaire [CEQ]) with other patient-reported experience measures (PREMs; satisfaction, perceived empathy) as well outcome (PROMs; pain intensity, activity tolerance) in patients musculoskeletal illness or injury. In a cross-sectional study, 210 visiting an orthopedic surgeon completed CEQ and satisfaction visit, empathy, tolerance. We evaluated correlations between...

Abstract Using Patient-Reported Outcomes Measurement Information System Physical Function (PROMIS PF) computerized adaptive test instead of the Knee injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS, JR) could reduce question burden patients with knee pain. We aimed to prospectively determine correlation between PROMIS PF KOOS, JR assess whether be a useful alternative measure both research clinical care This was cross-sectional study 88 patients. assessed using Pearson's...

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 Quality of care is increasingly assessed and incentivized using measures patient-reported outcomes experience. Little known about the association between measurement clinician communication strategies by trained observers patient-rated empathy (a experience measure). An effective independent measure could help identify promote behaviors associated with good patient care. Questions/purposes (1) What independently effectiveness empathy? (2) Which factors are effectiveness?...

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...

Background:Evidence suggests that health literacy, perceived availability of information and guidance to adapt challenges (informational support), symptoms depression all have the potential mediate or moderate relationship between patient-rated involvement in decisions satisfaction with care. If so these could be useful targets for improving patient experience. Methods: We prospectively enrolled 130 new adult patients visiting an orthopedic surgeon over a 4-month period. All were asked...

Abstract Background In general, journals can be divided in three categories: subscription-model, open-access, and hybrid (that is, open-access by choice). One measure of an article’s impact is the number citations it receives after publication. Open-access publishing may make articles more widely available because there no financial barrier to a reader seeing full-text version. As result, we wondered whether published fully would likely cited than other kinds journals. Questions/purposes We...

Shoulder injury from vaccination was approved for automatic compensation the Vaccine Injury Compensation Program (VICP)-a federal government program started in 1988 to shield manufacturers of childhood vaccines liability. The approval made on basis case reports rather than experimental evidence. This, combined with addition influenza VICP 2005 (which broadened coverage include adults) and other social factors, associated a rapid rise number claims shoulder over last decade, which now account...