ANZ Journal of Surgery最新文献_第6页

Synchronous acute internal hernia and marginal ulceration with bleeding causing acute abdominal pain.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-02-18 DOI: 10.1111/ans.70013

Preekesh Suresh Patel, Michael Booth

引用次数: 0

Patient experience with quality-of-life questionnaires for obstructive salivary gland disorders: a cross-sectional study.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-02-18 DOI: 10.1111/ans.19403

Saskia Boogaard, Naveed Basheeth

{"title":"Patient experience with quality-of-life questionnaires for obstructive salivary gland disorders: a cross-sectional study.","authors":"Saskia Boogaard, Naveed Basheeth","doi":"10.1111/ans.19403","DOIUrl":"https://doi.org/10.1111/ans.19403","url":null,"abstract":"Background: Disease severity and treatment efficacy in salivary gland disorders can be gauged through quality-of-life (QoL) questionnaires. However, limited research has explored patient experience with these questionnaires. This cross-sectional study assessed the usability of, and patient experience with, six validated QoL questionnaires.Methods: This cross-sectional study assessed the usability of and patient experience with the QoL-15D, Oral Health Impact Profile-14, Manukau Salivary Symptom Score, Chronic Obstructive Sialadenitis Symptoms, Multidisciplinary Salivary Gland Society, and Glasgow Benefit Index questionnaires. We measured the time to complete each questionnaire, patient-perceived questionnaire coverage of symptoms and disease impact using a 5-point Likert scale, patient experience with the questionnaires through open feedback, and which questionnaire patients most preferred. There were 30 participants in this study.Results: All questionnaires tested could be completed in under 5 min each. The most preferred questionnaire was the Manukau Salivary Symptom Score (43%). Participants raised the following concerns regarding the questionnaires: unclear timeframes (90%), questions not being relevant (67%), initial questions not addressing their primary symptoms (40%), confusing or unclear question wording (37%), inconsistent response scale between questions (27%), and antibiotic use during flare-ups assuming access to primary medical care (7%).Conclusion: No previous study has measured and analysed patient experience with the currently validated QoL questionnaires used in salivary gland disorders. This study's findings can be used to inform both questionnaire selection as well as the development of future QoL questionnaires for salivary gland disorders in order to achieve a better overall patient experience and reduce unintentional bias.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical trainee research collaboratives - here to stay?

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-02-14 DOI: 10.1111/ans.70036

Claudia Paterson, Andrew Hill

引用次数: 0

Improving access for adult cochlear implantation.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-02-14 DOI: 10.1111/ans.70023

Robert J S Briggs, Robert S C Cowan

引用次数: 0

Navigating palmar masses: insights on managing alternative sources of persistent median nerve compression.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-02-14 DOI: 10.1111/ans.70031

Nupur Shukla, Sadhishaan Sreedharan, Lipi Shukla

引用次数: 0

Ultrasound for hip dysplasia - disparities between community and tertiary paediatric services.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-02-14 DOI: 10.1111/ans.70000

Ye Zhu, Melody Feng, Ishith Seth, Rekha Ganeshalingam, Monsurul Hoq, Leo T Donnan

{"title":"Ultrasound for hip dysplasia - disparities between community and tertiary paediatric services.","authors":"Ye Zhu, Melody Feng, Ishith Seth, Rekha Ganeshalingam, Monsurul Hoq, Leo T Donnan","doi":"10.1111/ans.70000","DOIUrl":"https://doi.org/10.1111/ans.70000","url":null,"abstract":"Objective: Explore the differences in ultrasound reporting between community ultrasound centres and a high-volume paediatric tertiary centre in diagnosing developmental dysplasia of the hip (DDH).Participants: One hundred infants less than 6 months of age from a paediatric hip registry, who underwent ultrasounds in both community and tertiary centres within a 2-week interval.Results: One percent of a 200-hip sample reported scan quality. Alpha angles were reported in 84.5% (n = 169) of community reports and 78.5% (n = 157) of tertiary centre reports. Femoral head coverage was reported similarly in both environments at 94.5% in community and 93.5% in tertiary. Beta angle appeared in 45% (n = 90) and 2% (n = 4), respectively. Bland Altman plots revealed that there existed variation in ultrasound interpretation especially in more dysplastic hips. The concordance correlation coefficient showed only moderate agreement (Rho = 0.60 for alpha angles, Rho = 0.61 for femoral head coverage), and interrater reliability on hip classification reached moderate agreement (Cohen's Kappa = 0.57 for alpha angle, and 0.45 for femoral coverage) between community and tertiary hospital reports.Conclusions: Reliance on the community-acquired ultrasound report as a true reflection of the state of a hip is not completely justified. The lack of standardized reporting poses challenges for community clinicians in starting treatment or making appropriate referrals. Only a moderate agreement has been observed between the community and tertiary scans. Consequently, over 25% of hips classified as abnormal are potentially normal, and more than 15% dysplastic hips could be undetected.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiology of injured e-scooter riders at a major trauma service - the who, what, where and when?

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-02-14 DOI: 10.1111/ans.70017

David J Read, Kellie Gumm, Roselyn Santos

{"title":"Epidemiology of injured e-scooter riders at a major trauma service - the who, what, where and when?","authors":"David J Read, Kellie Gumm, Roselyn Santos","doi":"10.1111/ans.70017","DOIUrl":"https://doi.org/10.1111/ans.70017","url":null,"abstract":"Background: E-scooter associated injury patterns are well described, but less is known about the riders. This study describes the epidemiological characteristics of injured riders with the aim of providing information for preventative strategies.Methods: A retrospective review of prospectively collected data on admissions (2021) and all hospital presentations (2022-2023) to the Royal Melbourne Hospital, due to injury in a rider of an e-scooter. Data collected were demographics (age, gender, postcode), drug and alcohol usage, helmet usage, circumstances of injury (how, where and when), reported speed, and insurance status. Data was analysed with multiple cross tabulations using two-sided Fischer's exact test.Results: Over the 3 years 562 cases were identified, with a median age 29 years (IQR 23-40), 383 (68.5%) were male. Alcohol (29.5%) and drug (10.9%) usage were prevalent. The majority (70.4%) \"fell off\" without collision, 274 were admitted, and 9.6% were major trauma. Alcohol usage was more likely seen in men (P = 0.006), in major trauma (P = 0.02) but showed no association with age. Speed over 20 km/h was seen in 38.5% when recorded and associated with drug usage and major trauma status but not alcohol. Medicare ineligibility patients (12.1%) were younger, more likely to be female (P = 0.012) and less likely to use drugs (P = 0.001) and alcohol (P < 0.001).Conclusion: This hospital level data of injured e-scooter riders has shown high prevalence of alcohol and drug usage and speeding, all of which were associated with more severe injury, and are hence prime targets for injury prevention.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Increase in paediatric bone stress injuries: a single-center study during the COVID-19 pandemic.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-02-14 DOI: 10.1111/ans.70014

Amy Behman, Robert Browne, Leo Donnan, Stewart Morrison

{"title":"Increase in paediatric bone stress injuries: a single-center study during the COVID-19 pandemic.","authors":"Amy Behman, Robert Browne, Leo Donnan, Stewart Morrison","doi":"10.1111/ans.70014","DOIUrl":"https://doi.org/10.1111/ans.70014","url":null,"abstract":"Background: Melbourne, Australia was considered the most locked-down city during the COVID19 Pandemic. School was conducted from home and all organized sport ceased. Our institution noted an increased presentation of bone stress injuries (BSI) ranging from periostitis to stress fractures. This study reviews the prevalence of these injuries to gain insights into BSI presentation, diagnosis and best management.Methods: A retrospective review of lower limb long bone stress injuries between April 1st 2020 and March 31st 2022, and from 2018 to 2020 for comparison, was conducted. A chart review of those meeting inclusion criteria for demographics, fracture characteristics, investigations, and treatment administered was conducted.Results: Thirteen patients (two female, 11 male) met inclusion criteria. Only four patients were identified in the comparison period. The average age was 11.6 years, and average symptom duration was 7 weeks. Distinct morphologies were noted, specifically three discrete patterns of tibial injury were identified. Patients underwent an average of three imaging studies prior to diagnosis. Nine of 13 patients were prescribed a period of non-weight bearing, averaging 3.5 weeks. Seven of 13 patients were prescribed a formal 'partial weight bearing' (50%) period averaging 6.4 weeks.Conclusion: There was a significant increase in paediatric BSI presentation over the COVID-19 lockdowns. This may be linked to the effect of reduced physical activity. Knowledge of the three clear tibial morphologies identified in this study will inform future diagnosis and reduce investigation expenditure. These findings may inform public health measures during mandated lockdowns and raise a diagnostic framework for such injuries.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143413160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reply to: Simulating the healthcare workforce impact and capacity for pancreatic cancer care in Victoria: a model-based analysis.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-02-14 DOI: 10.1111/ans.70038

Lan Gao, Anna Ugalde, Patricia M Livingston, Victoria White, Jennifer J Watts, Hannah Jongebloed, Nikki McCaffrey, David Menzies, Suzanne Robinson

引用次数: 0

Parachute intestine. 降落伞肠

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-02-12 DOI: 10.1111/ans.70040

Raja Vemula, Abhay K Kattepur

引用次数: 0