Psychosocial and individual factors affecting Quality of Life (QoL) in patients suffering from Achilles tendinopathy: a systematic review.

BACKGROUND: Achilles tendinopathy (AT) is a joint condition that causes functional restrictions and pain. This condition negatively impacts patients' social connectedness and psychological well-being, reducing their quality of life (QoL). This review aims to summarise the current information on QoL in patients suffering from AT from different angles: compared to a healthy population, reported individual factors that influence it and the effects of some AT interventions on QoL. METHODS: A systematic review was conducted at PubMed, Cochrane, Google Scholar, and PsycINFO using tendinopathy and QoL-related keywords up to November 2021. Articles were included if they compared QoL to demographic factors such as age or gender, lifestyle factors (physical activity levels), comorbidity factors (diabetes, obesity), and/or a control group. RESULTS: Three hundred twenty-nine articles were reviewed; 23 met the inclusion criteria. SF-36, EQ-5D, and VISA-A were the most common instrument used. Patients with AT reported low QoL when compared to no AT population. When women were compared to men, women reported worse QoL. The patients who participated in different exercise programs (strengthening and stretching) showed improvements in QoL. Surgical AT intervention improved QoL, although results varied by age. CONCLUSION: AT has a substantial impact on QoL. In AT patients, QoL is also influenced by specific individual factors, including gender and physical activity. Exercise, education, and surgical treatment improve QoL. We suggest more research on AT patients to better understand the aspects leading to poor QoL.

Pain Standards for Accredited Healthcare Organizations (ACDON Project): A Mixed Methods Study.

Up to 50% of cancer patients and up to 90% of those in terminal stages experience pain associated with disease progression, poor quality of life, and social impact on caregivers. This study aimed to establish standards for the accreditation of oncological pain management in healthcare organizations. A mixed methods approach was used. First, a pragmatic literature review was conducted. Second, consensus between professionals and patients was reached using the Nominal Group and Delphi technique in a step that involved anesthesiologists, oncologists, family physicians, nurses, psychologists, patient representatives, and caregivers. Third, eight hospitals participated in a pilot assessment of the level of fulfillment of each standard. A total of 37 standards were extracted. The Nominal Group produced additional standards, of which 60 were included in Questionnaire 0 that was used in the Delphi Technique. Two Delphi voting rounds were performed to reach a high level of consensus, and involved 64 and 62 participants with response rates of 90% and 87%, respectively. Finally, 39 standards for the management of cancer pain were agreed upon. In the self-evaluation, the average range of compliance was between 56.4% and 100%. The consensus standards of the ACDON Project might improve the monitoring of cancer pain management. These standards satisfied the demands of professionals and patients and could be used for the accreditation of approaches in cancer pain management.

Manual de estilo de la Revista de Calidad Asistencial. Guía obligatoria para nuevos autores / Revista de Calidad Asistencial style manual. Mandatory guide for new authors

Introducción. La relevancia y la consistencia de los contenidos científicos de nuestra publicación han mejorado de forma espectacular, sobre todo después de la indización en Medline. Sin embargo, no ha ocurrido lo mismo en relación con la estructura, la presentación, la composición uniforme y el cumplimiento de las normas de publicación de los trabajos que recibimos, que aún sigue siendo ostensiblemente mejorable. Por esta razón, los editores de Revista de Calidad Asistencial consideran prioritario publicar un breve manual de estilo que aclare y amplíe las normas de publicación de nuestra revista. Material y métodos. Revisión pormenorizada de las normas de publicación con adaptación a las recomendaciones del International Committee of Medical Editors, la normativa de la Consolidated Standards of Reporting Trials y las Guidelines for Quality Improvement Reporting de The SQUIRE. Resultados. Se exponen las instrucciones de estructura, presentación y composición uniforme y se ilustran con ejemplos las recomendaciones para la redacción científica. Conclusiones. No cabe duda que el interés de todos —lectores, autores, editores, socios de Sociedad Española de Calidad Asistencial— es mejorar la calidad formal de los contenidos de la Revista de Calidad Asistencial. Por tanto, todo esfuerzo que hagamos en esta dirección nos beneficiará a todos y, en definitiva, a la Sociedad a la que servimos(AU)

Introduction. The relevance and consistency of the scientific contents of our publication, have improved dramatically, especially since being indexed in Medline. However, it has not been the same as regards the structure, presentation, uniform composition and compliance with the guidelines for publication, in the manuscripts which we receive. For this reason, the editors of Revista de Calidad Asistencial (Journal of Healthcare Quality) have decided to give priority to publishing a short style guide that clarifies and expands the rules for publication of the journal. Material and methods. Detailed publication standards adapted to the recommendations of the International Committee of Medical Editors, the rules of the Consolidated Standards of Reporting Trials (CONSORT) and Standards for Quality Improvement Reporting (SQUIRE). Results. We describe the instructions for the structure, presentation and uniform composition, illustrated with examples of recommendations for scientific writing. Conclusions. There is no doubt that the interest of everyone —readers, authors, publishers, members of SECA— is to improve the quality of the contents of our Journal. Therefore, every effort we make in this direction will benefit us all and, ultimately, the society which we serve(AU)

[Intimate partner violence is not identified as a health problem by health care workers]. / El personal sanitario no percibe la violencia doméstica como un problema de salud.

OBJECTIVE: To determine attitudes, opinions and knowledge of domestic violence among medical and nursing staff. METHODS: We performed a descriptive study of prevalence using an ad hoc questionnaire. A random sample of 321 health professionals were asked about their opinions and knowledge of domestic violence and its relationship with health. RESULTS: A total of 287 health professions completed the questionnaire. Most (87.1%) considered that intimate partner violence was an important problem, but not a health issue. Sixty percent of the health professionals believed that they could play an important role in detecting patients in this situation. Knowledge about the management of this problem was low. Nursing professionals were more sensitive to this issue and better prepared than medical staff. CONCLUSIONS: Healthcare personnel are sensitive to the problem of intimate partner violence but do not consider this issue to be a health problem. Education about this phenomenon and its management is required.

El personal sanitario no percibe la violencia doméstica como un problema de salud / Intimate partner violence is not identified as a health problem by health care workers

Objetivo: Evaluar la opinión del personal sanitario de nuestro hospital frente al fenómeno de la violencia doméstica. Métodos: Estudio descriptivo de prevalencia, utilizando un cuestionario diseñado ad hoc. Se preguntó a 321 profesionales, seleccionados aleatoriamente, acerca de la violencia doméstica y su relación con la salud. Resultados: Respondieron 287 profesionales. La mayoría de encuestados (87,1%) consideró que era un problema importante, pero no lo consideraban un problema de salud. El 60% consideró que podía tener un papel relevante en la detección de esta situación. En general, valoraron como muy baja su preparación para atender a este tipo de pacientes. El personal de enfermería era más sensible al problema y se consideraba más preparado que el personal médico. Conclusiones: Los profesionales de la salud están sensibilizados frente al problema de la violencia de género, pero no lo consideran un problema de salud y aducen falta de preparación para abordar este tema

Objective: To determine attitudes, opinions and knowledge of domestic violence among medical and nursing staff. Methods: We performed a descriptive study of prevalence using an ad hoc questionnaire. A random sample of 321 health professionals were asked about their opinions and knowledge of domestic violence and its relationship with health. Results: A total of 287 health professions completed the questionnaire. Most (87.1%) considered that intimate partner violence was an important problem, but not a health issue. Sixty percent of the health professionals believed that they could play an important role in detecting patients in this situation. Knowledge about the management of this problem was low. Nursing professionals were more sensitive to this issue and better prepared than medical staff. Conclusions: Healthcare personnel are sensitive to the problem of intimate partner violence but do not consider this issue to be a health problem. Education about this phenomenon and its management is required

Organización en institutos de gestión clínica (centros orientados al paciente): descripción de la utilización hospitalaria / Clinical management institutes (patient focused centers): description of hospital utilization

Objetivos: Conocer las características determinantes de la inadecuación de los ingresos y las estancias presentada al aplicar un nuevo modelo de gestión clínica. Métodos: La población objeto de estudio han sido los enfermos dados de alta en el Hospital Clínico Universitario de Barcelona. El instrumento de revisión utilizado ha sido el protocolo AEP médico-quirúrgico. El proceso de evaluación ha consistido en la revisión retrospectiva de la historia clínica por parte de dos evaluadores médicos. Se ha realizado un análisis multivariable de regresión logística múltiple para las variables dependientes ingreso y estancia inadecuada. Resultados: De los 401 ingresos, 28 (6,9%) se consideraron inadecuados. La admisión programada, durante el fin de semana y en las áreas médicas han sido las variables predictivas identificadas para el ingreso inadecuado. De las 2.187 estancias estudiadas, a 267 (12,2%) se las evaluó como inadecuadas. La propia inadecuación del ingreso, la duración de la estancia, la cobertura asistencial y el tipo de alta han sido las variables predictivas identificadas para la estancia inadecuada. Conclusiones: El modelo organizativo desarrollado por los institutos de gestión clínica presenta unos niveles de inadecuación de ingresos y estancias muy aceptables. La actividad asistencial quirúrgica se ha encontrado influida favorablemente por la mayor actuación protocolizada del modelo. La actividad asistencial dirigida a pacientes con enfermedades médicas, asociadas y crónicas, sintetiza el patrón principal de la inadecuación

Objectives: To assess the main features and determining factors of inappropriate admission and hospital stay in relationship with a new clinical management model. Methods: Study population included all patients discharged from the Hospital Clinic-University of Barcelona. The review tool was the medical and surgical Appropriateness Evaluation Protocol (AEP). We reviewed the clinical records of a representative sample of all discharged patients. Two independent and well trained AEP reviewers were used for each record review. A multivariate analysis was performed, using admission and inappropriate hospital stay as independent variables. Results: A total of 401 admissions were reviewed. Twenty-eight (6.9%) were deemed to be inappropriate. Elective admission, admission over the week-end and being admitted to a medical ward were the predictive variables identified for inappropriate admissions. Of all 2,187 hospital stays reviewed, 267 (12.2%) were deemed to be inappropriate. An inappropriate admission, total length of stay, type of insurance coverage and discharge type were the predictive variables identified for inappropriate hospital stays. Conclusions: The new organization and clinical management model, developed by the Patient Focused Care Institutes, showed very acceptable levels of inappropriate admissions and hospital stays. Surgical services have benefited most from this new organization. Care provided to patients with medical conditions, notably those patients with multiple and chronic conditions, make up most of the inappropriateness identified

[Not Available]. / Organización en institutos de gestión clínica (centros orientados al paciente): descripción de la utilización hospitalaria.

OBJECTIVES: To assess the main features and determining factors of inappropriate admission and hospital stay in relationship with a new clinical management model. METHODS: Study population included all patients discharged from the Hospital Clinic-University of Barcelona. The review tool was the medical and surgical Appropriateness Evaluation Protocol (AEP). We reviewed the clinical records of a representative sample of all discharged patients. Two independent and well trained AEP reviewers were used for each record review. A multivariate analysis was performed, using admission and inappropriate hospital stay as independent variables. RESULTS: A total of 401 admissions were reviewed. Twenty-eight (6.9%) were deemed to be inappropriate. Elective admission, admission over the week-end and being admitted to a medical ward were the predictive variables identified for inappropriate admissions. Of all 2,187 hospital stays reviewed, 267 (12.2%) were deemed to be inappropriate. An inappropriate admission, total length of stay, type of insurance coverage and discharge type were the predictive variables identified for inappropriate hospital stays. CONCLUSIONS: The new organization and clinical management model, developed by the Patient Focused Care Institutes, showed very acceptable levels of inappropriate admissions and hospital stays. Surgical services have benefited most from this new organization. Care provided to patients with medical conditions, notably those patients with multiple and chronic conditions, make up most of the inappropriateness identified.

Violencia intrafamiliar y de género vista por los profesionales de la salud / Family and gender violence from the point of view of health professionals

No disponible

Valoración de las sugerencias formuladas en la encuesta de opinion de un hospital universitario / Evaluation of the suggestions expressed in the opinion survey in a university hospital

El objetivo de este trabajo ha sido el de valorar las sugerencias reflejadas en la encuesta de opinión anual realizada en un área asistencial del Hospital Clínic de Barcelona (AU)