Symptomatic hip dysplasia is primarily treated surgically with periacetabular osteotomy (PAO). It is unclear whether changes in quality of life (QoL) and changes in hip function follow the same pattern of improvement as pain following PAO. The aim of the study is to investigate whether changes in pain were associated with changes in QoL and hip function 2 years after PAO. Furthermore, to examine patient satisfaction 2 years after PAO. This is a follow-up study with data from Aarhus University Hospital Denmark. Pain was measured using the Visual Analogue Scale, QoL with Short-Form 36 and hip function with Hip disability and Osteoarthritis Outcome Score both preoperatively and 2 years after PAO in 321 patients. Multiple linear regressions were applied. Significant mean improvements in pain, QoL and hip function were found ( P < 0.05). Significant associations between changes in pain and changes in physically related QoL and changes in hip function, respectively were found ( P < 0.05). A non-significant association between changes in pain and changes in mentally- related QoL was found ( P = 0.13). The majority of patients (84%) reported satisfaction with the result of PAO and would undergo PAO again if they had known the results in advance. The study had a loss to follow-up of 26%. Decreased pain was significantly associated with increased physically related QoL and improved hip function 2 years after PAO. A non-significant association between decreased pain and increased mentally related QoL was found. Patients were in general satisfied with treatment and results 2 years after PAO.
Background Patients with end‐stage kidney disease (ESKD) may have palliative care needs. A tool validated in a Danish context to identify such needs is lacking. The Integrated Palliative Outcome Scale—Renal (IPOS‐Renal) aims to identify patients' palliative care needs. The current study is the first phase of a research project translating and validating the IPOS‐Renal into Danish. Objectives To investigate palliative care needs among Danish patients with ESKD. Design A literature review was conducted using meta‐ethnography inspired by Noblit and Hare. A focus group with health care professionals (HCPs) and semi‐structured individual patient interviews were conducted and analysed using Malterud's principles of systematic text condensation. Results A synthesis of 15 studies, a focus group with 13 HCPs, and interviews with nine patients were conducted. We found that patients with ESKD experienced several symptoms related to physical, social, mental and existential and practical needs. The most prominent findings were fatigue, reduced physical functioning, dizziness, impaired memory, dependency on relatives or HCPs, social isolation and loss of identity. Conclusion The palliative care needs identified in the Danish patient population are substantiated by the IPOS‐Renal questionnaire. However, some Danish patients also appear to struggle with dizziness and impaired memory. These symptoms do not appear specifically in the IPOS‐Renal questionnaire but may have to be included in a Danish version.
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