Long-term Functional Decline After High-Risk Elective Colorectal Surgery in Older Adults

CONCLUSIONS: High-risk colorectal surgery, without or with complications, is associated with increased likelihood of functional decline in older adults. Patient-centered decision-making should include discussion of expected functional outcomes and long-term disability. See Video Abstract at http://links.lww.com/DCR/B78. PÉRDIDA DE LA FUNCIONALIDAD A LARGO PLAZO LUEGO DE CIRUGÍA ELECTIVA COLORRECTAL DE ALTO RIESGO EN EL PACIENTE AÑOSO ANTECEDENTES: Aunque en la mayoría de las investigaciones los resultados quirúrgicos se centran en los puntos finales clínicos y las complicaciones, actualmente se pueden valorar los resultados funcionales en el paciente añoso. Sin embargo, se sabe poco sobre el riesgo de la discapacidad funcional a largo plazo después de un procedimiento colorrectal. OBJETIVO: Comprender la incidencia y la probabilidad del deterioro funcional después de operaciones colorrectales de alto riesgo (es decir, ≥1% de mortalidad hospitalaria) con y sin complicaciones. DISEÑO: Estudio de cohorte emparejado retrospectivo. AJUSTES: El seguimiento longitudinal representativo a nivel nacional en adultos de>50 años y que recopila datos sobre su estado funcional, su estado cognitivo y su demografía, entre otros temas es el llamado “Estudio de Salud en jubilados.” La encuesta se vinculó con los reclamos de Medicare y los datos del Índice Nacional de D...
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Original Contributions: Outcomes Source Type: research

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Publication date: Available online 22 January 2020Source: Annals of Physical and Rehabilitation MedicineAuthor(s): Claire Hentzen, Nicolas Turmel, Camille Chesnel, Audrey Charlanes, Frédérique Le Breton, Samer Sheikh Ismaël, Gérard AmarencoAbstractBackground: Lower urinary tract symptoms, especially overactive bladder, are frequent and disabling in individuals with multiple sclerosis (IwMS). An association with gait disorders is common, which could aggravate continence difficulties and affect quality of life. The association between the need to void and walking has never been studied in this popul...
Source: Annals of Physical and Rehabilitation Medicine - Category: Rehabilitation Source Type: research
Publication date: Available online 22 January 2020Source: Academic PediatricsAuthor(s): Li Huang, Gary L. Freed, Kim DalzielAbstractObjectivesTo assess use and needs for general practitioner, specialist, emergency department, hospital inpatient and hospital outpatient services for children with special health care needs (CSHCN). To assess how elevated CSHCN's needs are compared with other children.MethodsHealth service use and needs for children aged 4-15 years were assessed using the nationally-representative Longitudinal Study of Australian Children survey with 25,011 observations. Odds ratios of service use and unmet ne...
Source: Academic Pediatrics - Category: Pediatrics Source Type: research
Children with intellectual disability frequently undergo gastrostomy in order to continue enteral feeds. Indications for gastrostomy include failure to thrive, dysphagia and pulmonary aspiration, or even oral aversion. These children often have complex, comorbid conditions, such as cerebral palsy, seizures, or cardiopulmonary dysfunction. Parents are thus often challenged by the decision whether to proceed with gastrostomy, as a feeding tube will change daily care and long-term outcome for their child.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: The Editors' Perspectives Source Type: research
DiscussionTrapeziectomy with LRTI for thumb carpometacarpal osteoarthritis provided early subjective improvements in outcomes as early as 3 months post-procedure. However, more than 6 months are required to determine objective improvements in outcomes. To obtain early patient-reported satisfactory outcomes, we should focus not on improving hand and finger strength, but on treating postoperative surgical site pain and preventing thumb stiffness.Level of evidenceIV, retrospective therapeutic study.
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
A new report by the US surgeon general points to tobacco smoking as the leading cause of preventable disease, disability and death in the United States -- and notes that smoking cessation is beneficial at any age.
Source: CNN.com - Health - Category: Consumer Health News Source Type: news
Publication date: Available online 22 January 2020Source: The Lancet NeurologyAuthor(s): Jeremy Chataway, Floriana De Angelis, Peter Connick, Richard A Parker, Domenico Plantone, Anisha Doshi, Nevin John, Jonathan Stutters, David MacManus, Ferran Prados Carrasco, Frederik Barkhof, Sebastien Ourselin, Marie Braisher, Moira Ross, Gina Cranswick, Sue H Pavitt, Gavin Giovannoni, Claudia Angela Gandini Wheeler-Kingshott, Clive Hawkins, Basil SharrackSummaryBackgroundNeurodegeneration is the pathological substrate that causes major disability in secondary progressive multiple sclerosis. A synthesis of preclinical and clinical re...
Source: The Lancet Neurology - Category: Neurology Source Type: research
No abstract available
Source: Journal of Pediatric Gastroenterology and Nutrition - Category: Gastroenterology Tags: Invited Commentaries Source Type: research
This study examines neurocognitive outcomes of children with IF at ages 4 to 8 years treated at a single centre, along with relevant medical and demographic variables. Methods: Between 2012 and 2016, neurocognitive assessments were administered to 28 children receiving treatment in our IF rehabilitation program, and included measures of intelligence, academics, learning/memory, language, visual-motor integration, and fine-motor dexterity. DSM-IV/V criteria were used to diagnose Learning Disability, Intellectual Disability, and/or Attention Deficit/Hyperactivity Disorder. Results: Intellectual functioning ranged from ...
Source: Journal of Pediatric Gastroenterology and Nutrition - Category: Gastroenterology Tags: Original Articles: Gastroenterology Source Type: research
Publication date: March 2020Source: Research in Developmental Disabilities, Volume 98Author(s): Yael Barak-Levy, Na'ama Atzaba-PoriaAbstractIn accordance with the determinant of parenting model (Belsky, 1984), a conceptual model is proposed in which parental stress mediates the links between child, proximal, and distal risk factors and parental behavior. Participants were 156 families with children aged 4–7 years (M = 5.64 years, SD = 0.62; 59 % boys); research group: 75 two-parent families having children with mild intellectual disability (MID); control group: 81 two-parent families with typically developed ...
Source: Research in Developmental Disabilities - Category: Disability Source Type: research
Publication date: Available online 23 January 2020Source: Neuroscience ResearchAuthor(s): Keiji TanakaAbstractParkin is a protein involved in familial Parkinson’s disease (PD), a neurodegenerative disorder with motor symptoms linked to the loss of dopaminergic neurons. More than 20 years have passed since the discovery of Parkin; since that time, another familial PD protein has been identified: PINK1, which acts upstream of Parkin. PINK1 is a protein kinase that monitors mitochondrial integrity by sensing disability status, whereas Parkin is a ubiquitin–protein ligase that attaches ubiquitin chains to malfuncti...
Source: Neuroscience Research - Category: Neuroscience Source Type: research
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