In framing the key domains of survivors’ quality GANT61 of life within a ecological-contextual model that evaluates individual and societal contributions to health outcomes, we provide a comprehensive landscape of the diverse factors constituting Latina survivors’ lived experiences and their resultant quality of life outcomes.
Methods: We retrieved 244 studies via search engines and reference lists, of which 37 studies met the inclusion criteria.
Results: Findings document the importance of the social determinants
of HRQOL, with studies documenting ecological and contextual factors accounting for significant variance in HRQOL outcomes. Our review identifies a dearth of research examining community-, institutional-, and policy-level factors, such as health care access, legal and immigration
factors, physical and built environments, and health care affordability and policies affecting Latina breast cancer survivors’ HRQOL.
Conclusions: Overall research on Latina breast cancer survivorship is sparse, with even greater underrepresentation within longitudinal and intervention studies. Results highlight a need for clear documentation of the comprehensive care needs of underserved cancer survivors and interventions considering integrated systems of care to address the medical and ecological factors known to impact the HRQOL of breast cancer survivors. Copyright see more (C) 2011 John
Wiley & Sons, Ltd.”
“Study Design. This is a retrospective Dihydrotestosterone cell line chart review of 670 clinic notes from 202 patients who underwent posterior instrumented lumbar spinal fusions (LSF) over a 9-year period by a single surgeon.
Objective. This study’s objective was to investigate the utility of routine radiographs in the first year after LSF to determine if they affect decision-making.
Summary of Background Data. A review of the literature reveals an absence of studies investigating the need for radiographs in the immediate postoperative period after LSF.
Methods. Each patient’s history and physical examination (H/E) and the surgeon’s interpretation of radiographs were graded as normal or abnormal for all postoperative visits in the first year after surgery. Further action taken not felt to be routine was also recorded. chi(2) was used to statistically analyze the compiled data.
Results. No action was taken 100% of the time when H/E was normal and either a normal radiograph or no radiograph was taken. If the patient was H/E normal and radiographs were abnormal, further action was taken in only one instance. This occurred in a patient with asymptomatic implant dissociation who elected to undergo revision. In patients with abnormal H/E, further action was taken 72% of the time even in the presence of normal radiographs and 89% of the time when they also had abnormal radiographs.