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Paul S, Ahrend MD, Lüers JC, Roth KS, Grimmiger PP, Bopp F, Janghorban Esfahani B. Systematic Analysis of Readability of Patient Information on Internet Pages from Departments for Trauma Surgery of German University Hospitals. Z Orthop Unfall 2020; 159:187-192. [PMID: 31931534 DOI: 10.1055/a-1059-9779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
INTRODUCTION The need-based information transfer in education as well as for the recruitment of patients becomes more and more relevant. Here, the internet has emerged as an increasingly important factor in recent years and therefore information pages on hospital homepages can be very helpful. However, it is known that basic text comprehension skills are lacking among large populations. METHOD The aim of the present study was to evaluate the readability of the patient information available on the websites of trauma departments of German university hospitals. For this purpose, a search for information material on 10 different diagnoses was carried out. Out of 360 texts possible, 185 were found and assigned to 2 superordinate thematic areas (emergency vs. elective operations), subjected to a systematic text analysis via software "Text-Lab" and rated using 5 known readability indices (Amstad, G-SMOG, LIX, HIX, WSTF). RESULTS The indices used for both thematic complexes consistently showed poor readability, so that the texts only seem sufficiently comprehensible to readers with higher education. (Amstad: 21.4 ± 20.8; G-SMOG: 11.6 ± 2.0; WSTF 13.3 ± 2.1; LIX: 60.9 ± 7.6; HIX: 4.1 ± 3.2). CONCLUSION For the medical information provided by university hospitals, there is a clear need for improvement in order to make the adequate acquisition of knowledge accessible to a broader spectrum of patients.
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Affiliation(s)
- Simon Paul
- Department of Trauma Surgery and Orthopaedics, Medius Hospitals Nürtingen
| | - Marc-Daniel Ahrend
- Sports Trauma Department, Occupational Accident Casualty Hospital Tübingen
| | - Jan-Christoffer Lüers
- Department and Outpatient Unit for ENT, Head and Neck Surgery, Cologne University Hospital
| | | | - Peter P Grimmiger
- Department of General, Abdominal, and Transplantation Surgery, Mainz University Hospital
| | - Florian Bopp
- Department of Trauma Surgery and Orthopaedics, Medius Hospitals Nürtingen
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Janghorban Esfahani B, Paul S, Kraus TM, Theodorou P, Pathak CP, Saalabian A, Boesch CE. Influence of surgical wrist denervation on proprioceptive changes: A systematic review. Eur J Plast Surg 2018. [DOI: 10.1007/s00238-017-1333-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Medved F, Manoli T, Medesan R, Janghorban Esfahani B, Stahl S, Schaller HE, Brodoefel H, Ernemann U, Korn A. In vivo analysis of the vascular pattern of the superficial temporal artery based on digital subtraction angiography. Microsurgery 2014; 35:380-6. [PMID: 25363678 DOI: 10.1002/micr.22348] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2014] [Revised: 10/11/2014] [Accepted: 10/16/2014] [Indexed: 11/11/2022]
Abstract
BACKGROUND Existing anatomic descriptions of the superficial temporal artery (STA) are mainly based on cadaver studies and do not accurately reflect the in vivo situation. In this study, the anatomical course and branching pattern of the STA were analyzed with digital subtraction angiographies (DSAs). METHODS DSAs of 93 Caucasian individuals between 16- and 79-years old were retrospectively analyzed regarding the course and branching pattern of the STA as well as surgically relevant inner diameters and lengths of its main branches. RESULTS In total, 11 variations in the branching pattern of the terminal STA were found. About 89% of the examined individuals demonstrated the classic variation in which the main trunk of the STA bifurcates into a single frontal and parietal branch. In 60% of cases with an existing bifurcation, the division of the main trunk of the STA was located above the zygoma. The mean inner diameters of the STA main trunk, the frontal branch and the parietal branch were 2.4 ± 0.6 mm, 1.3 ± 0.6 mm and 1.2 ± 0.4 mm, respectively. The surgically relevant "working lengths" of the frontal and parietal branches above the upper margin of the zygoma up to an inner diameter of 1 mm were 106.4 ± 62.1mm and 99.7 ± 40.9 mm, respectively. CONCLUSIONS The common variations of the branching pattern of the STA are described in this study. Furthermore, surgically relevant inner diameters and lengths of the main branches of the STA are determined. These findings should improve our understanding of the suitability and usefulness of the STA for various surgical procedures.
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Affiliation(s)
- Fabian Medved
- Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center, Eberhard-Karls University Tuebingen, Schnarrenbergstr. 95, 72076 Tuebingen, Germany
| | - Theodora Manoli
- Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center, Eberhard-Karls University Tuebingen, Schnarrenbergstr. 95, 72076 Tuebingen, Germany
| | - Raluca Medesan
- Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center, Eberhard-Karls University Tuebingen, Schnarrenbergstr. 95, 72076 Tuebingen, Germany
| | - Babak Janghorban Esfahani
- Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center, Eberhard-Karls University Tuebingen, Schnarrenbergstr. 95, 72076 Tuebingen, Germany
| | - Stéphane Stahl
- Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center, Eberhard-Karls University Tuebingen, Schnarrenbergstr. 95, 72076 Tuebingen, Germany
| | - Hans-Eberhard Schaller
- Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center, Eberhard-Karls University Tuebingen, Schnarrenbergstr. 95, 72076 Tuebingen, Germany
| | - Harald Brodoefel
- Deparment of Neuroradiology, Eberhard-Karls University Tuebingen, Otfried-Müller-Straße 10, 72076, Tübingen, Germany
| | - Ulrike Ernemann
- Deparment of Neuroradiology, Eberhard-Karls University Tuebingen, Otfried-Müller-Straße 10, 72076, Tübingen, Germany
| | - Andreas Korn
- Deparment of Neuroradiology, Eberhard-Karls University Tuebingen, Otfried-Müller-Straße 10, 72076, Tübingen, Germany
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Ambe P, Esfahani BJ, Tasci I, Christ H, Köhler L. Is laparoscopic cholecystectomy more challenging in male patients? Surg Endosc 2011; 25:2236-40. [PMID: 21298538 DOI: 10.1007/s00464-010-1539-3] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2010] [Accepted: 12/02/2010] [Indexed: 10/18/2022]
Abstract
BACKGROUND Laparoscopic cholecystectomy (LC) seems to be more challenging in males than in females. The surgery seems to be longer in male patients. There also seems to be an increased rate of conversion to open surgery in male patients. We sought to objectively verify this widespread belief. METHODS We performed a retrospective analysis of laparoscopic cholecystectomies performed between January 2004 and November 2009 in our hospital. Within this period 1844 cholecystectomies were performed in our community-based hospital. After a strict inclusion procedure, 1571 cases of LC for symptomatic gallbladder disease were analyzed (501 males, 1071 females). The time for surgery, defined as the interval from placement of the Veress needle to wound closure in minutes, and the rate of conversion to open surgery were the main parameters considered. RESULTS The time for surgery in male patients was significantly longer compared to that for females (p<0.0001). The male cohort was significantly older than the female cohort at the time of surgery (p<0.001). The rate of conversion to open surgery was significantly higher in male patients (5.6%) compared to 2.9% for females (p<0.0001). CONCLUSION Based on our analysis, LC had a significantly longer duration of surgery in the male cohort. The rate of conversion to open surgery was also significantly higher in male cohort. Thus, LC could be more challenging in male patients.
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Affiliation(s)
- Peter Ambe
- Department of Surgery, St. Elisabeth-Kreiskrankenhaus Grevenbroich, Akademisches Lehrkrankenhaus der RWTH Aachen, Von-Werth-Straße 5, 41515, Grevenbroich, Germany.
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