1
|
Campbell BR, Rooney AS, Krzyzaniak A, Lee JJ, Carroll AN, Calvo RY, Peck KA, Martin MJ, Bansal V, Sise MJ, Krzyzaniak MJ. To the point: Utility of laparoscopy for operative management of stabbing abdominal trauma. Am J Surg 2024; 231:125-131. [PMID: 38309996 DOI: 10.1016/j.amjsurg.2024.01.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 12/20/2023] [Accepted: 01/24/2024] [Indexed: 02/05/2024]
Abstract
BACKGROUND Algorithms for managing penetrating abdominal trauma are conflicting or vague regarding the role of laparoscopy. We hypothesized that laparoscopy is underutilized among hemodynamically stable patients with abdominal stab wounds. METHODS Trauma Quality Improvement Program data (2016-2019) were used to identify stable (SBP ≥110 and GCS ≥13) patients ≥16yrs with stab wounds and an abdominal procedure within 24hr of admission. Patients with a non-abdominal AIS ≥3 or missing outcome information were excluded. Patients were analyzed based on index procedure approach: open, therapeutic laparoscopy (LAP), or LAP-conversion to open (LCO). Center, clinical characteristics and outcomes were compared according to surgical approach and abdominal AIS using non-parametric analysis. RESULTS 5984 patients met inclusion criteria with 7 % and 8 % receiving therapeutic LAP and LCO, respectively. The conversion rate for patients initially treated with LAP was 54 %. Compared to conversion or open, therapeutic LAP patients had better outcomes including shorter ICU and hospital stays and less infection complications, but were younger and less injured. Assessing by abdominal AIS eliminated ISS differences, meanwhile LAP patients still had shorter hospital stays. At time of admission, 45 % of open patients met criteria for initial LAP opportunity as indicated by comparable clinical presentation as therapeutic laparoscopy patients. CONCLUSIONS In hemodynamically stable patients, laparoscopy remains infrequently utilized despite its increasing inclusion in current guidelines. Additional opportunity exists for therapeutic laparoscopy in trauma, which appears to be a viable alternative to open surgery for select injuries from abdominal stab wounds. LEVEL OF EVIDENCE Prognostic and Epidemiological; Level IV.
Collapse
Affiliation(s)
- Bryan R Campbell
- Division of Trauma and Acute Care Surgery, Department of Surgery, Scripps Mercy Hospital, San Diego, CA, USA.
| | - Alexandra S Rooney
- Division of Trauma and Acute Care Surgery, Department of Surgery, Scripps Mercy Hospital, San Diego, CA, USA.
| | - Andrea Krzyzaniak
- Division of Trauma and Acute Care Surgery, Department of Surgery, Scripps Mercy Hospital, San Diego, CA, USA.
| | - Joseph J Lee
- Division of Trauma and Acute Care Surgery, Department of Surgery, Scripps Mercy Hospital, San Diego, CA, USA.
| | - Alyssa N Carroll
- Division of Trauma and Acute Care Surgery, Department of Surgery, Scripps Mercy Hospital, San Diego, CA, USA.
| | - Richard Y Calvo
- Division of Trauma and Acute Care Surgery, Department of Surgery, Scripps Mercy Hospital, San Diego, CA, USA.
| | - Kimberly A Peck
- Division of Trauma and Acute Care Surgery, Department of Surgery, Scripps Mercy Hospital, San Diego, CA, USA.
| | - Matthew J Martin
- Division of Trauma and Acute Care Surgery, Department of Surgery, Scripps Mercy Hospital, San Diego, CA, USA.
| | - Vishal Bansal
- Division of Trauma and Acute Care Surgery, Department of Surgery, Scripps Mercy Hospital, San Diego, CA, USA.
| | - Michael J Sise
- Division of Trauma and Acute Care Surgery, Department of Surgery, Scripps Mercy Hospital, San Diego, CA, USA.
| | - Michael J Krzyzaniak
- Division of Trauma and Acute Care Surgery, Department of Surgery, Scripps Mercy Hospital, San Diego, CA, USA.
| |
Collapse
|
2
|
Fox CJ, Feliciano DV, Hartwell JL, Ley EJ, Coimbra R, Schellenberg M, de Moya M, Moore LJ, Brown CVR, Inaba K, Keric N, Peck KA, Rosen NG, Weinberg JA, Martin MJ. Extremity vascular injury: A Western Trauma Association critical decisions algorithm. J Trauma Acute Care Surg 2024; 96:265-269. [PMID: 37926992 DOI: 10.1097/ta.0000000000004186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2023]
Affiliation(s)
- Charles J Fox
- From the R Adams Cowley Shock Trauma Center (C.J.F., D.V.F.), Baltimore, Maryland; University of Kansas Medical Center (J.L.H.), Kansas City, Kansas; Cedars-Sinai Medical Center (E.J.L.), Los Angeles, California; Riverside University Health System Medical Center (R.C.), Riverside, California; University of Southern California (M.S., K.I., M.J.M.), Los Angeles, California; Medical College of Wisconsin (M.M.), Milwaukee, Wisconsin; University of Texas McGovern Medical School (L.J.M.), Houston, Texas; Dell Medical School, University of Texas at Austin (C.V.R.B.), Austin, Texas; University of Arizona College of Medicine (N.K.), Phoenix, Arizona; Scripps Mercy Hospital (K.A.P.), San Diego, CA; Children's Hospital (N.G.R.), Cincinnati, Ohio; and St. Joseph's Hospital and Medical Center (J.A.W.), Phoenix, Arizona
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
3
|
Keric N, Shatz DV, Schellenberg M, de Moya M, Moore LJ, Brown CVR, Hartwell JL, Inaba K, Ley EJ, Peck KA, Fox CJ, Rosen NG, Weinberg JA, Coimbra R, Kozar R, Martin MJ. Adult blunt hepatic injury: A Western Trauma Association critical decisions algorithm. J Trauma Acute Care Surg 2024; 96:123-128. [PMID: 37747241 DOI: 10.1097/ta.0000000000004141] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/26/2023]
Affiliation(s)
- Natasha Keric
- From the Division of Trauma, Surgical Critical Care and Acute Care Surgery, Department of Surgery (N.K.), Banner University Medical Center, Phoenix, Arizona; University of California (D.V.S.), Davis, Sacramento, California; Division of Acute Care Surgery, Department of Surgery, University of Southern California (M.S., K.I., M.J.M.), Los Angeles, California; Division of Acute Care Surgery, Department of Surgery, Medical College of Wisconsin (M.d.M.), Milwaukee, Wisconsin; Division of Acute Care Surgery, Department of Surgery, University of Texas-Houston Medical Center (L.J.M.), Houston, Texas; Division of Acute Care Surgery, Department of Surgery, Dell Medical School (C.V.R.B.), University of Texas at Austin, Austin, Texas; Division of Acute Care Surgery, Department of Surgery, University of Kansas Medical Center (J.L.H.), Kansas City, Kansas; Division of Acute Care Surgery, Department of Surgery, Cedars-Sinai Medical Center (E.J.L.), Los Angeles, California; Scripps Mercy Hospital (K.A.P.), San Diego, California; Division of Vascular Surgery, Department of Surgery, R Adams Cowley Shock Trauma Center (C.J.F., R.K.), Baltimore, Maryland; Division of Pediatric General and Thoracic Surgery, Children's Hospital (N.G.R.), Cincinnati, Ohio; Division of Acute Care Surgery, Department of Surgery, St. Joseph's Medical Center (J.A.W.), Phoenix, Arizona; and Riverside University Health System Medical Center (R.C.), Riverside, California
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
4
|
Schellenberg M, Koller S, de Moya M, Moore LJ, Brown CVR, Hartwell JL, Inaba K, Ley EJ, Keric N, Peck KA, Fox CJ, Rosen NG, Weinberg JA, Coimbra R, Martin MJ. Diagnosis and management of traumatic rectal injury: A Western Trauma Association critical decisions algorithm. J Trauma Acute Care Surg 2023; 95:731-736. [PMID: 37405856 DOI: 10.1097/ta.0000000000004093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/06/2023]
Affiliation(s)
- Morgan Schellenberg
- From the Division of Acute Care Surgery, Department of Surgery (M.S., K.I., M.J.M.),; Division of Colorectal Surgery, Department of Surgery (S.K.), University of Southern California, Los Angeles, California; Division of Acute Care Surgery, Department of Surgery (M.d.M.), Medical College of Wisconsin, Milwaukee, Wisconsin; Division of Acute Care Surgery, Department of Surgery (L.J.M.), University of Texas-Houston Medical Center, Houston; Division of Acute Care Surgery, Department of Surgery (C.V.R.B.), Dell Medical School, University of Texas at Austin, Austin, Texas; Division of Acute Care Surgery, Department of Surgery (J.L.H.), University of Kansas Medical Center, Kansas City, Kansas; Division of Acute Care Surgery, Department of Surgery (E.J.L.), Cedars-Sinai Medical Center, Los Angeles, California; Division of Acute Care Surgery, Department of Surgery (N.K.), Banner University Medical Center, Phoenix, Arizona; Division of Acute Care Surgery, Department of Surgery (K.A.P.), Scripps Mercy Hospital, San Diego, California; Division of Vascular Surgery, Department of Surgery (C.J.F.), R. Cowley Adams Shock Trauma Center, Baltimore, Maryland; Division of Pediatric General and Thoracic Surgery, Department of Surgery (N.G.R.), Children's Hospital, Cincinnati, Ohio; Division of Acute Care Surgery, Department of Surgery (J.A.W.), St. Joseph's Medical Center, Phoenix, Arizona; and Division of Acute Care Surgery, Department of Surgery (R.C.), Riverside University Health System Medical Center, Riverside, California
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
5
|
Martin MJ, Brasel KJ, Brown CVR, Hartwell JL, de Moya M, Inaba K, Ley EJ, Moore EE, Peck KA, Rizzo AG, Rosen NG, Weinberg JA, Coimbra R, Crandall M, Mukherjee K, Ignacio R, Longshore S, Flynn-O'Brien KT, Ng G, Selesner L, Jafri M. Pediatric emergency resuscitative thoracotomy: A Western Trauma Association, Pediatric Trauma Society, and Eastern Association for the Surgery of Trauma collaborative critical decisions algorithm. J Trauma Acute Care Surg 2023; 95:583-591. [PMID: 37337331 DOI: 10.1097/ta.0000000000004055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/21/2023]
Abstract
LEVEL OF EVIDENCE Literature synthesis and expert opinion, Level V.
Collapse
Affiliation(s)
- Matthew J Martin
- From the Deparment of Surgery (M.J.M., K.I.), University of Southern California, Los Angeles, California; Deparment of Surgery (M.J.M.), Keck School of Medicine, Los Angeles, California; Deparment of Surgery (K.J.B.), Oregon Health Science University, Portland, Oregon; Deparment of Surgery (C.V.R.B.), Dell Medical School, University of Texas at Austin, Austin, Texas; Deparment of Surgery (J.L.H.), University of Kansas Medical Center, Kansas City, Kansas; Deparment of Surgery (M.d.M.), Medical College of Wisconsin, Milwaukee, Wisconsin; Deparment of Surgery (E.J.L.), Cedars-Sinai Medical Center, Los Angeles, California; Deparment of Surgery (E.E.M.), Ernest E Moore Shock Trauma Center, Denver, Colorado; Deparment of Surgery (K.A.P.), Scripps Mercy Hospital, San Diego, California; Deparment of Surgery (A.G.R.), Guthrie Health System, Sayre, Pennsylvania; Deparment of Surgery (N.G.R.), Children's Hospital, Cincinnati, Ohio; Deparment of Surgery (J.A.W.), St. Joseph's Medical Center, Phoenix, Arizona; Deparment of Surgery (R.C.), Riverside University Health System Medical Center, Riverside, California; Deparment of Surgery (M.C.), University of Florida College of Medicine, Jacksonville, Florida; Deparment of Surgery (K.M.), Loma Linda University Medical Center, Loma Linda; Deparment of Surgery (R.I.), University of California San Diego/Rady Children's Hospital, San Diego, California; Deparment of Surgery (S.L.), East Carolina University, Greenville, North Carolina; Deparment of Surgery (K.T.F.-O'B.), Medical College of Wisconsin, Children's Wisconsin, Milwaukee, Wisconsin; Deparment of Surgery (G.N.), Texas Tech University Health Sciences Center, El Paso, Texas; and Deparment of Surgery (L.S., M.J.), Oregon Health and Sciences University, Portland, Oregon
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
6
|
de Moya M, Brasel KJ, Brown CVR, Hartwell JL, Inaba K, Ley EJ, Moore EE, Peck KA, Rizzo AG, Rosen NG, Sperry J, Weinberg JA, Martin MJ. Evaluation and management of traumatic pneumothorax: A Western Trauma Association critical decisions algorithm. J Trauma Acute Care Surg 2022; 92:103-107. [PMID: 34538823 DOI: 10.1097/ta.0000000000003411] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ABSTRACT This is a recommended algorithm of the Western Trauma Association for the management of a traumatic pneumothorax. The current algorithm and recommendations are based on available published prospective cohort, observational, and retrospective studies and the expert opinion of the Western Trauma Association members. The algorithm and accompanying text represents a safe and reasonable approach to this common problem. We recognize that there may be variability in decision making, local resources, institutional consensus, and patient-specific factors that may require deviation from the algorithm presented. This annotated algorithm is meant to serve as a basis from which protocols at individual institutions can be developed or serve as a quick bedside reference for clinicians. LEVEL OF EVIDENCE Consensus algorithm from the Western Trauma Association, Level V.
Collapse
Affiliation(s)
- Marc de Moya
- From the Department of Surgery, Medical College of Wisconsin (M.dM.), Milwaukee, WI; Oregon Heatlh Science University (K.J.B.), Portland, OR; Department of Surgery, Dell Medical School (C.V.R.B.), University of Texas at Austin, Austin, TX; Department of Surgery, Indiana University School of Medicine (J.L.H.), Indianapolis, IN; Department of Surgery, University of Southern California (K.I.), Los Angeles, CA; Department of Surgery, Cedars-Sinai Medical Center (E.J.L.), Los Angeles, CA; Department of Surgery, Ernest E Moore Shock Trauma center (E.E.M.), Denver, CO; Department of Surgery, Scripps Mercy Hospital (K.A.P., M.J.M.), San Diego, CA; Department of Surgery, Inova Trauma Center (A.G.R.), Falls Church, VA; Department of Surgery, Children's Hospital (N.G.R.), Cincinnati, OH; Department of Surgery, University of Pittsburgh (J.S.), Pittsburgh, PA; Department of Surgery, St. Joseph's Hospital and Medical Center (J.A.W.), Phoenix, AZ
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
7
|
Weinberg JA, Peck KA, Ley EJ, Brown CV, Moore EE, Sperry JL, Rizzo AG, Rosen NG, Brasel KJ, Hartwell JL, de Moya MA, Inaba K, Martin MJ. Evaluation and management of bowel and mesenteric injuries after blunt trauma: A Western Trauma Association critical decisions algorithm. J Trauma Acute Care Surg 2021; 91:903-908. [PMID: 34162796 DOI: 10.1097/ta.0000000000003327] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Jordan A Weinberg
- From the Department of Surgery, Creighton University School of Medicine Phoenix Regional Campus (J.A.W.), Phoenix, Arizona; Department of Surgery, Scripps Mercy Hospital (K.A.P., M.J.M.), San Diego; Department of Surgery, Cedars-Sinai Medical Center (E.J.L.), Los Angeles, California; Department of Surgery, Dell Medical School, University of Texas (C.V.B.), Austin, Texas; Department of Surgery, Ernest E. Moore Shock Trauma Center (E.E.M.), Denver, Colorado; Department of Surgery, University of Pittsburgh School of Medicine, (J.L.S.), Pittsburgh, Pennsylvania; Department of Surgery, Inova Trauma Center (A.G.R.), Falls Church, Virginia; Department of Surgery, Cincinnati Children's Hospital (N.G.R.), Cincinnati, Ohio; Department of Surgery, Oregon Health Science University (K.J.B.), Portland, Oregon; Department of Surgery, Indiana University School of Medicine (J.L.H.), Indianapolis, Indiana; Department of Surgery, Medical College of Wisconsin (M.A.d.M.), Milwaukee, Wisconsin; Department of Surgery, University of Southern California (K.I.), Los Angeles, California
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
8
|
Hartwell JL, Peck KA, Ley EJ, Brown CVR, Moore EE, Sperry JL, Rizzo AG, Rosen NG, Brasel KJ, Weinberg JA, de Moya MA, Inaba K, Cotton A, Martin MJ. Nutrition therapy in the critically injured adult patient: A Western Trauma Association critical decisions algorithm. J Trauma Acute Care Surg 2021; 91:909-915. [PMID: 34162798 DOI: 10.1097/ta.0000000000003326] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Jennifer L Hartwell
- From the Indiana University Department of Surgery (J.L.H.), Indianapolis, Indiana; Department of Surgery (K.A.P., M.J.M.), Scripps Mercy Hospital, San Diego, California; Division of Trauma and Acute Care Surgery, Department of Surgery (E.J.L.), Cedars-Sinai Medical Center, Los Angeles, California; Department of Surgery (C.V.R.B.), Dell Medical School, University of Texas at Austin, Austin, Texas; Department of Surgery (E.E.M.), Ernest E Moore Shock Trauma Center at Denver Health, Denver, Colorado; Department of Surgery (J.L.S.), University of Pittsburgh, Pittsburgh, Pennsylvania; Inova Fairfax Trauma Services (A.G.R.), Falls Church, Virginia; Division of Pediatric General and Thoracic Surgery (N.G.R.), Cincinnati Children's Hospital, Cincinnati, Ohio; Division of Trauma/Critical Care, Department of Surgery (K.J.B.), Oregon Health and Science University, Portland, Oregon; Creighton University School of Medicine Phoenix Regional Campus, St. Joseph's Hospital and Medical Center (J.A.W.), Phoenix, Arizona; Division of Trauma/Acute Care Surgery, Department of Sugery (M.A.d.M.), Medical College of Wisconsin, Milwaukee, Wisconsin; Division of Trauma and Surgical Critical Care, Department of Surgery (K.I.), University of Southern California, Los Angeles, California; Clinical Dietetics (A.C.), IU Health Methodist Hospital, Indianapolis, Indiana
| | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
9
|
Peck KA, Ley EJ, Brown CV, Moore EE, Sava JA, Ciesla DJ, Sperry JL, Rizzo AG, Rosen NG, Brasel KJ, Kozar R, Inaba K, Martin MJ. Early anticoagulant reversal after trauma: A Western Trauma Association critical decisions algorithm. J Trauma Acute Care Surg 2021; 90:331-336. [PMID: 33055578 DOI: 10.1097/ta.0000000000002979] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Kimberly A Peck
- From the Department of Surgery, Scripps Mercy Hospital San Diego (K.A.P., M.J.M.), San Diego; Department of Surgery, Cedars-Sinai Medical Center (E.J.L.), Los Angeles, California; Division of Acute Care Surgery, Dell Medical School (C.V.B.), Austin, Texas; Department of Surgery, Ernest E Moore Shock Trauma Center (E.E.M.), Denver, Colorado; Division of Trauma, MedStar Hospital Center (J.A.S.), Washington, DC; Acute Care Surgery Division, Morsani College of Medicine (D.J.C.), Tampa, Florida; Division of Trauma Surgery, University of Pittsburgh (J.L.S.), Pittsburgh, Pennsylvania; Department of Surgery, Inova Trauma Center (A.G.R.), Falls Church, Virginia; Division of Pediatric General and Thoracic Surgery, Children's Hospital (N.G.R.), Cincinnati, Ohio; Division of Trauma, Critical Care and Acute Care Surgery, Oregon Health Science University (K.J.B.), Portland, Oregon; Department of Surgery, Shock Trauma Center, University of Maryland (R.K.), Baltimore, Maryland; and Division of Trauma, Emergency Surgery and Surgical Critical Care, Keck School of Medicine (K.I.), Los Angeles, California
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
10
|
Custer JL, Rocque GB, Wisinski KB, Jones NR, Donohue S, Koehn TM, Champeny TL, Terhaar AR, Chen KB, Peck KA, Tun MT, Wiegmann DA, Sesto ME, Tevaarwerk AJ. Abstract P2-11-15: Development of a web-based survey tool to assess change in breast cancer (BrCa) survivor knowledge after receipt of cancer treatment summary and survivorship care plan (SCP). Cancer Res 2012. [DOI: 10.1158/0008-5472.sabcs12-p2-11-15] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Intro: The Institute of Medicine advocates survivorship care plans (SCPs) as tools to improve coordination of care by improving survivor knowledge of follow-up recommendations and future risks. No evidence exists to demonstrate that SCPs impact survivor knowledge of diagnosis, treatment, or future/chronic side effects. Furthermore, there is a lack of information on existing surveys and their ability to assess survivor knowledge regarding these issues, without change over time. The purpose of this research is to report on the development of a survey assessing knowledge of diagnosis, treatment, and side effects in BrCa survivors.
Methods: Using existing literature, two oncologists created 24 questions addressing knowledge of diagnosis, treatment, and side effects. Content experts including breast oncology providers (representing multiple subspecialties), Survey Research Shared Service (SRSS) and patient advocates reviewed and revised the questions. Next, potential questions were administered in a group setting to BrCa survivors to evaluate clarity of instructions and survey wording. The Breast Cancer Knowledge (BreaCK) survey was further revised based on survivor feedback.
For pilot testing, BrCa survivors were recruited from clinic to test BreaCK survey content and clarity. Survey 1 was administered in clinic online. SRSS conducted verbal assessments regarding content after Survey 1. Four weeks later, survivors received Survey 2 via email and answered online. Correct answers were abstracted from the medical record.
Results: Nine subjects completed both surveys. Qualitatively, little intra-subject variation was seen between surveys. Subjects did not feel that the survey was burdensome or intrusive. No subject was able to correctly answer all questions. Final survey adjustments were made based on subject feedback and common incorrect answers encountered when grading the surveys. Specifically, subjects had difficulty understanding “endocrine or hormone therapy.” Furthermore, subjects reported guessing in response to some questions – additional answer categories were added, including “I don't know.”
Conclusion: Survivor knowledge did not change significantly between surveys. This suggests survivor knowledge was not impacted by the survey over the four-week interval. The revised BreaCK survey may be a useful tool for assessing survivor knowledge of diagnosis, treatment and side effects. A larger cohort of BrCa survivors is being recruited, starting Summer 2012, and will be evaluated using the survey.
Citation Information: Cancer Res 2012;72(24 Suppl):Abstract nr P2-11-15.
Collapse
Affiliation(s)
- JL Custer
- University of Wisconsin, Madison, WI
| | - GB Rocque
- University of Wisconsin, Madison, WI
| | | | - NR Jones
- University of Wisconsin, Madison, WI
| | - S Donohue
- University of Wisconsin, Madison, WI
| | - TM Koehn
- University of Wisconsin, Madison, WI
| | | | | | - KB Chen
- University of Wisconsin, Madison, WI
| | - KA Peck
- University of Wisconsin, Madison, WI
| | - MT Tun
- University of Wisconsin, Madison, WI
| | | | - ME Sesto
- University of Wisconsin, Madison, WI
| | | |
Collapse
|
11
|
Sise MJ, Shackford SR, Sise CB, Sack DI, Paci GM, Yale RS, O'Reilly EB, Norton VC, Huebner BR, Peck KA. Early Intubation in the Management of Trauma Patients: Indications and Outcomes in 1,000 Consecutive Patients. ACTA ACUST UNITED AC 2009; 66:32-9; discussion 39-40. [DOI: 10.1097/ta.0b013e318191bb0c] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|