Advertisement for orthosearch.org.uk
Results 1 - 3 of 3
Results per page:
Orthopaedic Proceedings
Vol. 98-B, Issue SUPP_6 | Pages 34 - 34
1 Feb 2016
“DOING EMPATHY”: HAVE YOU GOT WHAT IT TAKES?
Allen M Roberts L
Full Access
View article

Purpose:. To explore clinicians' perceptions of empathy during musculoskeletal clinical consultations. Background:. Empathy is considered essential to creating a positive experience within healthcare for both the patient and clinician, improving adherence, creating trust and improving patient experience. However, little is known about how clinicians acquire and display empathic communication skills during musculoskeletal consultations. Methods:. In this qualitative study, 11 physiotherapists and 6 students participated in three focus groups, separated by clinical grade. The definition of empathy, its acquisition and impact on clinical practice were discussed, audio-recorded, transcribed verbatim and analysed. Data were managed using a Framework approach, and key themes identified. Results:. The data from 17 participants comprised 149 minutes of audio recording. Six key themes and 48 sub-themes were identified. Empathy was considered a key component of communication and similarly defined in all three focus groups; however divergence surrounded how it is acquired, the extent it can be taught and whether a clinician's personality influences their career pathway. Experienced clinicians highlighted greater importance and impact of empathic communication in practice than novices, whilst novices considered a lack of time a key barrier in preventing empathic communication. Discussion:. There is a mismatch between the importance attributed to empathic communication in the literature and by clinicians, compared with the time and energy spent acquiring and developing these skills. Conclusion:. Displaying genuine empathy is considered essential to building rapport and optimising non-specific treatment effects in clinical practice, however clinicians need greater awareness and engagement to further these skills for patient benefit

The Bone & Joint Journal
Vol. 103-B, Issue 5 | Pages 971 - 975
1 May 2021
Can MRI be used as a safe and expedient option for calculating Spinal Instability Neoplastic Score for patients with metastatic spinal cord compression?
Hurley P Azzopardi C Botchu R Grainger M Gardner A
Access Required
View article Download PDF

Aims

The aim of this study was to assess the reliability of using MRI scans to calculate the Spinal Instability Neoplastic Score (SINS) in patients with metastatic spinal cord compression (MSCC).

Methods

A total of 100 patients were retrospectively included in the study. The SINS score was calculated from each patient’s MRI and CT scans by two consultant musculoskeletal radiologists (reviewers 1 and 2) and one consultant spinal surgeon (reviewer 3). In order to avoid potential bias in the assessment, MRI scans were reviewed first. Bland-Altman analysis was used to identify the limits of agreement between the SINS scores from the MRI and CT scans for the three reviewers.

The Bone & Joint Journal
Vol. 98-B, Issue 4 | Pages 526 - 533
1 Apr 2016
Coccygectomy for patients with chronic coccydynia
Hanley EN Ode G Jackson III JB Seymour R
Access Required
View article Download PDF

Aims

The purpose of this prospective study was to evaluate the outcomes of coccygectomy for patients with chronic coccydynia.

Patients and Methods

Between 2007 and 2011, 98 patients underwent coccygectomy for chronic coccydynia. The patients were aged > 18 years, had coccygeal pain, local tenderness and a radiological abnormality, and had failed conservative management. Outcome measures were the Short Form 36 (SF-36), the Oswestry Disability Index (ODI) and a visual analogue scale (VAS) for pain. Secondary analysis compared the pre-operative features and the outcomes of patients with successful and failed treatment, two years post-operatively. The threshold for success was based on a minimum clinically important difference (MCID) on the ODI of 20 points. All other patients, including those lost to follow-up, were classified as failures.

Image linking to Orthomedia