Browsing by Subject "multidisciplinary clinic"

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    Evaluating Return-to-Work Outcomes for Patients with Post-Concussion Syndrome
    (2024-04-24) King, Jennifer; Hull, Kristin; Department of Occupational Therapy, School of Health and Human Sciences; Ellis, Katherine
    Approximately 22% of all injury-related emergency department visits are due to a concussion (van der Vlegel, et al., 2021). If symptoms persist following an injury, the individual is diagnosed with post-concussion syndrome and may experience significant impacts to their occupational participation, including returning to work (Graff, et al., 2018). A local hospital's Comprehensive Outpatient Post-Concussion Rehabilitation Program provides thorough assessments and interventions to improve functioning and quality of life for individuals with post-concussion syndrome. However, research has not been completed within the program to better understand population characteristics and outcomes for post-concussion patients. This doctoral capstone student conducted research using retrospective data on return-to-work outcomes and self-appraisal scores (using the Appraisals of Disability: Primary and Secondary Scale) following a concussion for workman’s compensation patients. Results indicated that there were no significant differences in outcomes or self-appraisal scores for workman’s compensation patients compared to non-workman's compensation patients (p > 0.05). However, self-appraisal ratings of Fearful Despondency and Overwhelming Disbelief were significantly higher for individuals who did not complete therapy compared to individuals who returned within six months (p < 0.05). Therefore, the research conducted by the doctoral capstone student will serve as a pilot study for future research on self-appraisal and therapeutic outcomes for post-concussion patients.
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    RADIANS: A Multidisciplinary Central Nervous System Clinic Model for Radiation Oncology and Neurosurgery Practice
    (Elsevier, 2019-02) McClelland, Shearwood, III; Mitin, Timur; Jaboin, Jerry J.; Ciporen, Jeremy N.; Radiation Oncology, School of Medicine
    Background Radiation therapy for central nervous system disease commonly involves collaboration between Radiation Oncology and Neurosurgery. We describe our early experience with a multidisciplinary clinic model. Methods In 2016, the novel RADIANS (RADIation oncology And NeuroSurgery) clinic model was initiated at a community hospital. Disease and treatment demographics were collected and analyzed. Patient satisfaction was assessed via a blinded survey questionnaire. Results Forty-two patients have been seen since the inception of RADIANS. The median age was 65; and the median patient distance from RADIANS was 42.7 miles (mean = 62.6; range = 0.7–285). Half of the patients traveled >50 miles to receive care, and >80% were seen for central nervous system metastases. Of the patients receiving radiation, 75% received stereotactic radiosurgery/stereotactic body radiation therapy. The mean overall satisfaction from 0 (not satisfied) to 5 (very satisfied) was 4.8. Conclusions The RADIANS clinic model has proved viable and well-liked by patients in a community setting, with the majority of radiation therapy administered being stereotactic radiosurgery/stereotactic body radiation therapy rather than conventional fractionation.