{"title":"Editor’s Note","authors":"Dr. Safi Khuri","doi":"10.46889/jsrp.2020.1201","DOIUrl":"https://doi.org/10.46889/jsrp.2020.1201","url":null,"abstract":"","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116982914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Khaja Af, Al-Samhan A, Hussain Aa, A. M, Mandani Ow, Hanna Ss
Objectives: The Modified Cincinnati Knee Rating System (mCKRS) was designed as an outcome measure to help clinicians gather information about the clinical and functional outcomes of patients after knee surgery. It applies to various knee conditions. Design: Our goal was the translation of the mCKRS to the Arabic language followed by the investigation of its psychometric properties as well as test of its floor/ceiling effects, validity, reliability, and internal consistency. Method: Fifty-seven patients participated in two occasions at the baseline and the follow-up after 2 weeks. We tested for internal consistency with Cronbach’s α. We calculated Spearman’s correlation as a means of estimating construct validity in comparison to the Arabic Knee injury and Osteoarthritis Outcome Score (KOOS). Also, the responsiveness of the mCKRS questionnaire was measured by calculating the standardized response mean (SRM). Results: Overall, the Arabic mCKRS at the baseline had a Cronbach’s α of 0.792, and 0.820 at the follow-up, which was very high and internally consistent. Intra Class correlations (ICC) indicated that the mCKRS questionnaire is reliably reproducible, while Standardized Response Mean (SRM) of the questionnaire with 1.30. This illustrates a high degree of sensitivity regarding the change. Also, we observed a strong correlation with Arabic KOOS (r = 0.760, p < 0.001), indicating that the construct validity was good. Also, all the subscales, except swelling, proved to have a high correlation with Arabic KOOS (r > 0.70). We did not observe any major floor and ceiling effect among all responses.
{"title":"Cross-Cultural Adaptation and Measurement Properties of the Arabic Version of the Modified Cinccinati Knee Rating System (MCKRS)","authors":"Khaja Af, Al-Samhan A, Hussain Aa, A. M, Mandani Ow, Hanna Ss","doi":"10.46889/jsrp.2020.1104","DOIUrl":"https://doi.org/10.46889/jsrp.2020.1104","url":null,"abstract":"Objectives: The Modified Cincinnati Knee Rating System (mCKRS) was designed as an outcome measure to help clinicians gather information about the clinical and functional outcomes of patients after knee surgery. It applies to various knee conditions. Design: Our goal was the translation of the mCKRS to the Arabic language followed by the investigation of its psychometric properties as well as test of its floor/ceiling effects, validity, reliability, and internal consistency. Method: Fifty-seven patients participated in two occasions at the baseline and the follow-up after 2 weeks. We tested for internal consistency with Cronbach’s α. We calculated Spearman’s correlation as a means of estimating construct validity in comparison to the Arabic Knee injury and Osteoarthritis Outcome Score (KOOS). Also, the responsiveness of the mCKRS questionnaire was measured by calculating the standardized response mean (SRM). Results: Overall, the Arabic mCKRS at the baseline had a Cronbach’s α of 0.792, and 0.820 at the follow-up, which was very high and internally consistent. Intra Class correlations (ICC) indicated that the mCKRS questionnaire is reliably reproducible, while Standardized Response Mean (SRM) of the questionnaire with 1.30. This illustrates a high degree of sensitivity regarding the change. Also, we observed a strong correlation with Arabic KOOS (r = 0.760, p < 0.001), indicating that the construct validity was good. Also, all the subscales, except swelling, proved to have a high correlation with Arabic KOOS (r > 0.70). We did not observe any major floor and ceiling effect among all responses.","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129312922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Muhammad Ali, R. Castelhano, S. Ng, A. Owais, R. Alexander
Background: SAU is a recognized model of care in managing acute surgical patients, but limited resources and growing workload are affecting its efficiency. This study aimed to assess if the allocation of an extra registrar in surgical assessment unit would increase its efficiency. Methods: We routinely record patient arrival, triage, junior doctor (house officer/senior house officer) and senior doctor review (registrar) times in our SAU. Data was collected retrospectively for all general surgical patient waiting times and number of patients discharged in June/July 2018 over 20 days. In the second part of the study, after allocation of a second duty registrar during peak times (14:00-18:00hrs), data was prospectively collected for the same parameters during June/July 2019. In both cycles of study, the data was collected from Monday to Friday between (08:00-20:00 hours). This allowed us to compare both sets of data fairly. We statistically analysed the data using 2 tailed t tests. Results: The total number of patients in 1reg and 2reg studies were 182 and 196 respectively. In the 1reg group, the mean waiting times from patient triage to senior doctor review and junior to senior doctor review were 154 and 121 minutes respectively. These times were 110 and 75 minutes respectively in the 2reg group. Statistical analysis revealed that waiting times were significantly shorter (p=0.001, P=0.0003) in the 2 reg group. The number of patients discharged
{"title":"Allocation of Extra Surgical Staff in Surgical Assessment Unit (SAU) - An Effective Strategy for Improvement?","authors":"Muhammad Ali, R. Castelhano, S. Ng, A. Owais, R. Alexander","doi":"10.46889/jsrp.2021.2307","DOIUrl":"https://doi.org/10.46889/jsrp.2021.2307","url":null,"abstract":"Background: SAU is a recognized model of care in managing acute surgical patients, but limited resources and growing workload are affecting its efficiency. This study aimed to assess if the allocation of an extra registrar in surgical assessment unit would increase its efficiency. Methods: We routinely record patient arrival, triage, junior doctor (house officer/senior house officer) and senior doctor review (registrar) times in our SAU. Data was collected retrospectively for all general surgical patient waiting times and number of patients discharged in June/July 2018 over 20 days. In the second part of the study, after allocation of a second duty registrar during peak times (14:00-18:00hrs), data was prospectively collected for the same parameters during June/July 2019. In both cycles of study, the data was collected from Monday to Friday between (08:00-20:00 hours). This allowed us to compare both sets of data fairly. We statistically analysed the data using 2 tailed t tests. Results: The total number of patients in 1reg and 2reg studies were 182 and 196 respectively. In the 1reg group, the mean waiting times from patient triage to senior doctor review and junior to senior doctor review were 154 and 121 minutes respectively. These times were 110 and 75 minutes respectively in the 2reg group. Statistical analysis revealed that waiting times were significantly shorter (p=0.001, P=0.0003) in the 2 reg group. The number of patients discharged","PeriodicalId":101514,"journal":{"name":"Journal of Surgery Research and Practice","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123615613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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