Opioid use in impending versus pathologic proximal femur fractures.

Objectives: To investigate post-operative opioid use, functionality, and overall survival following internal fixation for pathologic or impending fractures at 3 and 6 months.

Background: Pathologic and impending fractures commonly occur in the proximal femur, and patients may be prescribed opioids prior to surgery and often require opioids for post-operative pain relief. This study compared post-operative opiate usage and ambulatory functional status in patients with impending versus pathologic fractures in the proximal femur.

The positive impact of a multidisciplinary preoperative diabetes clinic on improving glycaemic management in adults undergoing elective noncardiac surgery.

Aims: To investigate the impact of a multidisciplinary preoperative diabetes clinic on glycaemic and clinical outcomes in adults undergoing elective noncardiac surgery.

Methods: Seventy-nine adults scheduled for elective noncardiac surgery with haemoglobin A1c (HbA) levels ≥64 mmol/mol (8.0%) were prospectively recruited.

Two-Piece Mushroom Penetrating Keratoplasty With "Pull-Through" Technique to Manage High Vitreous Pressure in Infant Eyes.

Purpose: To describe the surgical technique for 2-piece mushroom penetrating keratoplasty using the "pull-through" technique in infant eyes.

Methods: Using a 250-μm microkeratome head, the donor cornea was split into anterior and posterior lamella, which were then punched to 8.0 to 8.

How do different health states impact preferences for social care related quality of life: An exploration of EQ-5D-5L and ASCOT using a vignette approach.

Objectives: Social care related quality of life instruments, such as the Adult Social Care Outcomes Toolkit (ASCOT) are important for valuing interventions, particularly when they include utility weights. Utility weights may vary by population and health conditions, yet most value sets are developed without considering contexts. This study aims to explore this issue by assessing whether the valuation of ASCOT social states differs in the context of poor physical or mental health versus full health.