https://www.proz.com/kudoz/french-to-english/medical-general/7122997-bilan-instrumental.html
Mar 17, 2023 18:11
1 yr ago
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French term

bilan instrumental

French to English Medical Medical (general) Orthopedics
Hi,
This is a list of guidelines for a scoliosis procedure.
"allègement du bilan biologique, radiologique et instrumental"
What does "bilan instrumental" mean?
Thanks
Joanna

Discussion

joanna menda (asker) Apr 7, 2023:
Hi everyone,
Thanks for all your help with this.
Just wanted to let you know that after a long discussion with the author we chose "diagnostic assessment" as "instrumental assessment" is mainly associated with dysphagia.
Sue Davis Mar 21, 2023:
Thanks Joanna, I have deleted my answer
joanna menda (asker) Mar 21, 2023:
Hi everyone,
The author came back to me and he confirmed that "bilan instrumental" has nothing to do with the instrumentation. The examples he gave me are Echocardiogram and Pulmonary function tests. I also found later in the text that some patients undergo panoramic dental X-rays...
joanna menda (asker) Mar 20, 2023:
Hi everyone,
Unfortunately he does not mention it anywhere else. He does mention "bilan diététique", "EFR", "bilan infectieux."
I will ask the author for more clarifications.
Sue Davis Mar 19, 2023:
I agree that simplification works for allègement
Sue Davis Mar 19, 2023:
Hi Joanna, is there any more context? I find difficult to tell whether as FPC suggests instrumental refers to measuring instruments or instrumentation used to correct the condition.
Emmanuella Mar 18, 2023:
Allègement = reduction
joanna menda (asker) Mar 17, 2023:
@Phil. Sorry about that. Long long day ;)
philgoddard Mar 17, 2023:
In Sue's first reference, "bilan radiologique" means a pre-treatment X-ray.
By the way, Joanna, you're confusing "less" and "fewer" - don't do this in your translation :-)
Drmanu49 Mar 17, 2023:
OK Joanna so improvement would fit with using less instrumentation/fewer instruments i.e. improving efficiency/ lowering costs.
joanna menda (asker) Mar 17, 2023:
Hi Dr Manu,
ERAS pathway's main goal is to minimize hospital length of stay and improve patient satisfaction. It is also known to decrease hospital costs. In order to do this they perform less exams before, during and after surgery. Consequently I think "allégé" here means performing less tests but I am not sure how to the "bilan instrumental" fits in. Could it be the type of instrumentation used?
Drmanu49 Mar 17, 2023:
I think Sue is missing the point. Keyword here is allègement more or less equivalent to improvement. So for me I understand this as post surgical improvement/benefit.
joanna menda (asker) Mar 17, 2023:
Thanks Sue.
philgoddard Mar 17, 2023:
Joanna Thanks. So if your interpretation is correct, it means instrumental examinations. Maybe it's just me, but I wouldn't call hooks, screws and wires "instruments".
Sue Davis Mar 17, 2023:
this may refer to instrumentation used to correct scoliosos - https://www.medtronic.com/us-en/patients/treatments-therapie...
INSTRUMENTATION AND ROD PLACEMENT
To correct your scoliosis curve, your surgeon will implant a rod to straighten and stabilize the curve of your spine. They will typically use instrumentation (hooks, screws, and wires) to create “connection points” that allow the rod to be securely attached to your spine.

FUSION
joanna menda (asker) Mar 17, 2023:
Hi Phil,
These are bullet points for an ERAS (Enhanced Recovery After Surgery) protocol.
From my understanding they are recommending performing less laboratory tests, radiologic exams and ....
philgoddard Mar 17, 2023:
I would consider the phrase as a whole - I'm not clear what "allègement" means either.

Is this the heading, or a bullet point in the list? Can you give us some of the surrounding text?

Proposed translations

+2
18 hrs
Selected

[reduction in biological tests, radiological imaging and] instrumental examination

To be understood "on the patient" . To me it means the protocol provides for fewer instrumental examinations and other tests/explorations as time progresses (bilan is what you get after an evaluation, the final results of your tests and explorations)

Peer comment(s):

agree philgoddard
4 hrs
neutral Sue Davis : I am not sure which instruments you are referring to
6 hrs
any measuring instrument used to evaluate the patient's conditions, for instance
agree liz askew
10 hrs
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4 KudoZ points awarded for this answer. Comment: "Selected automatically based on peer agreement."
1 hr

lowering instrumentation cost

definitely an imrpovement.

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Note added at 1 heure (2023-03-17 20:02:50 GMT)
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improvement!!!
Peer comment(s):

neutral philgoddard : I don't believe "bilan" has anything to do with money. I think "allègement" is most likely to mean "simplification".
5 mins
It could mean both but the result would certainly result in decreased medical costs.
Something went wrong...
1 day 5 hrs

instrumental assessment



https://peas.albertahealthservices.ca/cpg/10343/Clinical-Eva...

refer to additional healthcare professionals or medical specialists
determine whether further objective instrumental assessment is required

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Note added at 1 jour 5 heures (2023-03-18 23:16:21 GMT)
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or

instrumental evaluation


or

instrumental examination

The importance of instrumental exam

The SNF administrator has hesitant to do the test, but the results quickly changed their mind as to the importance of properly diagnosing dysphagia with instrumental tools. Now the SLP can modify diet, educate the patient and staff on strategies, and provide appropriate skilled therapy based on these results!

As clinicians, we can become savvy at identifying patients that may or may not have a swallowing disorder based on a bedside. But as you are well aware, none of us are born with x-ray vision, hence the need for a comprehensive instrumental examination! How do we know what the problem is, what strategies to use, which diet is optimal, and what to focus our treatment on until we perform a VFSS?



"none of us are born with x-ray vision, hence the need for a comprehensive instrumental evaluation"

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Note added at 1 jour 5 heures (2023-03-18 23:20:02 GMT)
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or even


instrumental tests

Pre-operative laboratory testing: A prospective study ... - NCBI
National Institutes of Health (.gov)
https://www.ncbi.nlm.nih.gov › articles › PMC5125188
by VH Keshavan · 2016 · Cited by 23 — All laboratory investigations ordered and the**** instrumental tests*** (electrocardiogram [ECG], echocardiogram [ECHO], chest X-ray [CXR])

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Note added at 2 jours 17 heures (2023-03-20 11:55:13 GMT)
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https://ichgcp.net/fr/clinical-trials-registry/NCT05598021

Évaluation d'autocorrection chez les patients atteints de scoliose
28 février 2023 mis à jour par: Istituto Scientifico Italiano Colonna Vertebrale
Évaluation instrumentale de l'autocorrection chez les patients juvéniles et adolescents

Il n'existe à ce jour aucune méthode d'évaluation objective de la qualité de l'autocorrection réalisée par les patients atteints de scoliose.

L'étude comporte deux parties, toutes deux rétrospectives, et distinctes sur la base des outils d'évaluation de l'autocorrection.

Partie 1 : Évaluation rétrospective des variations radiographiques entre position spontanée et autocorrection chez des sujets atteints de scoliose idiopathique juvénile et adolescente. Les deux mesures ont été réalisées en une seule séance.

Partie 2 : Évaluation rétrospective des variations entre la position spontanée et autocorrectrice chez les sujets atteints de scoliose idiopathique juvénile et adolescente à l'aide de paramètres objectifs issus de l'instrumentation ultrasonore 3D non invasive (Scolioscan, Telefeld, Hong Kong).
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