Prospective study of patient satisfaction with enhanced recovery after surgery (ERAS) protocol in the immediate post-operative period in gynaecological oncology
| Autor: | Alison Brand, B. Gerges, Dhivya Thangavel |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Genital Neoplasms Female medicine.medical_treatment Malignancy Patient satisfaction Postoperative Complications Laparotomy medicine Humans Prospective Studies Laparoscopy Prospective cohort study Enhanced recovery after surgery Protocol (science) medicine.diagnostic_test business.industry General surgery Obstetrics and Gynecology General Medicine Length of Stay medicine.disease Patient Satisfaction Observational study Female business Enhanced Recovery After Surgery |
| Zdroj: | The AustralianNew Zealand journal of obstetricsgynaecologyReferences. 61(4) |
| ISSN: | 1479-828X |
| Popis: | BACKGROUND Enhanced recovery after surgery (ERAS) is a multimodal protocol which aims to facilitate faster discharge from hospital and recovery after surgery by minimising physiological and physical stress on the body before, during and after surgery. AIMS The aim of this study is to evaluate patient satisfaction while being managed with the ERAS pathway and to determine whether it is an acceptable model of care in this respect. MATERIALS AND METHODS The study is an observational study of patient satisfaction in ERAS in gynaecological oncology. Patients who underwent laparoscopy or laparotomy for malignancy or suspected malignancy were asked to complete a validated questionnaire (EORTC IN-PATSAT32) prior to discharge from hospital after surgery. RESULTS There were 113 (75.33%) patients recruited out of 150 patients who were approached. There were 68 cases of laparotomy and 45 cases of laparoscopy. There were no statistically significant differences between baseline characteristics of responders and non-responders in both the laparotomy and the laparoscopy group. Patients reported high levels of satisfaction, with a mean score for general satisfaction of 92.2 (SD 11.44 ± 1.387) in the laparotomy group and 92.4 (SD 10.69 ± 1.594) for the laparoscopy group. CONCLUSIONS The results of our study reflect high levels of patient satisfaction in both the laparotomy and laparoscopy groups. This could be attributed to a strong focus on discharge planning through a multi-disciplinary approach, specifically addressing key aspects to recovery from initial consultation. The study reflects the successful implementation of an ERAS protocol with gynaecological oncological surgery in this unit. |
| Databáze: | OpenAIRE |
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