Introduction of a specialized consultation prior to insertion of totally implantable access venous devices: Impact on cancellation rate and patient satisfaction
| Autor: | Adrien Gregoris, Eleftherios Gialamas, Ziad Abbassi, Nicola Colucci, Christian Toso, Jeremy Meyer, Wojciech Staszewicz, Surennaidoo P. Naiken |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Catheterization Central Venous Referral Appointments and Schedules Young Adult 03 medical and health sciences Catheters Indwelling 0302 clinical medicine Patient satisfaction Central Venous Catheters Humans Medicine Radiology Nuclear Medicine and imaging Prospective Studies 030212 general & internal medicine Referral and Consultation Aged Aged 80 and over Surgery cancellation rate Consultation ddc:617 business.industry Preoperative period Planning Techniques General Medicine Middle Aged medicine.disease Venous access Institutional repository Treatment Outcome Patient Satisfaction 030220 oncology & carcinogenesis Female Surgery Vascular access devices Medical emergency Cardiology and Cardiovascular Medicine business Vascular Access Devices |
| Zdroj: | Vascular (2020) P. 1708538120930470 |
| ISSN: | 1708-5381 |
| Popis: | Objectives Preoperative consultation is usually not performed before insertion of a totally implantable venous access device (TIVAD). In our experience, an incomplete preoperative assessment, a predictable medical condition contraindicating surgery, or no-show patients the day of surgery led to several surgery cancellations. Therefore, we introduced a specific preoperative surgical consultation for TIVAD that took place shortly before surgery. The aim of the present study is to evaluate the patients’ satisfaction and to establish the rate of cancellation after the adoption of this strategy. Methods Two-hundred and four patients who benefited from the preoperative consultation before TIVAD insertion from August 2014 to August 2016 were included. Satisfaction of patients and cancellation rate were documented. Results With that strategy, no TIVAD insertion was either delayed or cancelled. The overall level of satisfaction was high (91.8%); 184 patients (90.2%) judged the consultation useful in preparation for the surgery. The surgical procedure met their expectations in 92.2% of cases. Patients known for a psychiatric comorbidity were more likely to express dissatisfaction. Conclusions The introduction of a specific preoperative surgical consultation for TIVAD insertion led to a high level of patients’ satisfaction. After the preoperative consultation, no cancellation was recorded. Special approaches have to be considered for patients with a psychiatric comorbidity. |
| Databáze: | OpenAIRE |
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