Patient preparedness: an important predictor of surgical outcome
Objective The objective of the study was to determine the influence of patient readiness for reconstructive pelvic surgery on surgical outcomes. Study Design After undergoing standardized informed consent, consecutive women planning pelvic surgery completed a questionnaire assessing their knowledge...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2007-12, Vol.197 (6), p.654.e1-654.e6 |
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| container_end_page | 654.e6 |
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| container_issue | 6 |
| container_start_page | 654.e1 |
| container_title | American journal of obstetrics and gynecology |
| container_volume | 197 |
| creator | Kenton, Kimberly, MD, MS Pham, Thythy, MD Mueller, Elizabeth, MD Brubaker, Linda, MD, MS |
| description | Objective The objective of the study was to determine the influence of patient readiness for reconstructive pelvic surgery on surgical outcomes. Study Design After undergoing standardized informed consent, consecutive women planning pelvic surgery completed a questionnaire assessing their knowledge and readiness for surgery pre- and postoperatively. Subjects underwent standardized follow-up 3 months after surgery, including postoperative satisfaction questionnaire and validated condition specific quality of life (QOL) and global improvement scales. All subjects had standardized urogynecologic evaluation pre- and postoperatively. Results The 79 women who completed preparedness questionnaires self-rated their symptom severity as severe (34%), moderate (58%), and mild (8%). Preparedness was associated with postoperative improvement ( P = .003), complete satisfaction ( P = .0005), and improved QOL ( P = .02). Objective measures of cure did not differ by preparedness. Conclusion Readiness for reconstructive pelvic surgery is measurable and associated with patient-perceived surgical outcome. Satisfaction, symptom improvement, and QOL are strongly associated with patients’ expectations and preparedness. |
| doi_str_mv | 10.1016/j.ajog.2007.08.059 |
| format | Article |
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Study Design After undergoing standardized informed consent, consecutive women planning pelvic surgery completed a questionnaire assessing their knowledge and readiness for surgery pre- and postoperatively. Subjects underwent standardized follow-up 3 months after surgery, including postoperative satisfaction questionnaire and validated condition specific quality of life (QOL) and global improvement scales. All subjects had standardized urogynecologic evaluation pre- and postoperatively. Results The 79 women who completed preparedness questionnaires self-rated their symptom severity as severe (34%), moderate (58%), and mild (8%). Preparedness was associated with postoperative improvement ( P = .003), complete satisfaction ( P = .0005), and improved QOL ( P = .02). Objective measures of cure did not differ by preparedness. Conclusion Readiness for reconstructive pelvic surgery is measurable and associated with patient-perceived surgical outcome. Satisfaction, symptom improvement, and QOL are strongly associated with patients’ expectations and preparedness.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2007.08.059</identifier><identifier>PMID: 18060968</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Biological and medical sciences ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Informed Consent ; Medical sciences ; Obstetrics and Gynecology ; Patient Education as Topic ; patient expectations ; patient preparedness ; Patient Satisfaction ; Quality of Life ; surgical outcomes ; Surveys and Questionnaires ; Treatment Outcome ; Urogenital Surgical Procedures - psychology ; Uterine Prolapse - surgery</subject><ispartof>American journal of obstetrics and gynecology, 2007-12, Vol.197 (6), p.654.e1-654.e6</ispartof><rights>Mosby, Inc.</rights><rights>2007 Mosby, Inc.</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-8ad280252e4ec7e6fbe613c53608b5685ed9b84a285499a27121215a59bc65923</citedby><cites>FETCH-LOGICAL-c439t-8ad280252e4ec7e6fbe613c53608b5685ed9b84a285499a27121215a59bc65923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002937807010551$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19947139$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18060968$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kenton, Kimberly, MD, MS</creatorcontrib><creatorcontrib>Pham, Thythy, MD</creatorcontrib><creatorcontrib>Mueller, Elizabeth, MD</creatorcontrib><creatorcontrib>Brubaker, Linda, MD, MS</creatorcontrib><title>Patient preparedness: an important predictor of surgical outcome</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective The objective of the study was to determine the influence of patient readiness for reconstructive pelvic surgery on surgical outcomes. Study Design After undergoing standardized informed consent, consecutive women planning pelvic surgery completed a questionnaire assessing their knowledge and readiness for surgery pre- and postoperatively. Subjects underwent standardized follow-up 3 months after surgery, including postoperative satisfaction questionnaire and validated condition specific quality of life (QOL) and global improvement scales. All subjects had standardized urogynecologic evaluation pre- and postoperatively. Results The 79 women who completed preparedness questionnaires self-rated their symptom severity as severe (34%), moderate (58%), and mild (8%). Preparedness was associated with postoperative improvement ( P = .003), complete satisfaction ( P = .0005), and improved QOL ( P = .02). Objective measures of cure did not differ by preparedness. Conclusion Readiness for reconstructive pelvic surgery is measurable and associated with patient-perceived surgical outcome. Satisfaction, symptom improvement, and QOL are strongly associated with patients’ expectations and preparedness.</description><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Informed Consent</subject><subject>Medical sciences</subject><subject>Obstetrics and Gynecology</subject><subject>Patient Education as Topic</subject><subject>patient expectations</subject><subject>patient preparedness</subject><subject>Patient Satisfaction</subject><subject>Quality of Life</subject><subject>surgical outcomes</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><subject>Urogenital Surgical Procedures - psychology</subject><subject>Uterine Prolapse - surgery</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kVFr3iAUhqV0tN-6_YFelNxsd0mPJhoto2yUbR0UOth2LcacFNMkZpoU-u9n-D4o7KJ4IeLzvuhzCDmnUFCg4rIvTO8fCgZQFyAL4OqI7CioOhdSyGOyAwCWq7KWp-RtjP12ZIqdkFMqQYASckc-_zSLw2nJ5oCzCdhOGONVZqbMjbMPi9lftc4uPmS-y-IaHpw1Q-bXxfoR35E3nRkivj_sZ-TPt6-_b27zu_vvP26-3OW2KtWSS9MyCYwzrNDWKLoGBS0tLwXIhgvJsVWNrAyTvFLKsJqytLjhqrGCK1aekY_73jn4vyvGRY8uWhwGM6FfoxYKqKKiTCDbgzb4GAN2eg5uNOFZU9CbN93rzZvevGmQOnlLoYtD-9qM2L5EDqIS8OEAmJh-3wUzWRdfOKWqmpZb0ac9h8nFk8Ogo01-bTIY0C669e71d1z_F7eDmzbfj_iMsfdrmJJlTXVkGvSvbaTbgKEGCpzT8h_8P593</recordid><startdate>20071201</startdate><enddate>20071201</enddate><creator>Kenton, Kimberly, MD, MS</creator><creator>Pham, Thythy, MD</creator><creator>Mueller, Elizabeth, MD</creator><creator>Brubaker, Linda, MD, MS</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20071201</creationdate><title>Patient preparedness: an important predictor of surgical outcome</title><author>Kenton, Kimberly, MD, MS ; Pham, Thythy, MD ; Mueller, Elizabeth, MD ; Brubaker, Linda, MD, MS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-8ad280252e4ec7e6fbe613c53608b5685ed9b84a285499a27121215a59bc65923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Informed Consent</topic><topic>Medical sciences</topic><topic>Obstetrics and Gynecology</topic><topic>Patient Education as Topic</topic><topic>patient expectations</topic><topic>patient preparedness</topic><topic>Patient Satisfaction</topic><topic>Quality of Life</topic><topic>surgical outcomes</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><topic>Urogenital Surgical Procedures - psychology</topic><topic>Uterine Prolapse - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kenton, Kimberly, MD, MS</creatorcontrib><creatorcontrib>Pham, Thythy, MD</creatorcontrib><creatorcontrib>Mueller, Elizabeth, MD</creatorcontrib><creatorcontrib>Brubaker, Linda, MD, MS</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kenton, Kimberly, MD, MS</au><au>Pham, Thythy, MD</au><au>Mueller, Elizabeth, MD</au><au>Brubaker, Linda, MD, MS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient preparedness: an important predictor of surgical outcome</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2007-12-01</date><risdate>2007</risdate><volume>197</volume><issue>6</issue><spage>654.e1</spage><epage>654.e6</epage><pages>654.e1-654.e6</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective The objective of the study was to determine the influence of patient readiness for reconstructive pelvic surgery on surgical outcomes. Study Design After undergoing standardized informed consent, consecutive women planning pelvic surgery completed a questionnaire assessing their knowledge and readiness for surgery pre- and postoperatively. Subjects underwent standardized follow-up 3 months after surgery, including postoperative satisfaction questionnaire and validated condition specific quality of life (QOL) and global improvement scales. All subjects had standardized urogynecologic evaluation pre- and postoperatively. Results The 79 women who completed preparedness questionnaires self-rated their symptom severity as severe (34%), moderate (58%), and mild (8%). Preparedness was associated with postoperative improvement ( P = .003), complete satisfaction ( P = .0005), and improved QOL ( P = .02). Objective measures of cure did not differ by preparedness. Conclusion Readiness for reconstructive pelvic surgery is measurable and associated with patient-perceived surgical outcome. Satisfaction, symptom improvement, and QOL are strongly associated with patients’ expectations and preparedness.</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>18060968</pmid><doi>10.1016/j.ajog.2007.08.059</doi><tpages>3</tpages></addata></record> |
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| ispartof | American journal of obstetrics and gynecology, 2007-12, Vol.197 (6), p.654.e1-654.e6 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Biological and medical sciences Female Gynecology. Andrology. Obstetrics Humans Informed Consent Medical sciences Obstetrics and Gynecology Patient Education as Topic patient expectations patient preparedness Patient Satisfaction Quality of Life surgical outcomes Surveys and Questionnaires Treatment Outcome Urogenital Surgical Procedures - psychology Uterine Prolapse - surgery |
| title | Patient preparedness: an important predictor of surgical outcome |
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