Consistency of written post‐operative patient information for common urological procedures

Davies, Nicholas; Papa, Nathan; Ischia, Joseph; Bolton, Damien; Lawrentschuk, Nathan

doi:10.1111/ans.13106

Cited by 11 publications

(20 citation statements)

References 18 publications

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“…(23) Resources must be of high quality and pitched at the right health literacy level. (24) This evaluation also showed that patients need different resources pre and post-operatively, similar to another which identi ed that tailored patient information, pain management and the use of other mediums such as social media and the internet may be useful in improving patients' understanding of procedures and recovery. (25) This mirrored another study pertaining lung cancer surgery patients.…”

Section: Resourcessupporting

confidence: 59%

A Patient Satisfaction Survey Investigating Pre- and Post-Operative Information Provision in Lower Limb Surgery

Renna

Metcalfe

Ellard

et al. 2020

Preprint

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BackgroundPlanned lower limb surgery is common, with over 90,000 hip replacements, 95,000 knee replacements and 15,000 anterior cruciate ligament reconstructions performed in the UK each year. Patient satisfaction an important element of healthcare provision that is usually measured by functional outcomes but influenced by many other factors. Few studies have assessed patients’ views on the information given to them pertaining surgery and patients are infrequently consulted when designing leaflets and information packs which can lead to confusion during the recovery period and poor long-term outcomes. We aimed to assess if patients were satisfied with the information they received around their operations and identify potential improvements.MethodsSet in a major trauma centre in the West Midlands, a multiple choice and free-text answer survey was administered to patients who used the orthopaedic service over the course of one month. Surveys were designed in Qualtrics and administered face-to-face on paper. Thematic content analysis was performed. ResultsEighty patients completed the survey, of which 88.8% of patients were satisfied with the information they received. Discussions with surgeons were the most useful resource and 53% of patients requested more internet resources. Post-operative patients were statistically more likely to be dissatisfied with information provision. Over 20% of patients requested more information on post-op pain and recovery timelines. ConclusionsAlthough patients were satisfied in general, areas for change were identified. Suggested improvements take the form of webpages, a mobile platform or forum for asking healthcare professionals questions. Extra resources could contain educational videos, patient experiences and an interactive recovery timeline. These suggestions may enable NHS Trusts to “get into the digital age”, however, more research on patient satisfaction around information provision and the impact it has on recovery and decision making is needed.

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Section: Resourcessupporting

confidence: 59%

A Patient Satisfaction Survey Investigating Pre- and Post-Operative Information Provision in Lower Limb Surgery

Renna

Metcalfe

Ellard

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…3 Currently, there are no clear UK national standards for PIL readability, which is the reason for applying the US standard as per similar studies. 4,25 The authors' results demonstrate that when the threshold for US grade level 6 is considered as any entry #6.9, that 29.4%, 3.5%, and 3.7% of PILs meet this target using the instruments of Flesch-Kincaid, Gunning-Fog, and Fry, respectively ( Table 2). The other tools (SMOG and FORCAST) that report their results in US grade level considered that no PILs met this target ( Table 2).…”

Section: Discussionmentioning

confidence: 98%

“…4 Similarly, a study from Australia found that for 146 urological postoperative PILs, the mean Flesch-Kincaid grade was 9.7 (comparable with UK Year 10, ages [14][15]. 25 In the context of the UK government's assessment of English literacy, this could alienate up to 43.4% of the population. 2 Notably, the SMOG and FORCAST grade levels were particularly higher than instruments such as Flesch--Kincaid.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Readability of Dermatological Postoperative Patient Information Leaflets Across England

Hunt

McGrath²

2016

Dermatologic Surgery

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“…The variability of the results demonstrates that patients have differing values, highlighting holistic and patient centred care is vital in surgery and that the WHO's integrated care model is important [21]. Resources must be of high quality, pitched at the right health literacy level and given to patients at the right time in their surgical experience to be of maximal benefit [27,28]. The project also demonstrated that patients need different resources pre and post-operatively, reinforcing that tailored patient information, pain management and the use of other mediums such as social media and the internet may be useful in improving patients' understanding of procedures and recovery [29,30].…”

Section: Resourcesmentioning

confidence: 99%

A patient satisfaction survey investigating pre- and post-operative information provision in lower limb surgery

Renna

Metcalfe

Ellard

et al. 2020

BMC Musculoskelet Disord

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Background Planned lower limb surgery is common, with over 90,000 hip replacements, 95,000 knee replacements and 15,000 anterior cruciate ligament reconstructions performed in the UK each year. These procedures are primarily indicated to treat osteoarthritis, sporting injuries and trauma. Patient satisfaction is an important element of healthcare provision, which is usually measured by functional outcomes but influenced by other factors. Few studies have assessed patients’ views on the information given to them pertaining surgery and patients are infrequently consulted when designing leaflets and information packs, which can lead to confusion during the recovery period and poor long-term outcomes. Furthermore, previous studies have not directly asked patients what resources they would prefer, or which format would suit them best. This project aimed to assess if patients were satisfied with the information they received around their operations and to identify potential improvements. Methods Set in a National Health Service (NHS) run major trauma centre in the West Midlands, a multiple choice and free-text answer survey was administered to patients who used the orthopaedic service over the course of 1 month. Surveys were designed in Qualtrics and administered face-to-face on paper. Thematic content analysis was performed on the results. Results Eighty patients completed the survey, of which 88.8% of patients were satisfied with the information they received. Discussions with surgeons were the most useful resource and 53% of patients requested more internet resources. Post-operative patients were statistically more likely to be dissatisfied with information provision than pre-operative patients. Over 20% of the study population requested more information on post-operative pain and recovery timelines. Conclusions Although patients were satisfied in general, areas for change were identified. Suggested resources took the form of webpages and mobile platforms. These resources could contain educational videos, patient experience blogs or interactive recovery timelines, to be of benefit to patients. These suggestions may enable NHS Trusts to “get into the digital age”, however, more research on patient satisfaction around information provision and the impact it has on recovery and decision making is needed.

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Consistency of written post‐operative patient information for common urological procedures

Abstract: There is a significant degree of variability in written post-operative advice provided to patients in Australia. Individual surgeons and hospitals should provide specific and tailored advice directly to their own patients, written at a grade level suitable for the majority to understand.

Cited by 11 publications

References 18 publications

A Patient Satisfaction Survey Investigating Pre- and Post-Operative Information Provision in Lower Limb Surgery

A Patient Satisfaction Survey Investigating Pre- and Post-Operative Information Provision in Lower Limb Surgery

Evaluation of the Readability of Dermatological Postoperative Patient Information Leaflets Across England

A patient satisfaction survey investigating pre- and post-operative information provision in lower limb surgery

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