Outpatient general surgical follow-up: Are we using this resource effectively?

Gurjar, Shashank; Kulkarni, Deepak; Khawaja, H.T.

doi:10.1016/j.ijsu.2008.10.014

Cited by 14 publications

(12 citation statements)

References 15 publications

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“…1 The national figure for nonattendance at outpatient clinics in the United Kingdom is 12%, but there are large variations between specialties and regions. 2 Factors associated with nonattendance in prior studies include illness, work commitments, transportation difficulties, and forgetfulness.…”

mentioning

confidence: 99%

Patients Lost to Follow-Up After Metacarpal Fractures

Berg

Ring

2012

The Journal of Hand Surgery

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mentioning

confidence: 99%

Patients Lost to Follow-Up After Metacarpal Fractures

Berg

Ring

2012

The Journal of Hand Surgery

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“…Alternatives for post-operative follow-ups for benign pathology results are being explored to create more time for outpatient clinic visits for new patients. About 50% of the attendances could be avoided for recurrent patients with normal test results, with the potential to optimize outpatient clinic resources [14]. Both Bromage et al and Gurjar et al use the earlier mentioned elementary alternatives to create a more efficient outpatient clinic visits.…”

Section: More Efficient Post-operative Follow-ups In Other Surgical Smentioning

confidence: 99%

Need for post-operative outpatient appointments after discharge following cervical spinal surgery - a narrative review

Bree

Atsma

Lindert

et al. 2020

BMC Musculoskelet Disord

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Background In the Netherlands most patients are currently seen in an outpatient clinic after an anterior cervical discectomy, which is an effective neurosurgical procedure with relatively low rate of severe complications. In this back sight, the need for patients returning to the post-operative outpatient clinic could be questioned. The aim of the study is to evaluate whether a post-operative outpatient appointment after anterior cervical discectomy could be replaced by an alternative or be omitted without adversely impacting, or increasing, the value of healthcare and patient satisfaction for this procedure. Methods A narrative review was performed to evaluate the quality of care and patient satisfaction for patients with and without a post-operative outpatient appointment after spinal surgery. A literature search of the previous ten years was performed in Pubmed, CENTRAL and EMBASE. Results A total of 403 articles were identified. Four studies remained after title and abstract selection by 3 independent reviewers. No papers were selected for further analysis, due to the absence of interventional studies that compared the utility of a post-operative outpatient clinic appointment with an intervention after spinal surgery. Conclusions Currently, there is a lack of evidence for the need of a post-operative follow-up after anterior cervical discectomy. Nor is there any literature in favor of omitting these appointments. No determinants which patients benefits from these outpatient appointments could be identified. Potential harmful and beneficial effects of omitting these post-operative follow-ups should be investigated to identify possible determinant for patients who might benefit from a post-operative appointment.

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“…In a retrospective review of outpatient attendances to general surgery clinics in a district general hospital in the UK, Gurjar et al reported that 22% of clinic attendances were for benign post operative follow-ups and they felt that more than half of these were unnecessary. 1 If we could reduce the number of patients seen unnecessarily then there could be more time to see new patients.…”

Section: Is Routine Surgical Patient Follow-up Required?a Ns_5498 767mentioning

confidence: 99%

“…Both techniques have been already described. 1,2 Seventy-four patients, who refused or were not indicated for the above mentioned techniques, underwent standard LC via four trocars. The six NOTES transvaginal cholecystectomies were performed as planned without complications within an average of 65 min.…”

Section: The Medico Legal Issuesmentioning

confidence: 99%

“…The authors already published their experience with single incision hybrid transvaginal cholecystectomy and single incision LC. 1,2 In both technique traction is assured by at least three transabdominal stay sutures passed through the fundus and both medial and lateral aspect of the infundibulum in order to retract, stabilize and flag the gallbladder laterally or medially and expose the Calot triangle, while the operating instrument (scissor, dissector, clip-applier, hook) is inserted through a 5-mm trocar placed at the umbilicus. The only difference between the two approaches is that the vision is given by an endoscope inserted through the vagina in the hybrid NOTES technique and by a 30°angled, 5-mm laparoscope inserted through the umbilical scar in the SILS approach.…”

Section: The Medico Legal Issuesmentioning

confidence: 99%

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