Patient experience with enhanced recovery and early discharge after minimally invasive sacrocolpopexy: a qualitative study

Evans, Sarah; Snook, Lindsay; Yates, Traci; Bundy, Henry; Abimbola, Obafunbi; Myers, Erinn M.

doi:10.1007/s00192-020-04431-0

Cited by 9 publications

(73 citation statements)

References 16 publications

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“…Our findings support the association of ERPs with a high degree of overall patient experience in urogynecology patients. Nonetheless, similar to other studies, we found a correlation between lower patient satisfaction and discharge with a Foley catheter 18 . Foley catheter upon discharge was not affected by the ERP, as noted in our previous studies 19 .…”

Section: Discussionsupporting

confidence: 92%

“…Nonetheless, similar to other studies, we found a correlation between lower patient satisfaction and discharge with a Foley catheter. 18 Foley catheter upon discharge was not affected by the ERP, as noted in our previous studies. 19 Because going home with a urinary catheter is a patient dissatisfier, we would recommend targeted counseling about that possibility in the preoperative setting.…”

Section: Discussionsupporting

confidence: 87%

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Enhanced Recovery After Urogynecologic Surgery: A Survey of Patient Experience

Trowbridge

Evans

Podwika

et al. 2021

Female Pelvic Med Reconstr Surg

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ObjectivesThe aim of this study was to identify which aspects/components of the enhanced recovery program (ERP) were associated with a positive patient surgical experience for patients undergoing urogynecologic surgery.MethodsA total of 198 patients who underwent pelvic reconstructive surgery requiring hospital admission were invited to complete questionnaires modeled after the validated Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey patient experience survey. Patients were asked about 3 phases of ERP interventions: (1) before surgery (patient education, carbohydrate loading), (2) during the hospital stay (pain control, nausea, early ambulation), and (3) after discharge (return of bladder and bowel function).ResultsOne hundred patients completed the survey (51% response rate). Greater than 90% of patients rated their overall surgical experience favorably (≥8 on 1–10 scale) regardless of age (P = 0.98), race (P = 0.26), education level (P = 0.12), perception of overall health (P = 0.17), or number of prior surgical procedures (P = 0.86). Ninety-two percent of patients reported that preoperative teaching about surgery was “very helpful,” and specifically 90% reported that the ERP educational handbook was useful. Patients who reported a poor perception of their overall mental health were more likely to rate their surgical experience less favorably (<8 on 1–10 scale; P = 0.01), as were patients who left the hospital with a Foley catheter (P = 0.03).ConclusionsGreater than 90% of women surveyed who rated undergoing inpatient pelvic reconstructive surgery positively perceived their surgical experience within the ERP. The majority of patients who had a positive perception of the perioperative experience found the preoperative patient education useful.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 87%

Enhanced Recovery After Urogynecologic Surgery: A Survey of Patient Experience

Trowbridge

Evans

Podwika

et al. 2021

Female Pelvic Med Reconstr Surg

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“…Though the ERAS protocol has been widely recognized around the world, there were still limited changes in most healthcare systems (6). In this study, the majority of the original articles were clinical research, followed by surveys, quality improvement studies, audits, cost-effectiveness analyses, and cross-sectional studies (21)(22)(23)(24)(25). We found that only quite a few studies had multidisciplinary interventions, however, most of them focused on elements of ERAS.…”

Section: Discussionmentioning

confidence: 78%

The Global States and Hotspots of ERAS Research From 2000 to 2020: A Bibliometric and Visualized Study

Wang

Wei

et al. 2022

Front. Surg.

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BackgroundEnhanced recovery after surgery (ERAS) protocol has been implemented in surgeries for more than 20 years, this study investigated the global states and hotspots of ERAS research.MethodsBased on the Web of Science database, a bibliometric and visualized study of original ERAS research from 2000 to 2020 was performed, including the trends of publications and citations; distribution of countries, authors, institutions, sources; study design, level of evidence, served surgeries and surgical disciplines. Hotspots were revealed by research interests and keywords.ResultsWithin the field of original ERAS research, there was a rising trend in annual publications and citations. The USA was the greatest contributor. Kehlet, H, University of Copenhagen were the most influential author and institution, respectively. British Journal of Surgery and Annals of Surgery were the most cited journals. Though there were more prospective designs, more than half of the studies presented level IV evidence and had fewer citations and citation densities compared to that of level II and level III. ERAS protocol was overwhelmingly implemented in colorectal surgeries. Most studies focused on elements of ERAS, the top three research interests were “length of stay,” “pain management,” and “complications.” In recent years, bariatric surgery, compliance with ERAS, and feasibility in the elderly were new hotspots.ConclusionRevealing the global states and hotspots can help researchers better understand the trends in ERAS research. The USA was the greatest contributor to ERAS research. Kehlet, H, was the most influential author in the field. Bariatric surgery, compliance with ERAS, and feasibility in the elderly represent the new trend of ERAS research. Most of the ERAS research had a low evidence levels, studies with high-level evidence are still required in this field.

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“…Some patients can feel rushed by early discharge, particularly those with reduced levels of support or access to care. 45 This in turn may affect feelings of security. Kruse et al 46 performed a randomized controlled trial of 143 Danish women and demonstrated no difference in feelings of security after early discharge cesarean section, provided appropriate follow-up was organized.…”

Section: Discussionmentioning

confidence: 99%

“…Some patients can feel rushed by early discharge, particularly those with reduced levels of support or access to care 45 . This in turn may affect feelings of security.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of living kidney donor enhanced recovery after surgery

Byrne

Mehmood

Summers

et al. 2021

Clinical Transplantation

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Enhanced recovery after surgery (ERAS) reduces complications and shortens hospital stay without increasing readmission or mortality. However, its role in living donor nephrectomy (LDN) has not yet been defined. Medline, Embase, CINAHL, PsycINFO, and Cochrane Central were searched prior to 08/01/21 for all randomized controlled and cohort studies comparing ERAS to standard of care in LDN. The study was registered on PROSPERO (CRD: CRD42019141706). One thousand, three hundred seventy-seven patients were identified from 14 studies (698 patients with ERAS and 679 patients without). There were considerable differences in the protocols used, and compliance with general ERAS recommendations was poor. Meta-analysis of laparoscopic procedures (including hand-and robot-assisted) revealed that duration of stay was significantly reduced by 0.98 days with ERAS (95% CI = 0.36-1.60, P = .002) and opiate requirement by 32.4 mg (95% CI = 1.1-63.7, P = .04). There was no significant difference n readmission rates or complications. Quality of evidence was low to moderate assessed using the GRADE tool. This review suggests there is a positive benefit of ERAS in laparoscopic LDN. However, there was considerable variation in ERAS protocols used, and the quality of evidence was low; as such, a guideline for ERAS in LDN should be developed and validated.

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Patient experience with enhanced recovery and early discharge after minimally invasive sacrocolpopexy: a qualitative study

Cited by 9 publications

References 16 publications

Enhanced Recovery After Urogynecologic Surgery: A Survey of Patient Experience

Enhanced Recovery After Urogynecologic Surgery: A Survey of Patient Experience

The Global States and Hotspots of ERAS Research From 2000 to 2020: A Bibliometric and Visualized Study

A systematic review of living kidney donor enhanced recovery after surgery

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