Valoración del impacto de la educación preoperatoria en la colecistectomía laparoscópica ambulatoria. Ensayo prospectivo aleatorizado doble ciego

Magdaleno, Helena Subirana; Caro, Aleidis; Casas, Carles Olona; Padillo, Alba Díaz; Chacón, Mario Franco; Bargalló, Jordi Vadillo; Serra, Judit Saludes; Jorba, Rosa

doi:10.1016/j.ciresp.2017.10.002

Cited by 6 publications

(4 citation statements)

References 23 publications

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“…Unfortunately, only three studies reported LOS outcomes with respect to this intervention, each of insufficient power to detect a difference. 110 , 112 Equally unexpectedly, the insertion of prophylactic drainage was not associated with increased LOS. Avoidance of unnecessary drain insertion is generally recommended 5 and the authors hypothesise that the similar LOS observed among drained and undrained patients relates to study protocols designed to compare endpoints such as pain, development of collections, and drain outputs, at standard timepoints.…”

Section: Discussionmentioning

confidence: 93%

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Systematic review and meta-analysis of factors which reduce the length of stay associated with elective laparoscopic cholecystectomy

Ryan

OʼConnell

Rogers

et al. 2021

HPB

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Background Laparoscopic cholecystectomy is a safe ambulatory procedure in appropriately selected patients; however, day case rates remain low. The objective of this systematic review and meta-analysis was to identify interventions which are effective in reducing the length of stay (LOS) or improving the day case rate for elective laparoscopic cholecystectomy. Methods Comparative English-language studies describing perioperative interventions applicable to elective laparoscopic cholecystectomy in adult patients and their impact on LOS or day case rate were included. Results Quantitative data were available for meta-analysis from 80 studies of 10,615 patients. There were an additional 17 studies included for systematic review. The included studies evaluated 14 peri-operative interventions. Implementation of a formal day case care pathway was associated with a significantly shorter LOS (MD = 24.9 h, 95% CI, 18.7–31.2, p < 0.001) and an improved day case rate (OR = 3.5; 95% CI, 1.5–8.1, p = 0.005). Use of non-steroidal anti-inflammatories, dexamethasone and prophylactic antibiotics were associated with smaller reductions in LOS. Conclusion Care pathway implementation demonstrated a significant impact on LOS and day case rates. A limited effect was noted for smaller independent interventions. In order to achieve optimal day case targets, a greater understanding of the effective elements of a care pathway and local barriers to implementation is required.

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Section: Discussionmentioning

confidence: 93%

“…Three studies 110 , 111 , 112 were identified examining the effect of intensive versus standard preoperative education and none found differences in LOS or day case rate. This intervention was not amenable to meta-analysis as there were not enough studies for inclusion in either LOS or day case rate.…”

Section: Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of factors which reduce the length of stay associated with elective laparoscopic cholecystectomy

Ryan

OʼConnell

Rogers

et al. 2021

HPB

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“…During the second phase, full-text review narrowed the pool to 17 total studies for this systematic review. From the 17 studies that matched the inclusion criteria, 15 studies reported a statistical significance improvement in one or more patient postoperative outcomes (Table 2) [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34].…”

Section: Literature Selectionmentioning

confidence: 99%

“…Direct individual education was the most effective POEI across all included procedure types: laparoscopic cholecystectomy, bariatric surgery, and colectomy [19,21,[23][24][25]27,31]. Direct individual education has been shown to be effective in other surgical procedures since it provides patients with a personalized intervention tailored to their specific needs, which allows for patients to freely communicate and better understand their condition, treatment plan, and post-operative care [37].…”

Section: Direct Individual Education and Direct Group Educationmentioning

confidence: 99%

The Effectiveness of Patient Education on Laparoscopic Surgery Postoperative Outcomes to Determine Whether Direct Coaching Is the Best Approach: Systematic Review of Randomized Controlled Trials

Maheta,

Shehabat,

Khalil

et al. 2024

JMIR Perioper Med

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Background: As of 2022, patient postoperative non-compliance can increase the risk of complications by up to 52.4% after laparoscopic abdominal surgery, however, no singular pre-operative education intervention (POEI) demonstrates consistent improvement in patient outcomes across the procedures.Objective: This study aims to determine which POEI could be the most effective on patient outcomes by systematically reviewing all the POEI reported in the literature.Methods: 4,753 articles investigating POEI (e.g. videos, presentations, mobile applications, one-on-one education or coaching) were collected from the PubMed, EMBASE, and Scopus databases. Inclusion criteria were: adult patients undergoing abdominal laparoscopic surgery, randomized controlled trials, and provided postoperative outcomes. Exclusion criteria included: not published in English and no outcomes reported. Title/abstract and full-text articles with POEI randomized controlled studies were screened based on the criteria through a blinded, dual review using Covidence. Study quality was assessed through the Cochrane Risk of Bias tool. Included articles were analyzed for educational content, intervention timing, intervention type, and postoperative outcomes appropriate for a particular surgery. This study protocol has been registered to PROSPERO: CRD42023438698. Results:Only 17 studies matched our criteria, with 1,831 patients undergoing laparoscopic cholecystectomy, bariatric surgery (gastric bypass and gastric sleeve), and colectomy. 15 studies reported a statistically significant improvement in at least one patient postoperative outcome. None of these studies had an overall Cochrane high risk of bias. 41.2% of the included studies used one-on-one education or coaching improved outcomes in almost all surgery types, while educational videos had the greatest statistically significant impact for anxiety, nausea, and pain postoperatively (p<0.01). Group education or coaching demonstrates significant improvement in weight, BMI, exercise, and depressive symptoms in 33.3% of the laparoscopic gastric bypass studies.Conclusions: Direct education or coaching (one-on-one or group-based) positively impacts postoperative outcomes more than the newer POEIs (e.g. mobile applications). Clinical Trial: This study protocol has been registered to PROSPERO: CRD42023438698.

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An evaluation of two different methods for preoperative physical therapy information before abdominal surgery

Berthelsen

Wiklund

Säthil

et al. 2020

Journal of Communication in Healthcare

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Valoración del impacto de la educación preoperatoria en la colecistectomía laparoscópica ambulatoria. Ensayo prospectivo aleatorizado doble ciego

Cited by 6 publications

References 23 publications

Systematic review and meta-analysis of factors which reduce the length of stay associated with elective laparoscopic cholecystectomy

Systematic review and meta-analysis of factors which reduce the length of stay associated with elective laparoscopic cholecystectomy

The Effectiveness of Patient Education on Laparoscopic Surgery Postoperative Outcomes to Determine Whether Direct Coaching Is the Best Approach: Systematic Review of Randomized Controlled Trials

An evaluation of two different methods for preoperative physical therapy information before abdominal surgery

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