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Patient Preparedness for Pelvic Organ Prolapse Surgery: A Randomized Equivalence Trial of Preoperative Counseling.
Sassani, Jessica C; Grosse, Philip J; Kunkle, Lauren; Baranski, Lindsey; Ackenbom, Mary F.
  • Sassani JC; From the Division of Urogynecology, University of Pittsburgh Medical Center.
  • Grosse PJ; Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh PA.
  • Kunkle L; From the Division of Urogynecology, University of Pittsburgh Medical Center.
  • Baranski L; From the Division of Urogynecology, University of Pittsburgh Medical Center.
  • Ackenbom MF; From the Division of Urogynecology, University of Pittsburgh Medical Center.
Female Pelvic Med Reconstr Surg ; 27(12): 719-725, 2021 12 01.
Article in English | MEDLINE | ID: covidwho-1526238
ABSTRACT

OBJECTIVE:

Preoperative counseling can affect postoperative outcomes and satisfaction. We hypothesized that patient preparedness would be equivalent after preoperative counseling phone calls versus preoperative counseling office visits before prolapse surgery.

METHODS:

This was an equivalence randomized controlled trial of women undergoing pelvic organ prolapse surgery. Participants were randomized to receive standardized counseling via a preoperative phone call or office visit. The primary outcome was patient preparedness measured on a 5-point Likert scale by the Patient Preparedness Questionnaire at the postoperative visit. A predetermined equivalence margin of 20% was used. Two 1-sided tests for equivalence were used for the primary outcome.

RESULTS:

We randomized 120 women. The study was concluded early because of COVID-19 and subsequent surgery cancellations. There were 85 participants with primary outcome data (43 offices, 42 phones). Mean age was 62.0 years (±1.0) and 64 (75.3%) had stage III or stage IV prolapse. The primary outcome, patient preparedness measured at the postoperative visit, was equivalent between groups (office, n = 43 [97.7%]; phone, n = 42 [97.6%], P < 0.001). Most women reported they would have preferred a phone call (n = 66, 65.5%) with more women in the phone group expressing this preference than the office group (office 40.5% vs phone 90.5%, P < 0.001). Ultimately, nearly all women (96.5%) were satisfied with their method of counseling.

CONCLUSIONS:

Preoperative counseling phone calls were equivalent to office visits for patient preparedness for pelvic organ prolapse surgery. This study demonstrates patient acceptance of phone calls for preoperative counseling. Telehealth modalities should be considered as an option for preoperative patient counseling.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Office Visits / Telephone / Patient Education as Topic / Counseling / Pelvic Organ Prolapse Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Middle aged Language: English Journal: Female Pelvic Med Reconstr Surg Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Office Visits / Telephone / Patient Education as Topic / Counseling / Pelvic Organ Prolapse Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Middle aged Language: English Journal: Female Pelvic Med Reconstr Surg Year: 2021 Document Type: Article