Patient preparedness: an important predictor of surgical outcome

Kimberly Kenton*, Thythy Pham, Elizabeth Mueller, Linda Brubaker

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

57 Scopus citations

Abstract

Objective: The objective of the study was to determine the influence of patient readiness for reconstructive pelvic surgery on surgical outcomes. Study Design: After undergoing standardized informed consent, consecutive women planning pelvic surgery completed a questionnaire assessing their knowledge and readiness for surgery pre- and postoperatively. Subjects underwent standardized follow-up 3 months after surgery, including postoperative satisfaction questionnaire and validated condition specific quality of life (QOL) and global improvement scales. All subjects had standardized urogynecologic evaluation pre- and postoperatively. Results: The 79 women who completed preparedness questionnaires self-rated their symptom severity as severe (34%), moderate (58%), and mild (8%). Preparedness was associated with postoperative improvement (P = .003), complete satisfaction (P = .0005), and improved QOL (P = .02). Objective measures of cure did not differ by preparedness. Conclusion: Readiness for reconstructive pelvic surgery is measurable and associated with patient-perceived surgical outcome. Satisfaction, symptom improvement, and QOL are strongly associated with patients' expectations and preparedness.

Original languageEnglish (US)
Pages (from-to)654.e1-654.e6
JournalAmerican journal of obstetrics and gynecology
Volume197
Issue number6
DOIs
StatePublished - Dec 2007

Keywords

  • patient expectations
  • patient preparedness
  • quality of life
  • surgical outcomes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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