Journal article
Patient Preparedness for Pelvic Organ Prolapse Surgery: A Randomized Equivalence Trial of Preoperative Counseling
Female pelvic medicine & reconstructive surgery, v 27(12), pp 719-725
01 Dec 2021
PMID: 33787563
Featured in Collection : UN Sustainable Development Goals @ Drexel
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.
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Details
- Title
- Patient Preparedness for Pelvic Organ Prolapse Surgery: A Randomized Equivalence Trial of Preoperative Counseling
- Creators
- Jessica C. Sassani - University of Pittsburgh Medical CenterPhilip J. Grosse - University of PittsburghLauren Kunkle - University of Pittsburgh Medical CenterLindsey Baranski - University of Pittsburgh Medical CenterMary F. Ackenbom - University of Pittsburgh Medical Center
- Publication Details
- Female pelvic medicine & reconstructive surgery, v 27(12), pp 719-725
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 7
- Grant note
- 5K12HD063087 / NIH NICHD Women's Reproductive Health Research Career Development Program UL1-TR-001857 / Clinical and Translational Sciences Institute at the University of Pittsburgh
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Obstetrics and Gynecology
- Web of Science ID
- WOS:000721024100008
- Scopus ID
- 2-s2.0-85122111124
- Other Identifier
- 991022135716004721
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- Web of Science research areas
- Obstetrics & Gynecology