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.
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.
Authors: Kathryn L Burgio; Linda Brubaker; Holly E Richter; Clifford Y Wai; Heather J Litman; Diane Borello France; Shawn A Menefee; Larry T Sirls; Stephen R Kraus; Harry W Johnson; Sharon L Tennstedt Journal: Neurourol Urodyn Date: 2010-11 Impact factor: 2.696
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Authors: Jessica C Sassani; Amanda M Artsen; Philip J Grosse; Lindsey Baranski; Lauren Kunkle; Mary F Ackenbom Journal: Female Pelvic Med Reconstr Surg Date: 2021-03-01 Impact factor: 2.091