Roberto Angioli1, Francesco Plotti2, Stella Capriglione3, Alessia Aloisi3, Maria Elisa Aloisi4, Daniela Luvero3, Andrea Miranda5, Roberto Montera3, Matteo Gulino2, Paola Frati6. 1. Department of Obstetrics and Gynaecology Campus Bio Medico University of Rome, Rome, Italy. Electronic address: r.angioli@unicampus.it. 2. Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, University of Rome "Sapienza", 336 Viale Regina Elena, Rome 00185, Lazio, Italy. 3. Department of Obstetrics and Gynaecology Campus Bio Medico University of Rome, Rome, Italy. 4. Catania Forum, Catania, Italy. 5. Department of Obstetrics and Gynaecology Campus Bio Medico University of Rome, Rome, Italy. Electronic address: a.miranda@unicampus.it. 6. Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, University of Rome "Sapienza", 336 Viale Regina Elena, Rome 00185, Lazio, Italy; Mediterranean Neurological Institute Neuromed IRCCS, 18 Via Atinense, Pozzilli 86077, IS, Italy.
Abstract
OBJECTIVES: To evaluate the verbal and written preoperative information in patients undergoing surgery for malignant gynaecologic disease, in terms of satisfaction about preoperative received informations, hospitalization days, postoperative pain experienced using visual analogue scale (VAS) and number of pain drugs used daily. STUDY DESIGN:From January 2008 to December 2012, consecutive patients with diagnosis of endometrial cancer, referred to the Division of Gynecology of University Campus Bio-Medico of Rome, were enrolled. Eligible subjects were randomized into two groups: Group V (Verbal information ward) consisted of patients who had verbal preoperative information about surgical procedure and postoperative management and Group W (Written Information ward) consisted of patients who had written preoperative information. All preoperative and postoperative data were recorded. Concerning satisfaction about preoperative received informations, patients were asked to complete the QLQ-C30 and the EORTC INFO25. RESULTS:190 patients were considered in this study. Group W (n=92) has a better info satisfaction (p=0.0008, statistically significant), a mean VAS value lower (p=0.02, statistically significant) and also a lower number of hospitalization days (p=0.0265, statistically significant) and pain medications used daily, (p=0.0120, statistically significant), comparing with group V (n=98). CONCLUSIONS: We support the use of preoperative information leaflet to better prepare patients for a surgical procedure, showing a faster recovery, low medications use and a better quality of life outcome.
RCT Entities:
OBJECTIVES: To evaluate the verbal and written preoperative information in patients undergoing surgery for malignant gynaecologic disease, in terms of satisfaction about preoperative received informations, hospitalization days, postoperative pain experienced using visual analogue scale (VAS) and number of pain drugs used daily. STUDY DESIGN: From January 2008 to December 2012, consecutive patients with diagnosis of endometrial cancer, referred to the Division of Gynecology of University Campus Bio-Medico of Rome, were enrolled. Eligible subjects were randomized into two groups: Group V (Verbal information ward) consisted of patients who had verbal preoperative information about surgical procedure and postoperative management and Group W (Written Information ward) consisted of patients who had written preoperative information. All preoperative and postoperative data were recorded. Concerning satisfaction about preoperative received informations, patients were asked to complete the QLQ-C30 and the EORTC INFO25. RESULTS: 190 patients were considered in this study. Group W (n=92) has a better info satisfaction (p=0.0008, statistically significant), a mean VAS value lower (p=0.02, statistically significant) and also a lower number of hospitalization days (p=0.0265, statistically significant) and pain medications used daily, (p=0.0120, statistically significant), comparing with group V (n=98). CONCLUSIONS: We support the use of preoperative information leaflet to better prepare patients for a surgical procedure, showing a faster recovery, low medications use and a better quality of life outcome.
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