E Fitzgerald1, A Perry2. 1. Department of Clinical Therapies,University of Limerick,Ireland. 2. Faculty of Education and Health Sciences,University of Limerick,Ireland.
Abstract
OBJECTIVES: This study aimed to undertake a systematic review of the literature about pre-operative counselling for laryngectomy patients, identify its practice and patient and (where possible) carer perceptions. METHODS: A search strategy was formulated using a concept map and a Population, Intervention, Comparative Interaction and Outcomes ('PICO') schema. All publications from 1975 to 2015 reporting pre-operative counselling of laryngectomy patients were included. Papers were retrieved and critiqued, and those included were assigned a level of evidence (according to the Joanna Briggs Institute schema). RESULTS: Of the 56 papers retrieved, 21 were included in the review. The literature is limited: studies demonstrate bias and are of poor methodological quality. There are clear, persistent reports by patients and carers of shortfalls in clinical practice. CONCLUSION: Studies on pre-operative counselling for laryngectomees are flawed in design and represent weak levels of evidence. Pre-operative counselling has not been operationalised, resulting in differing paradigms being examined. Aggregation of data and/or results is not possible and the veracity of many studies is questioned.
OBJECTIVES: This study aimed to undertake a systematic review of the literature about pre-operative counselling for laryngectomy patients, identify its practice and patient and (where possible) carer perceptions. METHODS: A search strategy was formulated using a concept map and a Population, Intervention, Comparative Interaction and Outcomes ('PICO') schema. All publications from 1975 to 2015 reporting pre-operative counselling of laryngectomy patients were included. Papers were retrieved and critiqued, and those included were assigned a level of evidence (according to the Joanna Briggs Institute schema). RESULTS: Of the 56 papers retrieved, 21 were included in the review. The literature is limited: studies demonstrate bias and are of poor methodological quality. There are clear, persistent reports by patients and carers of shortfalls in clinical practice. CONCLUSION: Studies on pre-operative counselling for laryngectomees are flawed in design and represent weak levels of evidence. Pre-operative counselling has not been operationalised, resulting in differing paradigms being examined. Aggregation of data and/or results is not possible and the veracity of many studies is questioned.
Entities:
Keywords:
Counseling; Head and Neck Neoplasms; Information Services; Laryngectomy
Authors: Evan M Graboyes; Dorina Kallogjeri; Jan Zerega; Sara Kukuljan; Linda Neal; Kelsey M Rosenquist; Brian Nussenbaum Journal: JAMA Otolaryngol Head Neck Surg Date: 2017-12-01 Impact factor: 6.223
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