Sebastian Findeklee1, Julia Caroline Radosa1, Stefanie Schafhaupt2, Shadi Younes2,3, Christoph G Radosa4, Anke Mothes5, Erich Franz Solomayer1, Marc Philipp Radosa6,7. 1. Department for Gynecology, Obstetrics and Reproductive Medicine, Saarland University Hospital, Homburg, Germany. 2. Department for Gynecology, Agaplesion Diakonie Kliniken, Kassel, Germany. 3. Department for Gynecology and Obstetrics, University Hospital Leipzig, Liebigstraße 20a, Building 6, 01403, Leipzig, Germany. 4. Department of Radiology, Dresden University Hospital, Dresden, Germany. 5. Department for Gynecology and Obstetrics, St. Georg Hospital Eisenach, Eisenach, Germany. 6. Department for Gynecology, Agaplesion Diakonie Kliniken, Kassel, Germany. Marc.Radosa@medizin.uni-leipzig.de. 7. Department for Gynecology and Obstetrics, University Hospital Leipzig, Liebigstraße 20a, Building 6, 01403, Leipzig, Germany. Marc.Radosa@medizin.uni-leipzig.de.
Abstract
PURPOSE: Over the last few decades, laparoscopy has become a standard procedure within gynecological surgery. Validated quality indicators for the determination of the objective (perioperative complications) and subjective (patient satisfaction) quality of treatment as a surrogate parameter for the success of the treatment have so far found no regular application in the clinical routine. The purpose of this study was to evaluate the use of the Clavien-Dindo (CD) classification for postoperative complications and the Picker Patient Experience Questionnaire (PPE-15) as tools in the evaluation of endoscopic therapies in clinical routine. METHODS: Retrospectively, perioperative complications using the CD classification and patient satisfaction utilizing the PPE-15 were reviewed for a total of 212 consecutive patients at a gynecologic endoscopic referral center (Agaplesion Diakonie Kliniken, Kassel, Germany) in September 2018. RESULTS: An overall complication rate of 13.21% (28 out of 138 patients) was observed. Five patients (2.36%) had complications grade III and above according to the CD classification system. 138 patients out of 212 chose to answer the PPE-15 (return rate 65.01%). 112 patients (81.16%) reported about problems during their treatment in our hospital in their PPE-15. "Purpose of medicines not explained" was the most mentioned item (28.99%) by patients during their hospital stay. CONCLUSION: CD classification and PPE-15 may be helpful instruments to evaluate the quality of care in gynecology. The application of both instruments for the assessment of treatment quality in clinical routine should be further investigated in prospective studies.
PURPOSE: Over the last few decades, laparoscopy has become a standard procedure within gynecological surgery. Validated quality indicators for the determination of the objective (perioperative complications) and subjective (patient satisfaction) quality of treatment as a surrogate parameter for the success of the treatment have so far found no regular application in the clinical routine. The purpose of this study was to evaluate the use of the Clavien-Dindo (CD) classification for postoperative complications and the Picker Patient Experience Questionnaire (PPE-15) as tools in the evaluation of endoscopic therapies in clinical routine. METHODS: Retrospectively, perioperative complications using the CD classification and patient satisfaction utilizing the PPE-15 were reviewed for a total of 212 consecutive patients at a gynecologic endoscopic referral center (Agaplesion Diakonie Kliniken, Kassel, Germany) in September 2018. RESULTS: An overall complication rate of 13.21% (28 out of 138 patients) was observed. Five patients (2.36%) had complications grade III and above according to the CD classification system. 138 patients out of 212 chose to answer the PPE-15 (return rate 65.01%). 112 patients (81.16%) reported about problems during their treatment in our hospital in their PPE-15. "Purpose of medicines not explained" was the most mentioned item (28.99%) by patients during their hospital stay. CONCLUSION: CD classification and PPE-15 may be helpful instruments to evaluate the quality of care in gynecology. The application of both instruments for the assessment of treatment quality in clinical routine should be further investigated in prospective studies.