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A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations

Penile prosthetic surgery is an effective treatment for men with erectile dysfunction. Cancellation of surgery is disruptive and costly to patients, physicians, and the healthcare system. This pilot study sought to analyze surgery cancellations and implement a video-based patient education program t...

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Autores principales: Ballon-Landa, Eric, Clavijo, Raul, Gross, Martin, Tapscott, Ashley, Ramasamy, Ranjith, Bowen, Ashley, Freedman, Sheldon, Wierschem, Michael, Welliver, Charles, Simoncini, Frank, Duboy, Alberto, Simhan, Jay, Bullock, Arnold, Perito, Paul, Hsieh, Tung-Chin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6900623/
https://www.ncbi.nlm.nih.gov/pubmed/31810419
http://dx.doi.org/10.1177/1557988319893568
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author Ballon-Landa, Eric
Clavijo, Raul
Gross, Martin
Tapscott, Ashley
Ramasamy, Ranjith
Bowen, Ashley
Freedman, Sheldon
Wierschem, Michael
Welliver, Charles
Simoncini, Frank
Duboy, Alberto
Simhan, Jay
Bullock, Arnold
Perito, Paul
Hsieh, Tung-Chin
author_facet Ballon-Landa, Eric
Clavijo, Raul
Gross, Martin
Tapscott, Ashley
Ramasamy, Ranjith
Bowen, Ashley
Freedman, Sheldon
Wierschem, Michael
Welliver, Charles
Simoncini, Frank
Duboy, Alberto
Simhan, Jay
Bullock, Arnold
Perito, Paul
Hsieh, Tung-Chin
author_sort Ballon-Landa, Eric
collection PubMed
description Penile prosthetic surgery is an effective treatment for men with erectile dysfunction. Cancellation of surgery is disruptive and costly to patients, physicians, and the healthcare system. This pilot study sought to analyze surgery cancellations and implement a video-based patient education program to decrease surgery noncompletion. Baseline penile prosthetic surgery completion, rescheduling, and cancellation rates among consecutively scheduled surgeries were determined using a national cohort. Selected prosthetic surgeons then implemented Vidscrip, a video-based patient education program. Prerecorded videos were delivered via text message 14 days, 7 days, and 1 day preoperatively, as well as 1 day postoperatively. Subsequent analysis determined noncompletion rates, reasons for noncompletion, surgeon volume, and video utilization. Two-hundred twenty-six surgeries were scheduled in the baseline cohort; 141 were completed, and 85 were rescheduled or canceled. Among the intervention cohort, 290 patients completed, 7 rescheduled, and 37 canceled surgery. After program implementation, the surgery noncompletion rate was reduced compared to baseline (13.2% vs. 37.6%, p < .05), corresponding to a number needed to treat of 4.1. When stratified by surgeon volume, there was no difference in noncompletion rate (>20 cases vs. ≤20 cases: 8.20% vs. 32.0%, p = .35). Video utilization was widely variable among practices (median viewing time 58.6 min, IQR 5.09–113). Penile prosthetic surgery is frequently rescheduled or canceled. Implementing a video-based patient education program reduces surgery noncompletion, improving efficiency and quality of care. Wider implementation is needed to validate these findings, while cost-effectiveness analyses may further support their broad adoption.
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spelling pubmed-69006232019-12-13 A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations Ballon-Landa, Eric Clavijo, Raul Gross, Martin Tapscott, Ashley Ramasamy, Ranjith Bowen, Ashley Freedman, Sheldon Wierschem, Michael Welliver, Charles Simoncini, Frank Duboy, Alberto Simhan, Jay Bullock, Arnold Perito, Paul Hsieh, Tung-Chin Am J Mens Health Original Article Penile prosthetic surgery is an effective treatment for men with erectile dysfunction. Cancellation of surgery is disruptive and costly to patients, physicians, and the healthcare system. This pilot study sought to analyze surgery cancellations and implement a video-based patient education program to decrease surgery noncompletion. Baseline penile prosthetic surgery completion, rescheduling, and cancellation rates among consecutively scheduled surgeries were determined using a national cohort. Selected prosthetic surgeons then implemented Vidscrip, a video-based patient education program. Prerecorded videos were delivered via text message 14 days, 7 days, and 1 day preoperatively, as well as 1 day postoperatively. Subsequent analysis determined noncompletion rates, reasons for noncompletion, surgeon volume, and video utilization. Two-hundred twenty-six surgeries were scheduled in the baseline cohort; 141 were completed, and 85 were rescheduled or canceled. Among the intervention cohort, 290 patients completed, 7 rescheduled, and 37 canceled surgery. After program implementation, the surgery noncompletion rate was reduced compared to baseline (13.2% vs. 37.6%, p < .05), corresponding to a number needed to treat of 4.1. When stratified by surgeon volume, there was no difference in noncompletion rate (>20 cases vs. ≤20 cases: 8.20% vs. 32.0%, p = .35). Video utilization was widely variable among practices (median viewing time 58.6 min, IQR 5.09–113). Penile prosthetic surgery is frequently rescheduled or canceled. Implementing a video-based patient education program reduces surgery noncompletion, improving efficiency and quality of care. Wider implementation is needed to validate these findings, while cost-effectiveness analyses may further support their broad adoption. SAGE Publications 2019-12-06 /pmc/articles/PMC6900623/ /pubmed/31810419 http://dx.doi.org/10.1177/1557988319893568 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Article
Ballon-Landa, Eric
Clavijo, Raul
Gross, Martin
Tapscott, Ashley
Ramasamy, Ranjith
Bowen, Ashley
Freedman, Sheldon
Wierschem, Michael
Welliver, Charles
Simoncini, Frank
Duboy, Alberto
Simhan, Jay
Bullock, Arnold
Perito, Paul
Hsieh, Tung-Chin
A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations
title A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations
title_full A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations
title_fullStr A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations
title_full_unstemmed A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations
title_short A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations
title_sort novel video-based patient education program to reduce penile prosthetic surgery cancellations
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6900623/
https://www.ncbi.nlm.nih.gov/pubmed/31810419
http://dx.doi.org/10.1177/1557988319893568
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