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One-Stop Surgery: An Innovation to Limit Hospital Visits in Children
Introduction One-stop surgery (OSS) allows for same-day outpatient clinic visit, preoperative assessment, and surgical repair. This study aims to determine the efficiency, (cost-)effectiveness, and family satisfaction of one-stop inguinal hernia surgery compared with usual care. Material and Method...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9481276/ https://www.ncbi.nlm.nih.gov/pubmed/34856625 http://dx.doi.org/10.1055/s-0041-1740158 |
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author | Dreuning, Kelly M.A. Derikx, Joep P.M. Ouali, Ayoub Janssen, Liedewij M.J. Tulder, Maurits W. van Twisk, Jos W.R. Haverman, Lotte van Heurn, L.W. Ernest |
author_facet | Dreuning, Kelly M.A. Derikx, Joep P.M. Ouali, Ayoub Janssen, Liedewij M.J. Tulder, Maurits W. van Twisk, Jos W.R. Haverman, Lotte van Heurn, L.W. Ernest |
author_sort | Dreuning, Kelly M.A. |
collection | PubMed |
description | Introduction One-stop surgery (OSS) allows for same-day outpatient clinic visit, preoperative assessment, and surgical repair. This study aims to determine the efficiency, (cost-)effectiveness, and family satisfaction of one-stop inguinal hernia surgery compared with usual care. Material and Methods Children (≥ 3 months) with inguinal hernia and American Society of Anesthesiologists (ASA) grades I–II, scheduled for OSS (intervention) or regular treatment (control) between March 1, 2017, and December 1, 2018, were eligible for inclusion. Exclusion criteria consisted of age less than 3 months and ASA grades III–IV. The primary outcome measure was treatment efficiency (i.e., total number of hospital visits and waiting time [days] between referral and surgery). Secondary outcome measures were the effectiveness in terms of complication and recurrence rate, and parent-reported satisfaction and cost-effectiveness using the Dutch Pediatric Quality of Life Healthcare Satisfaction and Institute for Medical Technology Assessment Productivity Cost Questionnaire. Results Ninety-one (intervention: 54; control: 37) patients (56% boys) were included. Median (interquartile range) number of hospital visits was lower in the intervention group (1 vs 3; p < 0.001). All but one of the OSS patients (98%) were discharged home on the day of surgery. Postoperative complication (1.9% vs 2.7%; p = 0.787) and recurrence rates (0% vs 2.7%; p = 0.407) did not differ between the intervention and control patients. “General satisfaction,” “satisfaction with communication,” and “inclusion of family” were higher after OSS, while satisfaction about “information,” “technical skills,” and “emotional needs” were similar. Median (range) follow-up was 28 (15–36) months. Conclusions Pediatric one-stop inguinal hernia repair seems to be an effective treatment strategy that limits the number of hospital visits and provides enhanced family satisfaction without compromising the quality of care. |
format | Online Article Text |
id | pubmed-9481276 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-94812762022-09-17 One-Stop Surgery: An Innovation to Limit Hospital Visits in Children Dreuning, Kelly M.A. Derikx, Joep P.M. Ouali, Ayoub Janssen, Liedewij M.J. Tulder, Maurits W. van Twisk, Jos W.R. Haverman, Lotte van Heurn, L.W. Ernest Eur J Pediatr Surg Introduction One-stop surgery (OSS) allows for same-day outpatient clinic visit, preoperative assessment, and surgical repair. This study aims to determine the efficiency, (cost-)effectiveness, and family satisfaction of one-stop inguinal hernia surgery compared with usual care. Material and Methods Children (≥ 3 months) with inguinal hernia and American Society of Anesthesiologists (ASA) grades I–II, scheduled for OSS (intervention) or regular treatment (control) between March 1, 2017, and December 1, 2018, were eligible for inclusion. Exclusion criteria consisted of age less than 3 months and ASA grades III–IV. The primary outcome measure was treatment efficiency (i.e., total number of hospital visits and waiting time [days] between referral and surgery). Secondary outcome measures were the effectiveness in terms of complication and recurrence rate, and parent-reported satisfaction and cost-effectiveness using the Dutch Pediatric Quality of Life Healthcare Satisfaction and Institute for Medical Technology Assessment Productivity Cost Questionnaire. Results Ninety-one (intervention: 54; control: 37) patients (56% boys) were included. Median (interquartile range) number of hospital visits was lower in the intervention group (1 vs 3; p < 0.001). All but one of the OSS patients (98%) were discharged home on the day of surgery. Postoperative complication (1.9% vs 2.7%; p = 0.787) and recurrence rates (0% vs 2.7%; p = 0.407) did not differ between the intervention and control patients. “General satisfaction,” “satisfaction with communication,” and “inclusion of family” were higher after OSS, while satisfaction about “information,” “technical skills,” and “emotional needs” were similar. Median (range) follow-up was 28 (15–36) months. Conclusions Pediatric one-stop inguinal hernia repair seems to be an effective treatment strategy that limits the number of hospital visits and provides enhanced family satisfaction without compromising the quality of care. Georg Thieme Verlag KG 2021-12-02 /pmc/articles/PMC9481276/ /pubmed/34856625 http://dx.doi.org/10.1055/s-0041-1740158 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Dreuning, Kelly M.A. Derikx, Joep P.M. Ouali, Ayoub Janssen, Liedewij M.J. Tulder, Maurits W. van Twisk, Jos W.R. Haverman, Lotte van Heurn, L.W. Ernest One-Stop Surgery: An Innovation to Limit Hospital Visits in Children |
title | One-Stop Surgery: An Innovation to Limit Hospital Visits in Children |
title_full | One-Stop Surgery: An Innovation to Limit Hospital Visits in Children |
title_fullStr | One-Stop Surgery: An Innovation to Limit Hospital Visits in Children |
title_full_unstemmed | One-Stop Surgery: An Innovation to Limit Hospital Visits in Children |
title_short | One-Stop Surgery: An Innovation to Limit Hospital Visits in Children |
title_sort | one-stop surgery: an innovation to limit hospital visits in children |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9481276/ https://www.ncbi.nlm.nih.gov/pubmed/34856625 http://dx.doi.org/10.1055/s-0041-1740158 |
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