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Laparoscopic fundoplication performed in community hospital settings: A protocol for systematic review
Laparoscopic fundoplication (LF) is well-established as the surgical intervention of choice for management of refactory gastro-esophageal reflux disease. Much of its success lies in the reported benefits in symptom control outlined by the postoperative patient. It is unclear whether patient-reported...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829280/ https://www.ncbi.nlm.nih.gov/pubmed/36607888 http://dx.doi.org/10.1097/MD.0000000000032502 |
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author | Fadaee, Neesa Gaszynski, Rafael Merrett, Neil Gray, Andrew |
author_facet | Fadaee, Neesa Gaszynski, Rafael Merrett, Neil Gray, Andrew |
author_sort | Fadaee, Neesa |
collection | PubMed |
description | Laparoscopic fundoplication (LF) is well-established as the surgical intervention of choice for management of refactory gastro-esophageal reflux disease. Much of its success lies in the reported benefits in symptom control outlined by the postoperative patient. It is unclear whether patient-reported outcomes differ according to the institution type providing care. This review aimed to address this knowledge gap by reviewing the available evidence examining patient-reported outcomes of LF in non-metropolitan centers. OBJECTIVES: To investigate patient-reported outcomes of LF performed in regional or community-based hospitals. DATA SOURCES: Four electronic databases, and citations of relevant articles. STUDY ELIGIBILITY CRITERIA: Only studies that separately reported patient-reported outcomes of LF performed in regional or community hospitals were included; papers deemed to be unclear about the type of facility in which LF surgeries were performed, or in which data from LF surgeries performed in regional/community hospitals was combined with data from major metropolitan hospitals, were excluded. STUDY APPRAISAL: Only studies that were graded as fair or good using Quality Assessment Tool for Observational Cohort and Cross-sectional studies were eligible for inclusion in this review. Seven studies were then eligible for inclusion, all of which were observational cohort studies with 6 of the studies reporting on a single intervention arm. RESULTS: Seven observational cohort studies were included in the review, with a combined total of 1071 patients who underwent LF at non-metropolitan centers. Of these, data was collected for 742 patients, yielding an overall response rate of 69.3%. All 7 studies assessed patients’ post-operative outcomes through questionnaires that were based on a modified Likert scale or a similar tool. Overall patient satisfaction was high (86%) and a significant majority of patients stated they would recommend the procedure to others (93.3%). Post-operative prevalence of reflux and dysphagia compared favorably to rates generally reported in the literature (11.9% and 17.6% respectively). Further research is required to ascertain the safety of performing these procedures in non-metropolitan hospitals. CONCLUSION: Current evidence suggests that patient-reported outcomes are favorable for patients undergoing LF in community settings, and are broadly comparable to those undergoing LF in tertiary-level centers. |
format | Online Article Text |
id | pubmed-9829280 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-98292802023-01-24 Laparoscopic fundoplication performed in community hospital settings: A protocol for systematic review Fadaee, Neesa Gaszynski, Rafael Merrett, Neil Gray, Andrew Medicine (Baltimore) 7100 Laparoscopic fundoplication (LF) is well-established as the surgical intervention of choice for management of refactory gastro-esophageal reflux disease. Much of its success lies in the reported benefits in symptom control outlined by the postoperative patient. It is unclear whether patient-reported outcomes differ according to the institution type providing care. This review aimed to address this knowledge gap by reviewing the available evidence examining patient-reported outcomes of LF in non-metropolitan centers. OBJECTIVES: To investigate patient-reported outcomes of LF performed in regional or community-based hospitals. DATA SOURCES: Four electronic databases, and citations of relevant articles. STUDY ELIGIBILITY CRITERIA: Only studies that separately reported patient-reported outcomes of LF performed in regional or community hospitals were included; papers deemed to be unclear about the type of facility in which LF surgeries were performed, or in which data from LF surgeries performed in regional/community hospitals was combined with data from major metropolitan hospitals, were excluded. STUDY APPRAISAL: Only studies that were graded as fair or good using Quality Assessment Tool for Observational Cohort and Cross-sectional studies were eligible for inclusion in this review. Seven studies were then eligible for inclusion, all of which were observational cohort studies with 6 of the studies reporting on a single intervention arm. RESULTS: Seven observational cohort studies were included in the review, with a combined total of 1071 patients who underwent LF at non-metropolitan centers. Of these, data was collected for 742 patients, yielding an overall response rate of 69.3%. All 7 studies assessed patients’ post-operative outcomes through questionnaires that were based on a modified Likert scale or a similar tool. Overall patient satisfaction was high (86%) and a significant majority of patients stated they would recommend the procedure to others (93.3%). Post-operative prevalence of reflux and dysphagia compared favorably to rates generally reported in the literature (11.9% and 17.6% respectively). Further research is required to ascertain the safety of performing these procedures in non-metropolitan hospitals. CONCLUSION: Current evidence suggests that patient-reported outcomes are favorable for patients undergoing LF in community settings, and are broadly comparable to those undergoing LF in tertiary-level centers. Lippincott Williams & Wilkins 2023-01-06 /pmc/articles/PMC9829280/ /pubmed/36607888 http://dx.doi.org/10.1097/MD.0000000000032502 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. |
spellingShingle | 7100 Fadaee, Neesa Gaszynski, Rafael Merrett, Neil Gray, Andrew Laparoscopic fundoplication performed in community hospital settings: A protocol for systematic review |
title | Laparoscopic fundoplication performed in community hospital settings: A protocol for systematic review |
title_full | Laparoscopic fundoplication performed in community hospital settings: A protocol for systematic review |
title_fullStr | Laparoscopic fundoplication performed in community hospital settings: A protocol for systematic review |
title_full_unstemmed | Laparoscopic fundoplication performed in community hospital settings: A protocol for systematic review |
title_short | Laparoscopic fundoplication performed in community hospital settings: A protocol for systematic review |
title_sort | laparoscopic fundoplication performed in community hospital settings: a protocol for systematic review |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829280/ https://www.ncbi.nlm.nih.gov/pubmed/36607888 http://dx.doi.org/10.1097/MD.0000000000032502 |
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