Key result
Structured checklist-based preoperative counseling significantly reduced postoperative pain (6.60 vs 7.03, p=0.041) and anxiety, and increased patient satisfaction at 24 hours compared to standard care.
Why the study?
Preoperative counseling benefits patient-reported outcomes, but no studies have specifically evaluated the implementation of a structured checklist-based approach during counseling sessions for elective surgery.
Does structured checklist-based preoperative counseling improve postoperative pain, anxiety, and satisfaction in adult patients undergoing elective surgery?
Cohort (n=600)
Single-blind (outcome assessors)
Alternate-day method
Yes
Does structured checklist-based preoperative counseling improve postoperative pain, anxiety, and satisfaction in adult patients undergoing elective surgery?
Absolute Event Rate: 6.6% vs 7.03%
p-value: p=0.041
Structured checklist-based preoperative counseling significantly reduces postoperative pain and anxiety while improving patient satisfaction compared to standard counseling in elective surgery.
Should not yet change preoperative counseling practice; leaves open routine checklist adoption pending randomized confirmation.
INTRODUCTION: Surgery, even on an elective-basis, often induces significant stress in patients, characterized by preoperative anxiety and heightened stress levels due to anticipation of the unknown. However, the primary objective of preoperative counseling is to mitigate these concerns, particularly when delivered in a structured and comprehensive manner. While previous research has highlighted the beneficial impact of preoperative counseling on patient-reported outcomes, none have specifically explored the implementation of a structured checklist-based approach during counseling sessions. To bridge this gap in the literature, our study aims to investigate the effects of implementing a checklist-based structured counseling approach on patient-reported outcomes following elective surgery. METHODS: In this prospective cohort study conducted over one year from January to December 2023, a total of 600 patients undergoing elective surgery across three specialties-orthopedic surgery, general surgery, and urology-were examined. The patients were divided into two groups: an intervention group consisting of 300 patients and a control group with an equal number of patients. The study evaluated three key outcomes-postoperative pain, anxiety, and satisfaction-at three specific time points following surgery: 24 h, 48 h, and 72 h. RESULTS: Patients receiving structured checklist counseling showed significantly lower pain scores (24 h: 6.6 vs. 7.03, p = 0.041; 48 h: 5.62 vs. 6.55, p = 0.029; 72 h: 2.54 vs. 2.90, p = 0.035) and anxiety scores (24 h: 8.58 vs. 9.25, p = 0.039; 48 h: 7.50 vs. 8.45, p = 0.030; 72 h: 4.53 vs. 5.98, p = 0.031), as well as higher satisfaction scores (24 h: 5.99 vs. 5.06, p = 0.043; 48 h: 6.99 vs. 6.02, p = 0.033; 72 h: 9.10 vs. 8.20, p = 0.039) compared to controls. These improvements were consistently significant across all three surgical specialties studied (p < 0.05). CONCLUSION: The structured checklist-based counseling method proves to be effective and essential. This method is associated with reduced postoperative pain and anxiety levels, along with increased patient satisfaction, when compared to the standard approach. LEVEL OF EVIDENCE: Prospective non-randomized study, Level II.
No takes yet. Share an insight, caveat, or question.
Dawod et al. (2024) conducted a cohort in Elective surgery (n=600). Structured checklist-based preoperative counseling vs. Standard preoperative counseling was evaluated on Postoperative pain score at 24 hours (NRS) (p=0.041). Structured checklist-based preoperative counseling significantly reduced postoperative pain (6.60 vs 7.03, p=0.041) and anxiety, and increased patient satisfaction at 24 hours compared to standard care.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: