Key result
Continuity of peri-operative anesthetic care significantly improved patient confidence prior to surgery but did not significantly affect overall patient satisfaction compared to divided care.
Why the study?
Pre-operative evaluation is routinely performed by an anesthesiologist who may not provide intraoperative care, but the effect of this practice on patient satisfaction, confidence, and anxiety is unclear.
Does continuity of peri-operative anesthetic care improve patient satisfaction, confidence, and anxiety in adult patients undergoing elective surgery?
Cohort (n=100)
Anesthesiologists blinded
Routine external random allocation
No
Does continuity of peri-operative anesthetic care improve patient satisfaction, confidence, and anxiety in adult patients undergoing elective surgery?
Continuity of anesthetic care from pre-operative evaluation to surgery significantly improves patient confidence, though it does not affect overall patient satisfaction.
May enhance pre-op confidence without raising satisfaction; leaves open need for RCTs before practice change.
The doctor-patient relationship, medical competence and patient expectations influence patient satisfaction with anesthesia. Pre-operatively all patients are routinely assessed by an anesthesiologist. However, in many centers, the anesthesiologist who performs the pre-operative evaluation will not necessarily be the anesthesiologist who provides the intraoperative service. This study evaluated the effect of this practice on patient satisfaction, level of confidence and anxiety among adult patients undergoing elective surgery.
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Elad Dana (2023) conducted a cohort in Elective surgery under general anesthesia (n=100). Continuity of anesthetic care (same anesthesiologist for pre-operative and intraoperative care) vs. Divided anesthetic care (two different anesthesiologists) was evaluated on Overall patient satisfaction with the anesthetic experience. Continuity of peri-operative anesthetic care significantly improved patient confidence prior to surgery but did not significantly affect overall patient satisfaction compared to divided care.
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