Obstet Gynecol Sci.  2018 Nov;61(6):675-683. 10.5468/ogs.2018.61.6.675.

Patient-reported satisfaction after robot-assisted hysterectomy among Korean patients with benign uterine disease

Affiliations
  • 1Department of Obstetrics and Gynecology, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea. parkst96@naver.com
  • 2Department of Occupational and Environmental Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
  • 3Institute of New Frontier Research, Hallym University College of Medicine, Chuncheon, Korea.

Abstract


OBJECTIVE
This study aimed to evaluate patient-reported satisfaction following robot-assisted hysterectomy due to benign uterine disease, and to identify the factors associated.
METHODS
We used a questionnaire to evaluate patients' satisfaction with robot-assisted hysterectomy. The questions concerned overall patient-reported satisfaction and specific factors affecting satisfaction, including postoperative pain, return to daily life, the hospital experience, wounds, cost, the doctor-patient relationship, whether expectations were met, and whether detailed information was provided. We also collected data from patient records, such as uterine weight, rate of pelvic adhesion, operation time, rate of transfusion, delayed discharge, and readmission. One hundred patients who underwent robot-assisted hysterectomy participated in the study. Seventy-three fully completed questionnaires were returned.
RESULTS
The majority of patients (95.9%) were satisfied with robot-assisted hysterectomy. The doctor-patient relationship, whether expectations were met, the hospital experience, wounds, and whether detailed information was provided were statistically significant factors influencing patients' overall satisfaction. Payment of fees and clinical and surgical outcomes did not significantly influence patients' overall satisfaction.
CONCLUSION
Our findings show that most patients reported high levels of satisfaction following robot-assisted hysterectomy, regardless of cost or clinical and surgical outcomes. Therefore, if gynecologists consider robot-assisted hysterectomy suitable for patients they need not hesitate based on potential costs; they should feel confident in recommending the procedure to patients.

Keyword

Hysterectomy; Robot surgical procedures; Patient satisfaction

MeSH Terms

Fees and Charges
Humans
Hysterectomy*
Pain, Postoperative
Patient Satisfaction
Uterine Diseases*
Wounds and Injuries

Reference

1. Shashoua AR, Gill D, Locher SR. Robotic-assisted total laparoscopic hysterectomy versus conventional total laparoscopic hysterectomy. JSLS. 2009; 13:364–369.
2. Kristensen SE, Mosgaard BJ, Rosendahl M, Dalsgaard T, Bjørn SF, Frøding LP, et al. Robot-assisted surgery in gynecological oncology: current status and controversies on patient benefits, cost and surgeon conditions - a systematic review. Acta Obstet Gynecol Scand. 2017; 96:274–285.
Article
3. Tapper AM, Hannola M, Zeitlin R, Isojärvi J, Sintonen H, Ikonen TS. A systematic review and cost analysis of robot-assisted hysterectomy in malignant and benign conditions. Eur J Obstet Gynecol Reprod Biol. 2014; 177:1–10.
Article
4. Zakhari A, Czuzoj-Shulman N, Spence AR, Gotlieb WH, Abenhaim HA. Laparoscopic and robot-assisted hysterectomy for uterine cancer: a comparison of costs and complications. Am J Obstet Gynecol. 2015; 213:665.e1–665.e7.
Article
5. O'Neill M, Moran PS, Teljeur C, O'Sullivan OE, O'Reilly BA, Hewitt M, et al. Robot-assisted hysterectomy compared to open and laparoscopic approaches: systematic review and meta-analysis. Arch Gynecol Obstet. 2013; 287:907–918.
6. Caljouw MA, van Beuzekom M, Boer F. Patient's satisfaction with perioperative care: development, validation, and application of a questionnaire. Br J Anaesth. 2008; 100:637–644.
Article
7. National Health Survey (UK). Question-bank [Internet]. Leeds: National Health Survey;c2012. cited 2018 Mar 28. Available from: http://content.digital.nhs.uk/media/9556/Question-bank/xls/Question_Bank_-_National_and_Extended_UESv4.xlsx.
8. Long E, Kew F. Patient satisfaction with robotic surgery. J Robot Surg. 2018; 12:493–499.
Article
9. Bollinger LA, Kruk ME. Innovations to expand access and improve quality of health services. In : Black RE, Laxminarayan R, Temmerman M, Walker N, editors. Disease control priorities, third edition: volume 2. Reproductive, maternal, newborn, and child health. Washington (DC): World Bank;2015. p. 285–298.
10. Hamilton DF, Lane JV, Gaston P, Patton JT, Macdonald D, Simpson AH, et al. What determines patient satisfaction with surgery? A prospective cohort study of 4709 patients following total joint replacement. BMJ Open. 2013; 3:e002525.
Article
11. Robertsson O, Dunbar M, Pehrsson T, Knutson K, Lidgren L. Patient satisfaction after knee arthroplasty: a report on 27,372 knees operated on between 1981 and 1995 in Sweden. Acta Orthop Scand. 2000; 71:262–267.
Article
12. Mira JJ, Tomás O, Virtudes-Pérez M, Nebot C, Rodríguez-Marín J. Predictors of patient satisfaction in surgery. Surgery. 2009; 145:536–541.
Article
13. Heidegger T, Husemann Y, Nuebling M, Morf D, Sieber T, Huth A, et al. Patient satisfaction with anaesthesia care: development of a psychometric questionnaire and benchmarking among six hospitals in Switzerland and Austria. Br J Anaesth. 2002; 89:863–872.
14. Pasic RP, Rizzo JA, Fang H, Ross S, Moore M, Gunnarsson C. Comparing robot-assisted with conventional laparoscopic hysterectomy: impact on cost and clinical outcomes. J Minim Invasive Gynecol. 2010; 17:730–738.
Article
15. Wright JD, Ananth CV, Lewin SN, Burke WM, Lu YS, Neugut AI, et al. Robotically assisted vs laparoscopic hysterectomy among women with benign gynecologic disease. JAMA. 2013; 309:689–698.
Article
Full Text Links
  • OGS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr