Evidence map›Paper›PMID 33472609›Full record

ArticleBMC psychiatry2021

Surgical experience for patients with serious mental illness: a qualitative study.

Kate E McBride, Michael J Solomon, Tim Lambert, Sarah O'Shannassy, Catherine Yates, Jemima Isbester, Nick Glozier

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Disparities in prehospital and emergency surgical care among patients with perforated ulcers and a history of mental illness: a nationwide cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  6. Disparities in Liver Transplantation Rates and Outcomes Among Adults with and without Mental Illnesses.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kate E McBrideRPA Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital and University of Sydney, PO Box M157, Sydney, New South Wales, Australia. kate.mcbride@health.nsw.gov.au.
Michael J SolomonRPA Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital and University of Sydney, PO Box M157, Sydney, New South Wales, Australia.
Tim LambertSydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
Sarah O'ShannassyRPA Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital and University of Sydney, PO Box M157, Sydney, New South Wales, Australia.
Catherine YatesSydney Local Health District, Sydney, New South Wales, Australia.
Jemima IsbesterSydney Local Health District, Sydney, New South Wales, Australia.
Nick GlozierSydney Medical School, University of Sydney, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with serious mental illness (SMI) have significantly worse surgical outcomes compared to the general population. There are many contributing factors to this complex issue, however consideration of the surgical experience from the patient's own perspective has never been undertaken. This lack of understanding prevents the provision of truly patient centred care and may limit the impact of potential improvement initiatives. Therefore this study aims to describe and better understand the surgical experience from the perspective of patients with SMI.

methodsWithin this qualitative study, semi-structured, audio-recorded interviews were conducted between August 2019 - June 2020, with 10 consenting participants with SMI who had surgery in the previous 2 years. A thematic analysis approach was used to explore both the positive and negative aspects of the participant's surgical experience commencing from pre-operative consultation to hospital discharge and follow-up.

resultsFour main themes and related subthemes emerged including i) the perceived lack of mental ill health recognition, ii) highly variable patient and clinician interactions, iii) the impact of healthcare services, and iv) strategies for improvement.

conclusionSurgical patients with SMI want to be treated like everyone else whilst still having their mental ill health acknowledged and proactively managed despite this rarely occurring, which is valuable information for all surgical teams to consider and learn from. Participants were able to describe several readily implementable strategies to potentially improve their care and overall surgical experience, and as such highlight considerable opportunities for these to be tested and evaluated for this underserved patient group.

Indexed as

Mental DisordersHumansPatient-Centered CarePatient DischargeQualitative ResearchMental illnessPatient experienceQualitativeSurgerySurgical outcomes

Identifiers

PMID33472609
PMCPMC7816393

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.