Evidence map›Paper›PMID 36050542›Full record

Trial reportArchives of gynecology and obstetrics2023

Effect of nurse-led telephone follow-up on postoperative symptoms and analgesics consumption after benign hysterectomy: a randomized, single-blinded, four-arm, controlled multicenter trial.

Gulnara Kassymova, Gunilla Sydsjö, Ninnie Borendal Wodlin, Lena Nilsson, Preben Kjølhede

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01526668 (A Randomized Study Comparing Four Different Postoperative Follow-up Strategies for Improved Postoperative Recovery After Benign Hysterectomy), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT01526668 nacompletednot on this map

A Randomized Study Comparing Four Different Postoperative Follow-up Strategies for Improved Postoperative Recovery After Benign Hysterectomy

TypeinterventionalSponsorUniversity Hospital, LinkoepingRan2011 to 2018Enrolled525ConditionsHysterectomy, Genital Diseases, Female, PainArmsFollow-up strategy, No contact after discharge
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

5 authors.

Gulnara KassymovaDepartment of Obstetrics and Gynecology in Linköping, Department of Biomedical and Clinical Sciences, Linköping University, University Hospital, S-58245, Linköping, Sweden. gulka007@student.liu.se.ORCID 0000-0002-5386-932X
Gunilla SydsjöDepartment of Obstetrics and Gynecology in Linköping, Department of Biomedical and Clinical Sciences, Linköping University, University Hospital, S-58245, Linköping, Sweden.ORCID 0000-0003-4296-4038
Ninnie Borendal WodlinDepartment of Obstetrics and Gynecology in Linköping, Department of Biomedical and Clinical Sciences, Linköping University, University Hospital, S-58245, Linköping, Sweden.ORCID 0000-0002-3730-7722
Lena NilssonDepartment of Anesthesiology and Intensive Care in Linköping and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0002-7489-9077
Preben KjølhedeDepartment of Obstetrics and Gynecology in Linköping, Department of Biomedical and Clinical Sciences, Linköping University, University Hospital, S-58245, Linköping, Sweden.ORCID 0000-0001-5702-4116

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study aimed to determine if planned telephone follow-up, especially when adding structured, oriented coaching, reduces the intensity of postoperative symptoms and decreases analgesics consumption after benign hysterectomy.

methodsA randomized, single-blinded, four-armed, controlled multicenter trial of 525 women scheduled for hysterectomy was conducted in 5 hospitals in the southeast health region of Sweden. The women were allocated 1:1:1:1 into four follow-up models: (A) no telephone follow-up (control group); (B) one planned, structured, telephone follow-up the day after discharge; (C) as B but with additional telephone follow-up once weekly for 6 weeks; and (D) as C but with oriented coaching telephone follow-up on all occasions. Postoperative symptoms were assessed using the Swedish Postoperative Symptoms Questionnaire. Analgesic consumption was registered. Unplanned telephone contacts and visits were registered during the 6 weeks of follow-up.

resultsIn total, 487 women completed the study. Neither pain intensity, nor symptom sum score or analgesic consumption differed between the intervention groups. Altogether, 224 (46.0%) women had unplanned telephone contacts and 203 (41.7%) had unplanned visits. Independent of intervention, the women with unplanned telephone contacts had higher pain intensity and symptom sum scores, particularly if an unplanned telephone contact was followed by a visit, or an unplanned visit was preceded by an unplanned telephone contact.

conclusionTelephone follow-up did not seem to affect recovery regarding symptoms or analgesic consumption after benign hysterectomy in an enhanced recovery after surgery (ERAS) setting. Unplanned telephone contacts and visits were associated with more postoperative symptoms, especially pain. Trial registration The study is registered in ClinicalTrial.gov: NCT01526668 retrospectively from January 27; 2012. Date of enrolment of first patient: October 11; 2011.

Indexed as

Nurse's RolePostoperative PainAnalgesicsFemaleFollow-Up StudiesHumansHysterectomyMaleRetrospective StudiesAnalgesicsCoachingERASHysterectomyPostoperative symptomsTelephone follow-up

Identifiers

PMID36050542
PMCPMC9918564

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.