Evidence map›Paper›PMID 38935953›Full record

ReviewJMIR perioperative medicine2024

The Effectiveness of Patient Education on Laparoscopic Surgery Postoperative Outcomes to Determine Whether Direct Coaching Is the Best Approach: Systematic Review of Randomized Controlled Trials.

Bhagvat Maheta, Mouhamad Shehabat, Ramy Khalil, Jimmy Wen, Muhammad Karabala, Priya Manhas, Ashley Niu, Caroline Goswami, Eldo Frezza

Registry-linked trialAbstract readReview
In one paragraph

Review in JMIR perioperative medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07100275 (The Effect of Video-Supported Online Preoperative Education on Fear, Anxiety, Sleep, and Stress in Patients Undergoing Laparoscopic Cholecystectomy), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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.

NCT07100275 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

The Effect of Video-Supported Online Preoperative Education on Fear, Anxiety, Sleep, and Stress in Patients Undergoing Laparoscopic Cholecystectomy: A Randomised Controlled Trial

TypeinterventionalSponsorBingol UniversityRan2025 to 2025Enrolled128ConditionsPatient Education, Surgical Fear and Worrying, Surgical Stress Response, Medical-surgical NursingArmsPatient education, Follow-up via Mobile Health Application
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. 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

9 authors.

Bhagvat MahetaCalifornia Northstate University College of Medicine, Elk Grove, CA, United States.ORCID https://orcid.org/0000-0002-5318-3088
Mouhamad ShehabatCalifornia Northstate University College of Medicine, Elk Grove, CA, United States.ORCID https://orcid.org/0000-0002-3195-9981
Ramy KhalilCalifornia Northstate University College of Medicine, Elk Grove, CA, United States.ORCID https://orcid.org/0009-0000-0402-9511
Jimmy WenCalifornia Northstate University College of Medicine, Elk Grove, CA, United States.ORCID https://orcid.org/0009-0007-5412-8551
Muhammad KarabalaCalifornia Northstate University College of Medicine, Elk Grove, CA, United States.ORCID https://orcid.org/0009-0003-9046-2072
Priya ManhasCalifornia Northstate University College of Medicine, Elk Grove, CA, United States.ORCID https://orcid.org/0000-0001-8829-5357
Ashley NiuCalifornia Northstate University College of Medicine, Elk Grove, CA, United States.ORCID https://orcid.org/0009-0009-7183-5404
Caroline GoswamiCalifornia Northstate University College of Medicine, Elk Grove, CA, United States.ORCID https://orcid.org/0009-0004-5384-6728
Eldo FrezzaCalifornia Northstate University College of Medicine, Elk Grove, CA, United States.ORCID https://orcid.org/0009-0008-3023-9377

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs of 2022, patient adherence to postoperative guidelines can reduce the risk of complications by up to 52.4% following laparoscopic abdominal surgery. With the availability of various preoperative education interventions (POEIs), understanding which POEI results in improvement in patient outcomes across the procedures is imperative.

objectiveThis study aims to determine which POEI could be the most effective on patient outcomes by systematically reviewing all the POEIs reported in the literature.

methodsIn total, 4753 articles investigating various POEIs (eg, videos, presentations, mobile apps, and one-on-one education or coaching) were collected from the PubMed, Embase, and Scopus databases. Inclusion criteria were adult patients undergoing abdominal laparoscopic surgery, randomized controlled trials, and studies that provided postoperative outcomes. Exclusion criteria included studies not published in English and with no outcomes reported. Title and abstract and full-text articles with POEI randomized controlled studies were screened based on the above criteria through a blinded, dual review using Covidence (Veritas Health Innovation). Study quality was assessed through the Cochrane Risk of Bias tool. The included articles were analyzed for educational content, intervention timing, intervention type, and postoperative outcomes appropriate for a particular surgery.

resultsOnly 17 studies matched our criteria, with 1831 patients undergoing laparoscopic cholecystectomy, bariatric surgery (gastric bypass and gastric sleeve), and colectomy. In total, 15 studies reported a statistically significant improvement in at least 1 patient postoperative outcome. None of these studies were found to have an overall high risk of bias according to Cochrane standards. In total, 41% (7/17) of the included studies using direct individual education improved outcomes in almost all surgery types, while educational videos had the greatest statistically significant impact for anxiety, nausea, and pain postoperatively (P<.01). Direct group education demonstrated significant improvement in weight, BMI, exercise, and depressive symptoms in 33% (2/6) of the laparoscopic gastric bypass studies.

conclusionsDirect education (individual or group based) positively impacts postoperative laparoscopic surgery outcomes.

trial registrationPROSPERO CRD42023438698; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=438698.

Indexed as

educationlaparoscopicoutcomespatientpostoperativesurgeriessystematic review

Identifiers

PMID38935953
PMCPMC11240078

What OpenQuestion holds

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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.