Evidence map›Paper›PMID 39543682›Full record

ArticleBMC health services research2024

Impact of structured checklist-based preoperative counseling versus standard counseling on postoperative patient-reported outcomes after elective surgery.

Moh'd S Dawod, Mohammad N Alswerki, Ahmad Alelaumi, Moath G Shaqar, Farah M Al-Habashneh, Saif A Alshloul, Mustafa Burghol, Samer F Al-Rawashdah, Mohammad W Amir, Mahmoud H Alkhasawneh

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. 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

10 authors.

Moh'd S DawodOrthopedic Surgery Department, Faculty of Medicine, Mutah University, Al-Karak, Jordan.ORCID http://orcid.org/0000-0002-1336-9304
Mohammad N AlswerkiOrthopedic Department, Jordan University Hospital, P.O. Box: (13046), Amman, 11942, Jordan. mnswerki@outlook.com.ORCID http://orcid.org/0000-0002-2122-5861
Ahmad AlelaumiOrthopedic Department, Jordan University Hospital, P.O. Box: (13046), Amman, 11942, Jordan.ORCID http://orcid.org/0009-0007-6358-4700
Moath G ShaqarJordan University Hospital, Amman, Jordan.ORCID http://orcid.org/0000-0001-7056-9321
Farah M Al-HabashnehJordan University Hospital, Amman, Jordan.ORCID http://orcid.org/0009-0001-6204-5189
Saif A AlshloulJordan University of Science and Technology, Irbid, Jordan.ORCID http://orcid.org/0009-0009-5973-9858
Mustafa BurgholJordan Ministry of Health, Amman, Jordan.
Samer F Al-RawashdahUrology Department, Faculty of Medicine, Mutah University, Al-Karak, Jordan.ORCID http://orcid.org/0009-0005-5395-7345
Mohammad W AmirGeneral Surgery Department, Faculty of Medicine, Mutah University, Al-Karak, Jordan.ORCID http://orcid.org/0009-0002-2044-1199
Mahmoud H AlkhasawnehRadiology Department, Faculty of Medicine, Mutah University, Al-Karak, Jordan.ORCID http://orcid.org/0000-0001-8481-8501

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgery, even on an elective-basis, often induces significant stress in patients, characterized by preoperative anxiety and heightened stress levels due to anticipation of the unknown. However, the primary objective of preoperative counseling is to mitigate these concerns, particularly when delivered in a structured and comprehensive manner. While previous research has highlighted the beneficial impact of preoperative counseling on patient-reported outcomes, none have specifically explored the implementation of a structured checklist-based approach during counseling sessions. To bridge this gap in the literature, our study aims to investigate the effects of implementing a checklist-based structured counseling approach on patient-reported outcomes following elective surgery.

methodsIn this prospective cohort study conducted over one year from January to December 2023, a total of 600 patients undergoing elective surgery across three specialties-orthopedic surgery, general surgery, and urology-were examined. The patients were divided into two groups: an intervention group consisting of 300 patients and a control group with an equal number of patients. The study evaluated three key outcomes-postoperative pain, anxiety, and satisfaction-at three specific time points following surgery: 24 h, 48 h, and 72 h.

resultsPatients receiving structured checklist counseling showed significantly lower pain scores (24 h: 6.6 vs. 7.03, p = 0.041; 48 h: 5.62 vs. 6.55, p = 0.029; 72 h: 2.54 vs. 2.90, p = 0.035) and anxiety scores (24 h: 8.58 vs. 9.25, p = 0.039; 48 h: 7.50 vs. 8.45, p = 0.030; 72 h: 4.53 vs. 5.98, p = 0.031), as well as higher satisfaction scores (24 h: 5.99 vs. 5.06, p = 0.043; 48 h: 6.99 vs. 6.02, p = 0.033; 72 h: 9.10 vs. 8.20, p = 0.039) compared to controls. These improvements were consistently significant across all three surgical specialties studied (p < 0.05).

conclusionThe structured checklist-based counseling method proves to be effective and essential. This method is associated with reduced postoperative pain and anxiety levels, along with increased patient satisfaction, when compared to the standard approach. LEVEL OF EVIDENCE: Prospective non-randomized study, Level II.

Indexed as

AnxietyChecklistCounselingElective Surgical ProceduresPatient Reported Outcome MeasuresPatient SatisfactionPostoperative PainAdultAgedFemaleHumansMaleMiddle AgedPreoperative CareProspective StudiesChecklist-based counsellingPatient-reported outcomesPatients’ satisfactionPostoperative anxietyPostoperative painStructured counselling

Identifiers

PMID39543682
PMCPMC11566359

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.