ArticleThe Journal of surgical research2025
Predictors of Patient-Reported Receipt of Preoperative Education in an Enhanced Recovery Program.
Article in The Journal of surgical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionPreoperative education is a critical component of enhanced recovery programs. Factors associated with receipt of preoperative education are unknown.
methodsWe performed a retrospective cohort study of patients undergoing elective colorectal surgery (2019-2023) using data from our institution's enhanced recovery program dashboard and American College of Surgeons National Surgical Quality Improvement Program database. The primary outcome of patient-reported receipt of preoperative education was analyzed using multivariable linear regression and machine learning classification trees.
resultsOf 1175 patients, 87.7% reported receiving preoperative education. On multivariable analysis, patients undergoing extended colectomy and other procedures had marginal increases in receipt of education by 5.8% (P = 0.01) and 9.6% (P < 0.01), respectively, compared to partial colectomy. Compared to open surgery, patients undergoing minimally invasive surgery had a marginal increase of 4.9% (P = 0.04). Patients who reported education had a body mass index (BMI) 0.003 higher than those who did not (P = 0.03). Receipt of education varied significantly between surgeons (P < 0.05). Machine learning analysis identified surgeon, BMI, and procedure type as predictors of education for open procedures.
conclusionsSurgeon, procedure type, operative approach, and BMI were associated with patient-reported receipt of preoperative education.
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