Patients' satisfaction with fast-track surgery in gynaecological oncology

Eur J Cancer Care (Engl). 2015 Jul;24(4):567-73. doi: 10.1111/ecc.12254. Epub 2014 Oct 21.

Abstract

This study investigates the experience and satisfaction with care of fast-tracked gynaecological patients. The Sydney Gynaecological Oncology Group, New South Wales, Australia, has previously shown the benefits of a fast-track surgery programme for gynaecology patients with both complex benign gynaecological pathology and gynaecological malignancy. The question of whether these benefits translate into a positive experience for fast-tracked patients, in the context of their hospital stay and healthcare team care, has not been previously explored in detail. A self-administered satisfaction questionnaire incorporating the European Organisation for Research and Treatment of Cancer (EORTC) cancer in-patient satisfaction with care measure (INPATSAT-32) questionnaire with additional questions was administered to 106 gynaecology participants at Royal Prince Alfred Hospital. Participants reported high levels of satisfaction with patient care and support received from doctors, ward nurses and the hospital as a service and care organisation, within the context of a fast-track surgical programme. Early hospital discharge after gynaecological surgery results in both enhanced recovery after surgery (ERAS) and high levels of patient satisfaction.

Keywords: INPATSAT-32; early hospital discharge; enhanced recovery after surgery (ERAS); fast-track surgery; gynaecological oncology; patient satisfaction.

MeSH terms

  • Clinical Competence / standards
  • Female
  • Genital Neoplasms, Female / surgery*
  • Gynecologic Surgical Procedures / methods*
  • Gynecologic Surgical Procedures / psychology
  • Gynecology / standards
  • Humans
  • Length of Stay
  • Middle Aged
  • New South Wales
  • Patient Satisfaction*
  • Postoperative Care / methods
  • Postoperative Care / standards
  • Prospective Studies
  • Quality of Health Care
  • Retrospective Studies
  • Time-to-Treatment