Chuba N, Liu X, Cesta MA, Chamseddine P, Gaskins J, Pasic RP, and Biscette SM. 8532 Patient Satisfaction with Postoperative Follow up after Benign Minimally Invasive Hysterectomy: A Randomized, Controlled Trial. J Minim Invasive Gynecol 2022; 29(11):S131.
J Minim Invasive Gynecol
Study Objective: To assess whether patient satisfaction varies with a single six week versus a two- and six-week postoperative visit after minimally invasive hysterectomy (MIH). Secondary aim was to determine the rate of postoperative complications between randomized groups.
Design: Prospective, randomized controlled trial of English-speaking women aged 18 to 70 undergoing MIH at an academic institution from August 2018 to December 2019. Patient satisfaction was determined by The Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) global satisfaction response and compared between groups using a non-inferiority test with 12% non-inferiority limit. Comparison of postoperative outcomes were performed utilizing the Clavien-Dindo Classification System.
Setting: N/A. Patients or Participants: 174 patients were randomized for postoperative follow up; 140 included in overall analysis. Interventions: Randomization to either a two and six week or a single six-week postoperative appointment.
Measurements and Main Results: For the primary outcome of an S-CAHPS satisfaction score of 8 or higher, the six weeks only group was non-inferior to the two- and six-week group (93% satisfaction in both groups; non-inferiority p=0.003). There was no difference in satisfaction with number of postoperative appointments between groups: 94% for two and six week and 90% for six weeks only (p=0.694). When asked if more or fewer appointments were desired, there was no difference between groups (p=0.465). Patients with abnormal uterine bleeding were more likely to be satisfied (p=0.030). Between the two and six weeks versus six weeks only groups, there was no significant increase in emergency room visits (18% versus 20%, respectively, p=0.863) or hospital readmissions (3% versus 6%, respectively, p=0.682).
Conclusion: Patient satisfaction with postoperative visits are similar among women randomized to a two and six week and a single six week visit. Postoperative complications were rare and comparable between groups. A single six-week appointment showed non-inferior patient satisfaction relative to a two- and six-week schedule.