Reviewer’ s report
Title: Bridging different realities - a qualitative study on patients experiences of preoperative care
for benign hysterectomy and opportunistic salpingectomy in Sweden
Version: 0Date: 27 Jul 2020
Reviewer's report:
1- The manuscript makes no reference on failed medical treatment before offering surgical
intervention, as it may impacts on patient acceptance and perception of the surgical treatment asnext step. It is helpful to know in what percentage of them refractory medical treatment was theindication vs surgery offered as the primary treatment? what about mode of hysterectomy, was thatever discussed with patients?
2- The sample size appears to be too small for a meaningful conclusion. any statistical validation?
Do authors think it represent an unbiased analysis given the sample size? please explain why?there is no reference of the total number of hysterectomy performed in Sweden annually to give usa hint on how to extrapolate the conclusion of this study based on 21 research subjects undergoinghysterectomy..
3- While it is quite interesting the topic explored here, unfortunately, there is a major flaw in the
study design specific to the timing of FGD. Patient answer and perception of "Navigating thehealthcare system" and "Processing continuously until surgery' were likely to be negativelyimpacted since the FGD was conducted at the time while most of the women had not yet receivedthe date of surgery nor met for the final consultation to answer all details of the procedure, patients'
heightened uncertainty and fear are understandable. Without the final consultation and patients
fully informed, patients experiences of preoperative care can not be fully assessed.
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Is the study design appropriate to answer the research question (including the use of appropriate
controls), and are the conclusions supported by the evidence presented?
YesAre the methods sufficiently described to allow the study to be repeated?No
Is the use of statistics and treatment of uncertainties appropriate?
NoIs the presentation of the work clear?YesAre the images in this manuscript (including electrophoretic gels and blots) free from apparent
manipulation?
Yes