Due to the very low quality of the current evidence , the effects of formal patient education provided in addition to the st and ard information provided by doctors to patients compared with st and ard care remain uncertain .
BACKGROUND Generally , before being operated on , patients will be given informal information by the healthcare providers involved in the care of the patients ( doctors , nurses , ward clerks , or healthcare assistants ) .
This information can also be provided formally in different formats including written information , formal lectures , or audio-visual recorded information .
OBJECTIVES To compare the benefits and harms of formal preoperative patient education for patients undergoing laparoscopic cholecystectomy .
The quality of cholecystectomy in Denmark: outcome and risk factors for 20,307 patients from the national database
Background Laparoscopic cholecystectomy is the st and ard treatment for symptomatic gallstones . The quality of the procedure frequently is included in quality improvement programs , but outcome values have not been described to define the st and ard of care for a general population . This study included 20,307 cholecystectomies from a national prospect i ve data base that combines administrative data with clinical data . This report states the quality of  cholecystectomy  in Denmark , establishes benchmarks , and identifies significant risk factors . Methods The Danish Cholecystectomy Data base was queried for data from 2006 to 2009 . The outcome measures included conversion rate , hospital length of stay ( LOS ) , readmission , additional procedures , and 30-day mortality . Patient characteristics and operative findings were analyzed as risk factors using stepwise backward logistic regression . Results The study included 20,307 patients ( 82 % of all cholecystectomies ) . The conversion rate was 7.6 % . Male sex , acute cholecystitis , and previous upper abdominal surgery were risk factors for conversion , with respective odds ratios of 1.50 , 4.61 , and 3.54 . The mean LOS was 1.5 days , and 37.3 % of the patients had same-day surgery . The readmission rate was 9.6 % . Nearly 70 % had a LOS of 1 day or less and no readmission ; 17.3 % had a LOS longer than 3 days and /or readmission ; 5.6 % had an additional procedure within 30 days ; and 0.2 % had a bile duct injury requiring reconstructive surgery . The 30-day mortality rate was 0.27 % . Age older than 60 years , American Society of Anesthesiology ( ASA ) score exceeding 1 , and open procedure were significant risk factors for all the outcomes . Body mass index ( BMI ) was not a risk factor for any of the outcomes . Conclusion The quality of cholecystectomy is high in Denmark , with a low conversion rate and a high frequency of short admissions without readmission . Acute cholecystitis and open procedure are important risk factors for poorer outcomes .The results of this study analyzing a large , unbiased population can be used to benchmark outcomes of cholecystectomy
Due to the very low quality of the current evidence , the effects of formal patient education provided in addition to the st and ard information provided by doctors to patients compared with st and ard care remain uncertain .
BACKGROUND Generally , before being operated on , patients will be given informal information by the healthcare providers involved in the care of the patients ( doctors , nurses , ward clerks , or healthcare assistants ) .
This information can also be provided formally in different formats including written information , formal lectures , or audio-visual recorded information .
OBJECTIVES To compare the benefits and harms of formal preoperative patient education for patients undergoing laparoscopic cholecystectomy .