Two-thirds of the studies found that patients who suffered surgical complications had significantly worse postoperative psychosocial outcomes even after controlling for preoperative psychosocial outcomes , clinical and demographic factors .
Surgical complications appear to be a significant and often long-term predictor of patient postoperative psychosocial outcomes .
The results highlight the importance of attending to patients ' psychological needs in the aftermath of surgical complications
OBJECTIVE Surgical complications may affect patients psychologically due to challenges such as prolonged recovery or long-lasting disability .
Psychological distress could further delay patients ' recovery as stress delays wound healing and compromises immunity .
This review investigates whether surgical complications adversely affect patients ' postoperative well-being and the duration of this impact .
Assessing patient-reported outcomes of cholecystectomy in short-stay surgery
Background The project aim ed at testing the feasibility of a quality improvement system based on patient-reported outcomes in short-stay surgery for cholecystectomy . Methods In two centers for short-stay surgery , patients referred for laparoscopic cholecystectomy were surveyed between Aug 1999 and Jan 2002 . Patients reported on health-related quality of life ( SF-36 ) , symptoms ( gallstone symptom checklist , GSCL ) and other indicators preoperatively ( T0 ) , 14 days ( T1 ) and 6 months postoperatively ( T2 ) . The SF-36 subscales physical functioning , bodily pain , and role physical as well as the GSCL and treatment satisfaction at T2 were considered as main outcomes . The main outcomes were analyzed by generalized linear models with regard to predictors . Results At T0 a total of 205 patients were included . The response rate at T2 was 63.4 % ( 74.6 % females , 53.6 years of age ) . The GSCL score at T0 ( 29.4 % preoperatively ) fell slightly to 27.9 % at T1 and decreased to 14.8 % at T2 ( T0–T2 : p < 0.001 ) . The SF-36 subscales showed a different course over time ( decrease of health-related quality of life at T1 and large increase at T2 ) . The level of satisfaction with the outcome of cholecystectomy was 82.3 % . The patient-reported outcomes were mainly influenced by the preoperative level , age and self-reported postoperative complaints . Conclusion The low response rate was mainly due to nondelivery of question naires at T1 during the regular postoperative visit by the operating physician . Though nonresponse occurs under conditions of routine care , meaningful information was gained , which should be used for quality improvement activities . Because the preoperative level is a major determinant of the postoperative health outcomes , the prospect i ve pre – post measurement should be preferred if institutional comparisons are intended
Two-thirds of the studies found that patients who suffered surgical complications had significantly worse postoperative psychosocial outcomes even after controlling for preoperative psychosocial outcomes , clinical and demographic factors .
Surgical complications appear to be a significant and often long-term predictor of patient postoperative psychosocial outcomes .
The results highlight the importance of attending to patients ' psychological needs in the aftermath of surgical complications
OBJECTIVE Surgical complications may affect patients psychologically due to challenges such as prolonged recovery or long-lasting disability .
Psychological distress could further delay patients ' recovery as stress delays wound healing and compromises immunity .
This review investigates whether surgical complications adversely affect patients ' postoperative well-being and the duration of this impact .