{"paper_id":"6083b231-f9e6-4d2f-8cc2-0a8d790905ef","body_text":"Abstract\nPurpose\nThe aim of this retrospective cohort study was to validate patient’s satisfaction and surgical complication rate in patients treated at a certified endometriosis centre with personal patient care (PPC).\nMethods\nThe implementation of PPC at a gynaecologic treatment centre was retrospectively evaluated by analysing perioperative complications using the Clavien Dindo (CD) classification and patient satisfaction utilizing the Picker Patient Experience Questionnaire (PPE-15) for a total of 219 symptomatic endometriosis patients treated surgically at a certified endometriosis centre (Agaplesion Diakonie Hospital, Kassel, Germany) between November 2018 and April 2019. Data from our sample on complication rates and satisfaction were compared with those from reference samples published by Radosa et al. and Jenkinson et al.\nResults\nAn overall complication rate of 10.96% (24 out of 219 patients) was observed. Four endometriosis patients (1.83%) had major complications with complications grade III according to the CD classification system. 155 patients out of 219 chose to answer the PPE-15 (return rate 70.78%). 92 patients (59.35%) reported about problems during their treatment in our hospital in their PPE-15. “Doctors sometimes talked as if I was not here” was the best rated item (1.2%) in our cohort. “Staff gave conflicting information” was the most mentioned item (33.55%) by patients during their hospital stay in relation to patient dissatisfaction.\nConclusion\nIncorporation of PPC in the surgical inpatient treatment of endometriosis patients resulted in a low postoperative complication rate and a high patient satisfaction in our study cohort. Furthermore, nursing staff of endometriosis patients also needs particular attention.\nSimilar content being viewed by others\nReferences\nKim JH, Han E (2018) Endometriosis and female pelvic pain. Semin Reprod Med 36(2):143–151\nPringle S (2015) Endometriosis in secondary care. Br J Gen Pract 65(633):175\nLeidenberger FA (1998) Klinische Endokrinologie für Frauenärzte. Springer-Verlag, Berlin/Heidelberg\nSchliep KC, Mumford SL, Peterson SM, Chen Z, Johnstone EB, Sharp HT, Stanford JB, Hammoud AO, Sun L, Buck Louis GM (2015) Pain typology and incident endometriosis. Hum Reprod 30(10):2427–2438\nSarıdoğan E (2016) Adolescent endometriosis. Eur J Obstet Gynecol Reprod Biol 2115(16):30233–30240\nMalvezzi H, Hernandes C, Piccinato C, Podgaec S (2019) Interleukin in endometriosis-associated infertility-pelvic pain: systematic review and meta-analysis. Reproduction 18:0618\nCatenacci M, Falcone T (2008) The effect of endometriosis on in vitro fertilization outcome. Minerva Ginecol 60(3):209–221\nRoos-Eysbouts Y, De Bie-Rocks B, Van Dijk J, Nap AW (2015) Characteristics, expectations and needs of the dutch endometriosis society members. Gynecol Obstet Invest 79(4):234–238\nhttps://www.endometriose-sef.de/, last update 5/2019\nHuntington A, Gilmour JA (2005) A life shaped by pain: women and endometriosis. J Clin Nurs 14(9):1124–1132\nKundu S, Wildgrube J, Schippert C, Hillemanns P, Brandes I (2015) Supporting and Inhibiting Factors When Coping with Endometriosis From the Patient`s Perspective. Geburtshilfe Frauenheilkd 75(5):462–469\nNational Health Services. Young people among those set to benefit from lifesaving heart op as part of the NHS Long Term Plan. www.england.nhs.uk, last update 18.07.2019\nBergvik S, Wynn R, Sørlie T (2008) Nurse training of a patient-centered information procedure for CABG patients. Patient Educ Couns 70(2):227–233\nLaleci Erturkman GB, Yuksel M, Sarigul B, Lilja M, Chen R, Arvanitis TN (2018) Personalised care plan management utilizing guideline-driven clinical decision support systems. Stud Health Technol Inform 247:750–754\nEbert AD, Ulrich U, Keckstein J, Müller M, Schindler AE, Sillem M, Tinneberg HR, De Wilde RL, Schweppe KW (2013) Endometriosis research foundation, and the european endometriosis league implementation of certified endometriosis centers: 5-year experience in German-speaking Europe. Gynecol Obstet Invest 76(1):4–9\nJenkinson C, Coulter A, Bruster S (2002) The picker patient experience questionnaire: development and validation using data from in-patient surveys in five countries. Int J Qual Health Care 14:353–358\nChi DS, Abu-Rustum NR, Barakat RR (2004) Ten-year experience with laparoscopy on a gynecologic oncology service: analysis of risk factors for complications and conversion to laparotomy. Am J Obstet Gynecol 191:1138–1145\nClavien PA, Sanabria JR, Strasberg SM (1992) Proposed classification of complications of surgery with examples of utility in cholecystectomy. Surgery 111:518–526\nRadosa MP, Meyberg-Solomayer G, Radosa J, Vorwergk J, Oettler K, Mothes A, Baum S, Juhasz-Boess I, Petri E, Solomayer EF, Runnebaum IB (2014) Standardised registration of surgical complications in laparoscopic-gynaecological therapeutic procedures using the clavien-dindo classification. Geburtshilfe Frauenheilkd 74(8):752–758\nFagotti A, Boruta DM 2nd, Scambia G, Fanfani F, Paglia A, Escobar PF (2012) First 100 early endometrial cancer cases treated with laparoendoscopic single-site surgery: a multicentric retrospective study. Am J Obstet Gynecol 206:3530–3533\nPalomba S, Ghezzi F, Falbo A, Mandato VD, Annunziata G, Lucia E, Cromi A, Abrate M, La Sala GB, Giorda G, Zullo F, Franchi M (2012) Laparoscopic versus abdominal approach to endometrial cancer: a 10-year retrospective multicenter analysis. Int J Gynecol Cancer 22:425–433\nKhazali S, Gorgin A, Mohazzab A, Kargar R, Padmehr R, Shadjoo K, Minas V (2019) Laparoscopic excision of deeply infiltrating endometriosis: a prospective observational study assessing perioperative complications in 244 patients. Arch Gynecol Obstet 299(6):1619–1626\nMoret L, Anthoine E, Pourreau A, Beaudeau F, Leclère B (2017) Inpatient satisfaction with medical information received from caregivers: an observational study on the effect of social deprivation. BMC Health Serv Res 17(1):769\nAiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, Griffiths P (2018) Patient satisfaction with hospital care and nurses in England: an observational study. BMJ Open 8(1):e019189\nSturm H, Rieger MA, Martus P, Ueding E, Wagner A, Holderried M, Maschmann J, WorkSafeMed Consortium (2019) Do perceived working conditions and patient safety culture correlate with objective workload and patient outcomes: a cross-sectional explorative study from a German university hospital. PLoS ONE 14(1):e0209487\nBach AM, Risoer MB, Forman A, Seibaek L (2016) Practices and attitudes concerning endometriosis among nurses specializing in gynecology. Glob Qual Nurs Res 3:2333393616651351\nAhern T, Gardner A (2015) Literature review: an exploration of the role of the Australian breast care nurse in the provision of information and supportive care. Collegian 22(1):99–108\nAuthor information\nAuthors and Affiliations\nContributions\nS. F: preparation of the manuscript, data analysis, statistics, literature review. J. C. R: statistics. A. M: study design, proof-reading. S. Y: conceptual design, literature review. S. S: data acquisition. L. S: statistics. P. S: language editing, tables. E. F. S: data acquisition, proof reading. M. P. R: conceptual design, data acquisition, language editing.\nCorresponding author\nEthics declarations\nConflict of interest\nWe declare that we have no conflict of interest.\nEthical approval\nThe study was conducted in concordance to the ethical standards of the institution.\nInformed consent\nOnly retrospective data from patient records were analysed without any intervention. All patients gave their agreement in analysing and publishing data anonymously before treatment.\nAdditional information\nPublisher's Note\nSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.\nAppendix\nAppendix\nThe PPE-15 includes the following items:\n-\n1.\nIf you asked important questions to a doctor, did you get clear answers?\n-\n2.\nIf you asked important questions to nurses, did you get clear answers?\n-\n3.\nSometimes it happens that a doctor or nurse says something, and another doctor or nurse tells you something else. Did that happen to you?\n-\n4.\nIf you were worried or worried about your condition or treatment, did a doctor discuss it with you?\n-\n5.\nDid it happen that doctors in your presence talked about you as if you were not there?\n-\n6.\nCould you participate in your treatment?\n-\n7.\nDid you have the feeling of being treated with care and attention during your stay in hospital?\n-\n8.\nIf you were worried or worried about your condition or treatment, did the nurses discuss it with you?\n-\n9.\nWas it easy to find someone from the hospital staff who talked to you about your concerns and concerns?\n-\n10.\nDid you have pain during this hospital stay?\n-\n11.\nDid your family or other people close to you have ample opportunity to talk to your doctor?\n-\n12.\nHas anyone informed your family or other people who are close to you how recovery can help you?\n-\n13.\nDid someone explain the purpose of the medication that you should take at home understandably?\n-\n14.\nHas anyone told you what side effects of these medicines you should look at home?\n-\n15.\nHas anyone told you what symptoms you should be aware of at home with regard to your illness or surgery?\nRights and permissions\nAbout this article\nCite this article\nFindeklee, S., Radosa, J.C., Mothes, A. et al. Patient satisfaction with personal patient care (PPC) in the inpatient treatment of endometriosis. Arch Gynecol Obstet 301, 545–550 (2020). https://doi.org/10.1007/s00404-019-05394-4\nReceived:\nAccepted:\nPublished:\nVersion of record:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-019-05394-4","source_license":"CC0","license_restricted":false}