A structured questionnaire improves preoperative assessment of endometriosis patients: a retrospective analysis and prospective trial

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A structured questionnaire improved the documentation of endometriosis-specific parameters during preoperative assessment compared to standard patient history templates.

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The paper studied whether implementing a structured electronic questionnaire improves the completeness of preoperative documentation for women with suspected or proved endometriosis, using both a retrospective record review and a prospective trial. Retrospective analysis showed high completion for standard patient history items (89.2%) but much lower availability for endometriosis-specific parameters (46.3%), whereas prospective use in 69 patients improved completion to 90.3% for standard items and 88.5% for endometriosis-specific parameters, with significant improvement in valid answers (66.7%). The main limitation noted is that further studies are needed to determine whether the improved documentation translates into better effectiveness of preoperative counselling and surgical decision-making. This paper is centrally about endometriosis — it focuses on whether a structured questionnaire improves preoperative assessment and documentation of endometriosis-specific parameters.

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Abstract

PURPOSE: To determine whether a structured questionnaire can improve preoperative assessment of patients with endometriosis. METHODS: Hospital records for patients with endometriosis were evaluated retrospectively to determine the completeness of information. A structured electronic questionnaire was developed and used to assess preoperatively patients with suspected or proved endometriosis. Data from both assessments were compared. RESULTS: Data analysed retrospectively showed that there were valid answers for 89.2% of questions on a standard patient history template, but information was available for only 46.3% of parameters considered specific to endometriosis. Data from 69 patients investigated by structured electronic questionnaire gave improved rates of 90.3% for standard patient history items and 88.5% for endometriosis-specific parameters. Significant improvement in valid answers was achieved in 66.7%. CONCLUSIONS: A structured questionnaire improved the documentation of endometriosis-specific parameters. Further studies are needed to ensure that it enhances the effectiveness of preoperative counselling and decisions about surgery.
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Abstract

Purpose To determine whether a structured questionnaire can improve preoperative assessment of patients with endometriosis.

Methods

Hospital records for patients with endometriosis were evaluated retrospectively to determine the completeness of information. A structured electronic questionnaire was developed and used to assess preoperatively patients with suspected or proved endometriosis. Data from both assessments were compared.

Results

Data analysed retrospectively showed that there were valid answers for 89.2% of questions on a standard patient history template, but information was available for only 46.3% of parameters considered specific to endometriosis. Data from 69 patients investigated by structured electronic questionnaire gave improved rates of 90.3% for standard patient history items and 88.5% for endometriosis-specific parameters. Significant improvement in valid answers was achieved in 66.7%.

Conclusions

A structured questionnaire improved the documentation of endometriosis-specific parameters. Further studies are needed to ensure that it enhances the effectiveness of preoperative counselling and decisions about surgery. Similar content being viewed by others

References

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Marc Immenroth, Hamburg Germany for advice in data management and statistical analysis. Conflict of interest We declare that we do not have a conflict of interest. Author information Authors and Affiliations Corresponding author Appendix Appendix Rights and permissions About this article Cite this article Hackethal, A., Luck, C., von Hobe, AK. et al. A structured questionnaire improves preoperative assessment of endometriosis patients: a retrospective analysis and prospective trial. Arch Gynecol Obstet 284, 1179–1188 (2011). https://doi.org/10.1007/s00404-010-1819-0 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00404-010-1819-0

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Surveys and Questionnaires Adult Endometriosis Endometriosis Female Humans Middle Aged Prospective Studies Retrospective Studies

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