Methods
The 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.
Results
An 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.
Conclusion
Incorporation 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.
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S. 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.
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Appendix
Appendix
The PPE-15 includes the following items:
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1.
If you asked important questions to a doctor, did you get clear answers?
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2.
If you asked important questions to nurses, did you get clear answers?
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3.
Sometimes it happens that a doctor or nurse says something, and another doctor or nurse tells you something else. Did that happen to you?
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4.
If you were worried or worried about your condition or treatment, did a doctor discuss it with you?
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5.
Did it happen that doctors in your presence talked about you as if you were not there?
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6.
Could you participate in your treatment?
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7.
Did you have the feeling of being treated with care and attention during your stay in hospital?
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8.
If you were worried or worried about your condition or treatment, did the nurses discuss it with you?
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9.
Was it easy to find someone from the hospital staff who talked to you about your concerns and concerns?
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10.
Did you have pain during this hospital stay?
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11.
Did your family or other people close to you have ample opportunity to talk to your doctor?
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12.
Has anyone informed your family or other people who are close to you how recovery can help you?
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13.
Did someone explain the purpose of the medication that you should take at home understandably?
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14.
Has anyone told you what side effects of these medicines you should look at home?
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15.
Has anyone told you what symptoms you should be aware of at home with regard to your illness or surgery?
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Findeklee, 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
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DOI: https://doi.org/10.1007/s00404-019-05394-4