Gynecologic Surgical Outcomes Through the Patient’s Eyes: Are Physicians Looking in the Same Direction?

Jenna Emerson, Amanda Paquet, Roopina Sangha, Katina Robison
In: Obstetrical & Gynecological Survey · 2019 · vol. 74(6) , pp. 351–361 · doi:10.1097/ogx.0000000000000681 · PMID:31216044 · W2951709984
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This review identifies key outcomes important to women undergoing benign gynecologic surgery and provides guidance for surgeons to incorporate these patient preferences into shared decision-making for improved satisfaction.

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Abstract

IMPORTANCE: Patient-centered care integrates the highest clinical standards with patient preferences surrounding their treatment. Increasing focus is being placed on the identification of patient-centered outcomes to optimize the impact of medical treatments on patient quality of life, as defined by patients themselves. OBJECTIVE: This article will review the central concepts of patient-centered outcomes in benign gynecologic surgery. This expert review will serve as a practical guide for surgeons to incorporate patient preferences into shared surgical decision making. EVIDENCE ACQUISITION: The current literature is examined, defining those outcomes identified by women undergoing gynecologic procedures as the most important factors in their decision making. Available literature on these patient-identified priorities is then reviewed with respect to gynecologic surgery in the preoperative, intraoperative, and postoperative periods. RESULTS: Each section of the article concludes with Clinical Pearls, where practical tools and key elements are summarized to assist providers with incorporating these concepts into practice. CONCLUSIONS AND RELEVANCE: Many key outcomes have been identified by women undergoing benign gynecologic surgery in their decision-making process. Patient counseling should address clinically appropriate treatment modalities and include an exploration of patient expectations and preferences around nonclinical outcomes as well. This shared decision-making model will result in improved satisfaction with outcomes.

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