Introduction of a specialized consultation prior to insertion of totally implantable access venous devices: Impact on cancellation rate and

(1)

Article

Reference

Introduction of a specialized consultation prior to insertion of totally implantable access venous devices: Impact on cancellation rate and

patient satisfaction

COLUCCI, Nicola, et al .

Abstract

Preoperative consultation is usually not performed before insertion of a totally implantable venous access device (TIVAD). In our experience, an incomplete preoperative assessment, a predictable medical condition contraindicating surgery, or no-show patients the day of surgery led to several surgery cancellations. Therefore, we introduced a specific preoperative surgical consultation for TIVAD that took place shortly before surgery. The aim of the present study is to evaluate the patients' satisfaction and to establish the rate of cancellation after the adoption of this strategy. Methods: Two-hundred and four patients who benefited from the preoperative consultation before TIVAD insertion from August 2014 to August 2016 were included.

Satisfaction of patients and cancellation rate were documented. Results: With that strategy, no TIVAD insertion was either delayed or cancelled. The overall level of satisfaction was high (91.8%); 184 patients (90.2%) judged the consultation useful in preparation for the surgery.

The surgical procedure met their expectations in 92.2% of cases. Patients known for a psychiatric comorbidity [...]

COLUCCI, Nicola, et al . Introduction of a specialized consultation prior to insertion of totally implantable access venous devices: Impact on cancellation rate and patient satisfaction.

Vascular , 2020, p. 1708538120930470

DOI : 10.1177/1708538120930470 PMID : 32508290

Available at:

http://archive-ouverte.unige.ch/unige:137343

Disclaimer: layout of this document may differ from the published version.

1 / 1

(2)

QUALITY ASSESSMENT EVALUATION FORM

Quality assessment of the specialized consulta4on prior to the inser4on of totally implantable access venous devices

For every ques+on, please select a ra+ng that best reﬂect your sa<sfac<on level.

Name : Birthdate :

Sa#sfac#on

A. Preopera<ve consulta<on

1. Are you sa+sﬁed about the +me spent in wai+ng room ? 1 2 3 4 5

2. Are you sa+sﬁed about doctor’s welcome ? 1 2 3 4 5

3. Was the informa+on about surgery indica+on (chemotherapy,

nutri+on, other) clear ? 1 2 3 4 5

4. Was the informa+on about surgical procedure complete ? 1 2 3 4 5

5. Are you sa+sﬁed about informa+on regarding risks and

complica+ons of surgery ? 1 2 3 4 5

6. Are you sa+sﬁed of the suppor+ng material used during the consulta+on ?

1 2 3 4 5

B. Surgery

7. Are you sa+sﬁed about the surgeon’s answers to the ques+ons

asked immediately before the surgery ? 1 2 3 4 5

8. Are you sa+sﬁed about the +me elapsed between the consul+ng and the surgery ?

1 2 3 4 5

9. Was the consulta+on useful in prepara+on for surgery ? 1 2 3 4 5

10. Did the surgery meet the expecta+ons made during the consulta+on ?

1 2 3 4 5

Remarks :

Totally dissatisfied Dissatisfied Quite satisfied Very satisfied Totally satisfied