Qualitative analysis of the expectations of antireflux surgical outcomes of patients from different nationalities

Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus
V VelanovichS Contini

Abstract

Patient-reported outcomes have grown in importance in assessing the value of a variety of treatments. One of the methods of assessing patient-reported outcomes is qualitative analysis. The purpose of this study was to assess if qualitative analysis can be used to assess patient expectations for antireflux surgery in different nationalities. Patients referred for antireflux surgery (ARS) in the US, Austria and Italy were prospectively studied. Preoperatively, they were asked: (i) 'How do you expect the surgery to affect your symptoms?'; (ii) 'What do you expect the possible complications or side effects to be?' These patients then underwent open or laparoscopic antireflux surgery. At 2-3 months postoperatively, they were asked: (i) 'Are you satisfied with your surgery? If so, why? If not, why not?'; (ii) 'Did your surgery meet your expectations? If not, why not?' Twenty patients in the US, 24 in Austria, and 18 in Italy completed the study. Preoperatively, there were significant differences between the patients in demographics and objective measurements of GERD. Symptomatic relief was the most common expectation. There was variation in question #2, with Austrian and Italian patients more likely to mention conversion and postoper...Continue Reading

References

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Citations

Sep 1, 2007·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·A Violette, V Velanovich
Dec 21, 2005·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·V Velanovich
Jan 7, 2014·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Sara E AndrewsKate Sweeny
Jul 20, 2019·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Andrew C CurrieDavid I Watson

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