Post-operative care and patient satisfaction after ambulatory surgery for breast cancer patients

Marchal, Frédéric; Dravet, F.; Classe, Jean‐Marc; Campion, Loı̈c; Francois, T.; Labbé, Dominique; Robard, S.; Théard, J.-L.; Pioud, R.

doi:10.1016/j.ejso.2005.01.014

Cited by 62 publications

(42 citation statements)

References 14 publications

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“…Again, this reiterates the importance of allying patient expectation and concerns with surgical care pathways and protocols. Whilst pre-operative education of patients using various modalities may ensure the promotion and success of day surgery mastectomy [14,15,16], by failing to recognise patients concerns and expectations day surgery will not gain patient endorsement.…”

Section: Discussionmentioning

confidence: 99%

Patients' Perspective on Day Case Breast Surgery

Athwal¹,

Dakka²,

Appleton³

et al. 2015

Breast Care

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Background: This study assessed the views of patients undergoing breast surgery for breast cancer with a planned overnight stay, asking whether they would be happy to be discharged home on the same day of surgery. Methods: A structured questionnaire sent out in the 6 weeks following surgery was used to ascertain the patients' views. Results: The majority of patients undergoing mastectomy and axillary node clearance preferred an overnight stay, primarily for psychological reasons. Conclusions: Patients undergoing breast-conserving surgery were more prepared to go home on the day of surgery.

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Section: Discussionmentioning

confidence: 99%

Patients' Perspective on Day Case Breast Surgery

Athwal¹,

Dakka²,

Appleton³

et al. 2015

Breast Care

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“…This high rate of satisfaction has been noted in the literature. 10,16,[18][19][20][24][25][26] Explanations for such elevated satisfaction rates include fear of losing services, social desirability bias, or ingratiating response bias, which could occur when patients attempt to ingratiate themselves with the researchers= providers, especially when confidentiality cannot be assured in the survey. 27 Other authors postulate that respondents may be reluctant to criticize for fear of unfavorable treatment in the future 28 or that dissatisfaction is expressed only when an extreme negative event occurs.…”

Section: Discussionmentioning

confidence: 99%

Satisfaction with Care among Low-Income Women with Breast Cancer

Thind

Hoq²,

Diamant³

et al. 2010

Journal of Women's Health

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“…50 In fact, majority of the patients responded favorably when asked about their experience and indicated that they would be happy to undergo ambulatory surgery again. 24 …”

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confidence: 99%

“…22 Readmission was uncommon and most studies quote rates of between 0% and 1%. 2,23,24 We previously reported a 3.6% readmission rate after ambulatory surgery (including patients discharged within 23 hours), with wound-related problems such as infection and hematoma being the reason for readmission in many instances. 22 But, in spite of this, overall wound complications were not reportedly more frequent after ambulatory surgery.…”

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confidence: 99%

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Ambulatory surgery for the patient with breast cancer: current perspectives

Pek¹,

Tey²,

Tan³

2016

OAS

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Ambulatory breast cancer surgery is well accepted and is the standard of care at many tertiary centers. Rather than being hospitalized after surgery, patients are discharged on the day of surgery or within 23 hours. Such early discharge does not adversely affect patient outcomes and has the added benefits of better psychological adjustment for the patient, economic savings, and a more efficient utilization of health care resources. The minimal care needed post-discharge also means that the caregiver is not unduly burdened. Unplanned conversions to inpatient admission and readmission rates are low. Wound complications are infrequent and no issues with drain care have been reported. Because the period of postoperative observation is short and monitoring is not as intensive, ambulatory surgery is only suitable for low-risk procedures such as breast cancer surgery and in patients without serious comorbidities, where the likelihood of major perioperative events is low. Optimal management of pain, nausea, and vomiting is essential to ensure a quick recovery and return to normal function. Regional anesthesia such as the thoracic paravertebral block has been employed to improve pain control during the surgery and in the immediate postoperative period. The block provides excellent pain relief and reduces the need for opiates, which also consequently reduces the incidence of nausea and vomiting. The increasing popularity of total intravenous anesthesia with propofol has also helped reduce the incidence of nausea and vomiting in the postoperative period. Ambulatory surgery can be safely carried out in centers where there is a well-designed workflow to ensure proper patient selection, counseling, and education, and where patients and caregivers have easy access to medical services should problems arise after discharge.

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Post-operative care and patient satisfaction after ambulatory surgery for breast cancer patients

Cited by 62 publications

References 14 publications

Patients' Perspective on Day Case Breast Surgery

Patients' Perspective on Day Case Breast Surgery

Satisfaction with Care among Low-Income Women with Breast Cancer

Ambulatory surgery for the patient with breast cancer: current perspectives

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