Patient-reported participation in hepatopancreatobiliary surgery cancer care: A pilot intervention study with patient-owned fast-track protocols

Awin Amin, Maria Nordén, Victoria Fomichov, Bergthor Björnsson, Anna Lindhoff Larsson, Per Sandström, Jenny Drott, Awin Amin, Maria Nordén, Victoria Fomichov, Bergthor Björnsson, Anna Lindhoff Larsson, Per Sandström, Jenny Drott

Abstract

Objective: Fast-track concepts have been implemented in hepatopancreatobiliary surgery cancer care to improve postoperative recovery. For optimal postoperative care, patient participation is also required. The aim was to investigate and analyse whether an intervention with patient-owned fast-track protocols (PFTPs) may lead to increased patient participation and improve information for patients who underwent surgery for hepatopancreatobiliary cancer.

Methods: A quantitative comparative design with a control and intervention group was used. The participants in the intervention group followed a PFTP during their admission. After discharge, the patients answered a questionnaire regarding patient participation. Data analyses were performed with descriptive statistics and ANCOVA.

Results: The results are based on a total of 222 completed questionnaires: 116 in the control group and 106 in the intervention group. It is uncertain whether the PFTP increased patient participation and information, but its use may indicate an improvement for the patient group.

Conclusion: A successful implementation strategy for the use of PFTP, with daily reconciliations, could be part of the work required to improve overall satisfaction with patient participation.

Clinicaltrials: gov ID: NCT04061902.

Keywords: fast-track surgery; hepatopancreatobiliary cancer surgery; information; patient participation; recovery; surgical care.

Conflict of interest statement

The authors declare no conflicts of interest.

© 2022 The Authors. European Journal of Cancer Care published by John Wiley & Sons Ltd.

Figures

FIGURE 1
FIGURE 1
Flowchart of the inclusion process
FIGURE 2
FIGURE 2
Control and intervention group responses on the patient participation scale. The data are presented according to adjusted proportions, and only positive alternatives were offered
FIGURE 3
FIGURE 3
Scales and estimates of overall satisfaction with participation

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