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Erschienen in: Archives of Gynecology and Obstetrics 5/2019

03.10.2019 | General Gynecology

Evaluating the use of Clavien-Dindo classification and Picker Patient Experience Questionnaire as quality indicators in gynecologic endoscopy

verfasst von: Sebastian Findeklee, Julia Caroline Radosa, Stefanie Schafhaupt, Shadi Younes, Christoph G. Radosa, Anke Mothes, Erich Franz Solomayer, Marc Philipp Radosa

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2019

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Abstract

Purpose

Over the last few decades, laparoscopy has become a standard procedure within gynecological surgery. Validated quality indicators for the determination of the objective (perioperative complications) and subjective (patient satisfaction) quality of treatment as a surrogate parameter for the success of the treatment have so far found no regular application in the clinical routine. The purpose of this study was to evaluate the use of the Clavien-Dindo (CD) classification for postoperative complications and the Picker Patient Experience Questionnaire (PPE-15) as tools in the evaluation of endoscopic therapies in clinical routine.

Methods

Retrospectively, perioperative complications using the CD classification and patient satisfaction utilizing the PPE-15 were reviewed for a total of 212 consecutive patients at a gynecologic endoscopic referral center (Agaplesion Diakonie Kliniken, Kassel, Germany) in September 2018.

Results

An overall complication rate of 13.21% (28 out of 138 patients) was observed. Five patients (2.36%) had complications grade III and above according to the CD classification system. 138 patients out of 212 chose to answer the PPE-15 (return rate 65.01%). 112 patients (81.16%) reported about problems during their treatment in our hospital in their PPE-15. “Purpose of medicines not explained” was the most mentioned item (28.99%) by patients during their hospital stay.

Conclusion

CD classification and PPE-15 may be helpful instruments to evaluate the quality of care in gynecology. The application of both instruments for the assessment of treatment quality in clinical routine should be further investigated in prospective studies.
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Metadaten
Titel
Evaluating the use of Clavien-Dindo classification and Picker Patient Experience Questionnaire as quality indicators in gynecologic endoscopy
verfasst von
Sebastian Findeklee
Julia Caroline Radosa
Stefanie Schafhaupt
Shadi Younes
Christoph G. Radosa
Anke Mothes
Erich Franz Solomayer
Marc Philipp Radosa
Publikationsdatum
03.10.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 5/2019
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-019-05302-w

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