Is there a need for postoperative follow-up after routine urogynaecological procedures? Patients will self-present if they have problems

Bateman, A. G., Neilens, H., Gericke, C. A., George, J. and Freeman, R. M. (2014) Is there a need for postoperative follow-up after routine urogynaecological procedures? Patients will self-present if they have problems. International Urogynecology Journal, 25 3: 381-386. doi:10.1007/s00192-013-2229-1


Author Bateman, A. G.
Neilens, H.
Gericke, C. A.
George, J.
Freeman, R. M.
Title Is there a need for postoperative follow-up after routine urogynaecological procedures? Patients will self-present if they have problems
Journal name International Urogynecology Journal   Check publisher's open access policy
ISSN 0937-3462
1433-3023
Publication date 2014-03-01
Year available 2013
Sub-type Article (original research)
DOI 10.1007/s00192-013-2229-1
Volume 25
Issue 3
Start page 381
End page 386
Total pages 6
Place of publication London, United Kingdom
Publisher Springer
Language eng
Formatted abstract
Introduction and hypothesis
The value of outpatient appointments for postoperative review has been questioned for many years, and the surgeon practice around this issue is varied. The aim of this study, as part of a larger study assessing postoperative follow-up, was to assess how many patients self-present to their general practitioner (GP) or the emergency department after surgery for urogynaecology procedures.

Methods

A retrospective observational study of postoperative urogynaecology patients between 2007 and 2012 was performed using the British Society of Urogynaecology (BSUG) database to identify patients. These records were correlated with hospital and GP records to assess whether any patient was seen postoperatively for a procedure-related problem.

Results

There were 244 patients with complete data on the BSUG database, of whom 25 (10 %) presented to hospital/secondary care in the year following their surgery; only three of these were admitted for problems related to their surgery. There was a response rate of 70 % from GPs for access to their records. This represented 171 patients, 90 of whom (52.3 %) presented to their GP within a year of surgery mostly for a minor procedure-related event: 11 of these were re-referred to secondary care, and the remainder were treated in the community.

Conclusions

The most important aspect of patient care is safety, and this should not be compromised if, for example, postoperative review were to be moved to primary care. As expected, this study shows that patients will self-present if they have problems postoperatively.
Keyword Complications
Follow-up
Patient safety
Postoperative care
Urogynaecology
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
 
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