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Waiting for elective surgery: effect on physical problems and postoperative recovery.
Jurriaan P Oudhoff1, Danielle R M Timmermans, Dirk L Knol
1Department of Public and Occupational Health, Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands. j.oudhoff@vumc.nl
ANZ Journal of Surgery
|September 7, 2007
Summary
Waiting for elective surgery prolongs patient suffering from symptoms like pain and immobility. While surgery effectively resolves these issues, prioritizing patients with severe symptoms could reduce the overall burden of surgical wait times.
Area of Science:
- General surgery outcomes
- Patient-reported outcomes
- Health services research
Background:
- Long waiting times for elective surgery can negatively impact patient care quality.
- Understanding patient experiences during surgical waits is crucial for improving healthcare delivery.
Purpose of the Study:
- To assess physical symptoms and disabilities during the wait for elective surgery.
- To evaluate perceived improvements post-surgery.
- To determine if symptom severity or wait duration affects postoperative outcomes.
Main Methods:
- Cross-sectional questionnaire study with postoperative follow-up.
- Involved patients awaiting varicose vein, inguinal hernia, and gallstone surgery.
- Utilized multilevel regression analysis to assess associations.
Main Results:
- Patients experienced increased pain and impaired mobility during the wait (P < 0.05).
- Surgery resolved symptoms in 86-95% of patients.
- Wait duration was not associated with preoperative problems or postoperative outcomes (P > 0.01).
Conclusions:
- Waiting for general surgery exacerbates symptoms, which are relieved upon operative intervention.
- Prioritizing patients with severe symptoms could alleviate the overall burden of waiting.
- Patients with minimal symptoms might consider foregoing surgery.
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