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Multidisciplinary convalescence recommendations after gynaecological surgery: a modified Delphi method among experts.
A Vonk Noordegraaf1, J A F Huirne, H A M Brölmann
1Department of Obstetrics and Gynaecology, AMC UMCG UWV VUmc, Amsterdam, the Netherlands.
BJOG : an International Journal of Obstetrics and Gynaecology
|September 8, 2011
Summary
Experts reached a consensus on 38 key activities for recovery after gynecological surgery. These detailed recommendations provide a structured approach to convalescence following hysterectomy and adnexal procedures.
Area of Science:
- Gynecological Surgery Recovery
- Postoperative Convalescence Guidelines
- Multidisciplinary Medical Consensus
Background:
- Standardized convalescence recommendations after gynecological surgery are lacking.
- Variability in patient recovery and return to activities necessitates evidence-based guidelines.
Framework:
- A modified Delphi method was employed to achieve expert consensus.
- Involved 12 multidisciplinary experts including gynecologists, general practitioners (GPs), and occupational physicians (OPs).
Implementation:
- Developed detailed recommendations for graded resumption of activities post-hysterectomy and laparoscopic adnexal surgery.
- Achieved a multidisciplinary consensus of at least 67% on 38 relevant convalescence activities after four Delphi rounds.
- Recommendations were validated for feasibility by a representative sample of physicians.
Implications:
- Provides structured, uniform convalescence recommendations for gynecological surgery patients.
- Facilitates consistent patient care and recovery management by healthcare providers.
- Enhances patient understanding and adherence to postoperative recovery protocols.
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