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Predictors of Patient-Reported Receipt of Preoperative Education in an Enhanced Recovery Program
Bayley A Jones1, Alfonsus Adrian H Harsono2, Joshua Richman2
1Department of Surgery, University of Alabama at Birmingha, Birmingham, Alabama; Department of Surgery, University of Texas Southwestern, Dallas, Texas.
The Journal of Surgical Research
|July 16, 2025
Summary
Preoperative education receipt in colorectal surgery patients was associated with surgeon, procedure type, operative approach, and body mass index (BMI). These factors are key to improving patient preparation and outcomes.
Area of Science:
- Colorectal Surgery
- Surgical Education
- Patient Outcomes
Background:
- Preoperative education is vital for enhanced recovery programs.
- Factors influencing patient receipt of preoperative education are not well understood.
Purpose of the Study:
- To identify factors associated with patient-reported receipt of preoperative education in elective colorectal surgery.
- To analyze the impact of surgeon, procedure, and patient characteristics on education delivery.
Main Methods:
- Retrospective cohort study of 1175 patients undergoing elective colorectal surgery (2019-2023).
- Utilized enhanced recovery program data and American College of Surgeons National Surgical Quality Improvement Program data.
- Analyzed patient-reported preoperative education using multivariable linear regression and machine learning classification trees.
Main Results:
- 87.7% of patients reported receiving preoperative education.
- Factors associated with increased education receipt included extended colectomy, other procedures, and minimally invasive surgery.
- Surgeon, body mass index (BMI), and procedure type were identified as key predictors, particularly for open procedures.
Conclusions:
- Surgeon, procedure type, operative approach, and BMI are significantly associated with patient-reported preoperative education.
- Understanding these factors can help optimize preoperative education delivery within enhanced recovery programs.
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