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Updated: Jun 12, 2026

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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Female patients expect more information when undergoing surgery: nationwide survey- and register-based study
Evy Á Lakjuni Guttesen1, Anders Gram-Hanssen1, Hugin Reistrup1
1Center for Perioperative Optimization, Department of Surgery, Copenhagen University Hospital - Herlev and Gentofte, Herlev, Denmark.
The British Journal of Surgery
|June 11, 2026
Summary
Females reported greater dissatisfaction with preoperative information after ventral hernia repair. Tailoring perioperative counseling may improve information sufficiency for female patients.
Area of Science:
- Surgical Patient Care
- Health Services Research
- Gender Health Disparities
Background:
- Adequate preoperative information is linked to better patient outcomes, including reduced anxiety and improved pain management.
- This study investigates potential sex-based differences in how patients perceive the sufficiency of information received before ventral hernia repair surgery.
Purpose of the Study:
- To assess sex-based disparities in perceived sufficiency of perioperative information among patients undergoing ventral hernia repair.
- To identify factors associated with dissatisfaction with preoperative information.
Main Methods:
- Analysis of data from the AFTERHERNIA Project (January 2014-March 2024) involving patients undergoing ventral hernia repair.
- Utilized the Abdominal Hernia-Q to assess patient-reported preparedness, postoperative emotions, and recovery concerns.
- Multivariable analyses adjusted for demographic, clinical, and surgical variables.
Main Results:
- Females reported significantly higher dissatisfaction with perioperative information compared to males across all assessed domains (preparedness, emotions, concerns).
- Adjusted analyses confirmed higher odds of dissatisfaction for females (ORs ranging from 1.40 to 2.00, P<0.001).
- Younger age, severe chronic pain, and suspicion of hernia recurrence were independently associated with increased dissatisfaction.
Conclusions:
- A notable sex-based disparity exists, with females experiencing greater dissatisfaction regarding perioperative information sufficiency.
- Findings suggest a need for tailored perioperative counseling strategies to address the specific informational needs of female patients undergoing ventral hernia repair.