Patient satisfaction with personal patient care (PPC) in the inpatient treatment of endometriosis
The aim of this retrospective cohort study was to validate patient’s satisfaction and surgical complication rate in patients treated at a certified endometriosis centre with personal patient care (PPC).
The implementation of PPC at a gynaecologic treatment centre was retrospectively evaluated by analysing perioperative complications using the Clavien Dindo (CD) classification and patient satisfaction utilizing the Picker Patient Experience Questionnaire (PPE-15) for a total of 219 symptomatic endometriosis patients treated surgically at a certified endometriosis centre (Agaplesion Diakonie Hospital, Kassel, Germany) between November 2018 and April 2019. Data from our sample on complication rates and satisfaction were compared with those from reference samples published by Radosa et al. and Jenkinson et al.
An overall complication rate of 10.96% (24 out of 219 patients) was observed. Four endometriosis patients (1.83%) had major complications with complications grade III according to the CD classification system. 155 patients out of 219 chose to answer the PPE-15 (return rate 70.78%). 92 patients (59.35%) reported about problems during their treatment in our hospital in their PPE-15. “Doctors sometimes talked as if I was not here” was the best rated item (1.2%) in our cohort. “Staff gave conflicting information” was the most mentioned item (33.55%) by patients during their hospital stay in relation to patient dissatisfaction.
Incorporation of PPC in the surgical inpatient treatment of endometriosis patients resulted in a low postoperative complication rate and a high patient satisfaction in our study cohort. Furthermore, nursing staff of endometriosis patients also needs particular attention.
KeywordsEndometriosis-patient reported outcomes Consultation Personal patient care
S. F: preparation of the manuscript, data analysis, statistics, literature review. J. C. R: statistics. A. M: study design, proof-reading. S. Y: conceptual design, literature review. S. S: data acquisition. L. S: statistics. P. S: language editing, tables. E. F. S: data acquisition, proof reading. M. P. R: conceptual design, data acquisition, language editing.
Compliance with ethical standards
Conflict of interest
We declare that we have no conflict of interest.
The study was conducted in concordance to the ethical standards of the institution.
Only retrospective data from patient records were analysed without any intervention. All patients gave their agreement in analysing and publishing data anonymously before treatment.
- 5.Sarıdoğan E (2016) Adolescent endometriosis. Eur J Obstet Gynecol Reprod Biol 2115(16):30233–30240Google Scholar
- 6.Malvezzi H, Hernandes C, Piccinato C, Podgaec S (2019) Interleukin in endometriosis-associated infertility-pelvic pain: systematic review and meta-analysis. Reproduction 18:0618Google Scholar
- 9.https://www.endometriose-sef.de/, last update 5/2019
- 12.National Health Services. Young people among those set to benefit from lifesaving heart op as part of the NHS Long Term Plan. www.england.nhs.uk, last update 18.07.2019
- 14.Laleci Erturkman GB, Yuksel M, Sarigul B, Lilja M, Chen R, Arvanitis TN (2018) Personalised care plan management utilizing guideline-driven clinical decision support systems. Stud Health Technol Inform 247:750–754Google Scholar
- 15.Ebert AD, Ulrich U, Keckstein J, Müller M, Schindler AE, Sillem M, Tinneberg HR, De Wilde RL, Schweppe KW (2013) Endometriosis research foundation, and the european endometriosis league implementation of certified endometriosis centers: 5-year experience in German-speaking Europe. Gynecol Obstet Invest 76(1):4–9CrossRefGoogle Scholar
- 19.Radosa MP, Meyberg-Solomayer G, Radosa J, Vorwergk J, Oettler K, Mothes A, Baum S, Juhasz-Boess I, Petri E, Solomayer EF, Runnebaum IB (2014) Standardised registration of surgical complications in laparoscopic-gynaecological therapeutic procedures using the clavien-dindo classification. Geburtshilfe Frauenheilkd 74(8):752–758CrossRefGoogle Scholar
- 25.Sturm H, Rieger MA, Martus P, Ueding E, Wagner A, Holderried M, Maschmann J, WorkSafeMed Consortium (2019) Do perceived working conditions and patient safety culture correlate with objective workload and patient outcomes: a cross-sectional explorative study from a German university hospital. PLoS ONE 14(1):e0209487CrossRefGoogle Scholar