The Effectiveness of Patient Education on Laparoscopic Surgery Postoperative Outcomes to Determine Whether Direct Coaching Is the Best Approach: Systematic Review of Randomized Controlled Trials

• DOI: 10.2196/51573
• Publication Date: 2024-05-06T15:44:29Z
• Authors: Bhagvat Maheta; Mouhamad Shehabat; Ramy Khalil; Jimmy Wen; Muhammad Karabala; Priya Manhas; Ashley Niu; Caroline Goswami; Eldo Frezza
• Keywords: RD1-811; Computer applications to medicine. Medical informatics; R858-859.7; Surgery; Review

Background As of 2022, patient adherence to postoperative guidelines can reduce the risk complications by up 52.4% following laparoscopic abdominal surgery. With availability various preoperative education interventions (POEIs), understanding which POEI results in improvement outcomes across procedures is imperative. Objective This study aims determine could be most effective on systematically reviewing all POEIs reported literature. Methods In total, 4753 articles investigating (eg, videos, presentations, mobile apps, and one-on-one or coaching) were collected from PubMed, Embase, Scopus databases. Inclusion criteria adult patients undergoing surgery, randomized controlled trials, studies that provided outcomes. Exclusion included not published English with no reported. Title abstract full-text screened based above through a blinded, dual review using Covidence (Veritas Health Innovation). Study quality was assessed Cochrane Risk Bias tool. The analyzed for educational content, intervention timing, type, appropriate particular Results Only 17 matched our criteria, 1831 cholecystectomy, bariatric surgery (gastric bypass gastric sleeve), colectomy. 15 statistically significant at least 1 outcome. None these found have an overall high bias according standards. 41% (7/17) direct individual improved almost types, while videos had greatest impact anxiety, nausea, pain postoperatively (P<.01). Direct group demonstrated weight, BMI, exercise, depressive symptoms 33% (2/6) studies. Conclusions (individual based) positively impacts Trial Registration PROSPERO CRD42023438698; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=438698