Introduction of a specialized consultation prior to insertion of totally implantable access venous devices: Impact on cancellation rate and patient satisfaction

Article Article scientifique Article Introduction of a specialized consultation prior to insertion of totally implantable access venous devices: Impact on cancellation rate and patient satisfaction eng 2020 author Colucci Nicola author Gregoris Adrien author Meyer Jérémy 0000-0003-3381-9146 583453 author Naiken Surennaidoo Perumal 919099 author Staszewicz Wojciech 764847 author Gialamas Eleftherios 831861 author Toso Christian 0000-0003-1652-4522 92271 author Abbassi Ziad 848473 1708538120930470 10.1177/1708538120930470 32508290 1708-5381 https://journals.sagepub.com/doi/10.1177/1708538120930470 Preoperative consultation is usually not performed before insertion of a totally implantable venous access device (TIVAD). In our experience, an incomplete preoperative assessment, a predictable medical condition contraindicating surgery, or no-show patients the day of surgery led to several surgery cancellations. Therefore, we introduced a specific preoperative surgical consultation for TIVAD that took place shortly before surgery. The aim of the present study is to evaluate the patients' satisfaction and to establish the rate of cancellation after the adoption of this strategy. Methods: Two-hundred and four patients who benefited from the preoperative consultation before TIVAD insertion from August 2014 to August 2016 were included. Satisfaction of patients and cancellation rate were documented. Results: With that strategy, no TIVAD insertion was either delayed or cancelled. The overall level of satisfaction was high (91.8%); 184 patients (90.2%) judged the consultation useful in preparation for the surgery. The surgical procedure met their expectations in 92.2% of cases. Patients known for a psychiatric comorbidity were more likely to express dissatisfaction. Conclusions: The introduction of a specific preoperative surgical consultation for TIVAD insertion led to a high level of patients' satisfaction. After the preoperative consultation, no cancellation was recorded. Special approaches have to be considered for patients with a psychiatric comorbidity. Vascular access devices Consultation Patient satisfaction Preoperative period Referral Surgery cancellation rate. Dewey 617 57 Département de chirurgie 222 false 562 Transplantation et hépatologie 905 Vascular 2d8d7045-339c-463c-8067-de424a8c63ed Article (Accepted version) Public Coluccietal_alldocs.pdf 597770 application/pdf 1ad45325-1f07-49a5-a01b-a94f8a141216 Appendix Public Appendix1-Quality_assessment_evaluation_form.pdf 92803 application/pdf openAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie

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Introduction of a specialized consultation prior to insertion of totally implantable access venous devices: Impact on cancellation rate and patient satisfaction	Vascular			2020	396	466

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