Do post-operative phone calls enhance family satisfaction and outcomes after outpatient pediatric urological surgeries? A prospective study

Pediatr Surg Int. 2021 Jan;37(1):161-167. doi: 10.1007/s00383-020-04770-5. Epub 2020 Nov 2.

Abstract

Introduction: This study assesses whether post-operative check-in phone calls (POPC) performed within 48 h of outpatient pediatric urological surgeries by a non-medical professional (NMP) would increase patient/family satisfaction and minimize extraneous resource use by increasing email/telephone communication, while reducing emergency department (ED) visits within 30 days of that procedure.

Methods: Families of patients undergoing ambulatory pediatric urology surgeries were enrolled over 8 weeks. Group 1 did not receive POPC. Group 2 received a POPC within 48 h of their operation by a NMP. Both groups received a phone-call survey 2 weeks after surgery to assess families' perioperative satisfaction.

Results: In total, 74 families were enrolled (Group 1 = 44, Group 2 = 31). The response rates to phone surveys for Groups 1 and 2 were 59.1% and 77.4%, respectively. POPC did not improve perioperative satisfaction, nor did it significantly promote the use of nursing email/telephone communication (19.2% vs. 4.2%, p = 0.128) or reduce ED visits (15.4% vs. 0.0%, p = 0.111). However, all families in Group 2 thought POPC was timed appropriately and 79.1% perceived it to be helpful in reducing post-operative anxiety.

Conclusion: POPC by a NMP within 48 h of surgery may not affect perioperative satisfaction of families of patients undergoing same-day pediatric urology surgery but may have an impact in reducing post-operative anxiety.

Keywords: Ambulatory surgery; Pediatric urology; Post-operative phone calls; Same-day surgery.

MeSH terms

  • Ambulatory Surgical Procedures / methods*
  • Child
  • Child, Preschool
  • Continuity of Patient Care / statistics & numerical data*
  • Family / psychology
  • Female
  • Health Care Surveys / statistics & numerical data
  • Humans
  • Infant
  • Male
  • Patient Satisfaction / statistics & numerical data*
  • Professional-Family Relations*
  • Prospective Studies
  • Telephone*
  • Urologic Surgical Procedures / methods*