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ORIGINAL ARTICLE
Year : 2016  |  Volume : 2  |  Issue : 3  |  Page : 62-71

Republication: Minimally invasive radioguided parathyroidectomy: A patient satisfaction survey


1 Department of Surgery, Division of Surgical Oncology, University of Louisville, School of Medicine, The Center for Advanced Surgical Technologies, Norton Healthcare, The Alliant Community Trust Fund, Louisville, KY, USA
2 The James Graham Brown Cancer Center, Louisville, KY, USA

Correspondence Address:
Stanislaw P Stawicki
Department of Research and Innovation, St. Luke's University Health Network, Bethlehem, PA 18015
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2455-5568.188735

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Introduction: Minimally invasive radioguided parathyroidectomy (MIRP) combines technetium sestamibi scan, intraoperative gamma probe, methylene blue dye, and measurement of circulating parathyroid hormone levels. While MIRP is a well-established approach to neck exploration for hyperparathyroidism, there are little published data about patient satisfaction following this type of surgery. Methods: All patients in this study underwent either unilateral MIRP or bilateral neck exploration for primary or recurrent hyperparathyroidism. Postoperative prospective patient satisfaction surveys were collected and analyzed with regard to preoperative education, surgical outcomes, extent of procedure, and patient age and gender. Statistical analysis was performed to examine patient satisfaction trends for significance. Results: Of 68 study patients 34 completed the survey at the 1-week follow-up appointment, 4/68 mailed in the survey, 10/68 were contacted by phone, with the remaining surveys either returned incomplete or not filled out. Among the 48 completed surveys, most patients (85–100%) were satisfied with both operative and postoperative care aspects. Although patient dissatisfaction was higher among patients discharged on the same day and those hospitalized for <23 h, 96% of respondents indicated that additional hospitalization would not change their responses to survey questions. Elderly patients and women tended to have increased proportion of unfavorable responses to the survey items. There were no differences in patient satisfaction with regard to the operating room environment, time in surgery, time in recovery room, or incision size. Conclusions: The survey used in this study appears to be an effective instrument in assessing the level of patient satisfaction with regard to the surgical efficacy of MIRP, perioperative and postoperative patient care, and quality of preoperative education. The following core competencies are addressed in this article: Interpersonal skills and communication, patient care, practice-based learning and improvement, professionalism, and systems-based practice. Republished with permission from: Stawicki SP, Schill KM, Flynn MB. Minimally invasive radioguided parathyroidectomy: Postoperative patient satisfaction survey. OPUS 12 Scientist 2007;1(2):31-35.


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