Mp27-11 a Novel Video-based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations
Year: 2019
Type: article
Abstract: You have accessJournal of UrologySexual Function/Dysfunction: Surgical Therapy I (MP27)1 Apr 2019MP27-11 A NOVEL VIDEO-BASED PATIENT EDUCATION PROGRAM TO REDUCE PENILE PROSTHETIC SURGERY CANCELLATIONS Tung-Chin Hsieh*, Martin Gross, Ashley Tapscott, Ranjith Ramasamy, Ashely Bowen, Sheldon Freedman, Michael Wierschem, Charles Welliver, Frank Simoncini, Alberto Duboy, Raul Clavijo, Jay Simhan, Arnold Bullock, and Paul Perito Tung-Chin Hsieh*Tung-Chin Hsieh* , Martin GrossMartin Gross , Ashley TapscottAshley Tapscott , Ranjith RamasamyRanjith Ramasamy , Ashely BowenAshely Bowen , Sheldon FreedmanSheldon Freedman , Michael WierschemMichael Wierschem , Charles WelliverCharles Welliver , Frank SimonciniFrank Simoncini , Alberto DuboyAlberto Duboy , Raul ClavijoRaul Clavijo , Jay SimhanJay Simhan , Arnold BullockArnold Bullock , and Paul PeritoPaul Perito View All Author Informationhttps://doi.org/10.1097/01.JU.0000555696.54274.e5AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: Penile prosthetic surgery (PS) is an effective treatment option for men with erectile dysfunction. Cancellation of surgery is disruptive and costly to patients, physicians and the healthcare system. We sought to analyze PS cancellation patterns and improve PS cancellation rates by utilizing a video-based technology in a novel quality improvement project METHODS: We sampled industry-reported data to determine baseline PS completion, rescheduling and cancellation rates. Patient and physician practice factors affecting cancellation and rescheduling were also established. Selected surgeons then implemented Vidscrip, a video-based patient education program. Prerecorded videos with patient instructions were delivered via text message at 14 days, 7 days, 1 day preoperatively and 1 day postoperatively. Postprogram implementation assessments were also performed. Standard statistical analysis was applied with p-values <0.05 considered significant. RESULTS: From January 2018 to September 2018, 226 total PS were scheduled in selected territories within California and Colorado. Of these, 62.5% were completed, and 37.5% were either rescheduled or cancelled. The most common patient and/or physician etiologies for surgical rescheduling or cancellation included: incomplete medical clearance (50%), scheduling issues (18%), and patient changed their decision to proceed with surgery (11%). A video-based patient education program was subsequently implemented in 182 patients from July 2018 onward. 96 patients reached PS date: 81 completed, 4 rescheduled and 11 cancelled surgery. A reduction of cancellation rate was observed compared to pre-implantation data (11%, p<0.05). There was also a reduction of incomplete medical clearance as the etiology for rescheduling/cancellation (20%, p<0.05) CONCLUSIONS: PS is associated with a significant cancellation and rescheduling rate. A video-based patient education program can reduce PS cancellation rate and potentially reduce costs, while improving efficiency and quality of care for men suffering from erectile dysfunction. Wider implementation is needed to validate these findings Source of Funding: none San Diego, CA; Hanover, NH; Huntersville, NC; Miami, FL; Oklahoma City, OK; Las Vegas, NV; Plano, TX; Albany, NY; Mesa, AZ; Tampa, FL; Davis, CA; Philadelphia, PA; St Louis, MO; Miami, FL© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e367-e367 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Tung-Chin Hsieh* More articles by this author Martin Gross More articles by this author Ashley Tapscott More articles by this author Ranjith Ramasamy More articles by this author Ashely Bowen More articles by this author Sheldon Freedman More articles by this author Michael Wierschem More articles by this author Charles Welliver More articles by this author Frank Simoncini More articles by this author Alberto Duboy More articles by this author Raul Clavijo More articles by this author Jay Simhan More articles by this author Arnold Bullock More articles by this author Paul Perito More articles by this author Expand All Advertisement PDF downloadLoading ...
Source: The Journal of Urology
Language: English
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2942061657