Effectiveness of preoperative group education for patients with colorectal cancer: managing expectations

Lesley Larissa Koet, Annelot Kraima, Ilona Derksen, Bas Lamme, Eric Jacobus Theodorus Belt, Joost van Rosmalen, Robert Matthijs Smeenk, Joost Alexander Boreas van der Hoeven*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

15 Citations (Scopus)

Abstract

Purpose: To evaluate the potential beneficial effect of preoperative face-to-face group education after colonic surgery in a pre-existing ERAS pathway environment. Methods: Patients were randomized to cohorts for 3 weeks to either the standard preoperative counseling by the colorectal surgeon and the nurse practitioner (control group) or to the additional group education (intervention group). Patients scored EORTC-QLQ-info25 after the preoperative information was completed and the EORTC-QLQ-30 and EORTC-QLQ-29 prior to surgery and 1, 3, and 6 months after surgery. Results: A significantly better level of information was scored considering the expectations and patient involvement in the intervention group. This coincided with a significant reduction of the in-hospital stay, enhanced return to the preoperative global health status, and persistent improved body image after surgery. Conclusion: By investing in the preoperative group education patients develop more realistic expectations resulting in a perceived improved quality of life and body image 1 month after operation coinciding with a statistically significant reduction in duration of in-hospital stay in this study.

Original languageEnglish
Pages (from-to)5263-5271
Number of pages9
JournalSupportive Care in Cancer
Volume29
Issue number9
DOIs
Publication statusPublished - Sept 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.

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