A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations
Penile prosthetic surgery is an effective treatment for men with erectile dysfunction. Cancellation of surgery is disruptive and costly to patients, physicians, and the healthcare system. This pilot study sought to analyze surgery cancellations and implement a video-based patient education program t...
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2019-12-01
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Series: | American Journal of Men's Health |
Online Access: | https://doi.org/10.1177/1557988319893568 |
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doaj-cdc22834228743b8bbabad68f1155f582020-11-25T03:14:58ZengSAGE PublishingAmerican Journal of Men's Health1557-98912019-12-011310.1177/1557988319893568A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery CancellationsEric Ballon-Landa0Raul Clavijo1Martin Gross2Ashley Tapscott3Ranjith Ramasamy4Ashley Bowen5Sheldon Freedman6Michael Wierschem7Charles Welliver8Frank Simoncini9Alberto Duboy10Jay Simhan11Arnold Bullock12Paul Perito13Tung-Chin Hsieh14University of California, San Diego, San Diego, CA, USAUniversity of California, Davis, Davis, CA, USADartmouth-Hitchcock, Hanover, NH, USACarolina Urology, Huntersville, NC, USAUniversity of Miami, Miami, FL, USAOklahoma University, Oklahoma City, OK, USAFreedman Urology, Las Vegas, NV, USATexas Urology Specialists, Plano, TX, USAAlbany Medical Center, Albany, NY, USASoutheast Valley Urology, Mesa, AZ, USAMcIver Clinic, Jacksonville, FL, USAEinstein Healthcare Network, Philadelphia, PA, USASchool of Medicine, Washington University, St Louis, MO, USAPerito Urology, Miami, FL, USAUniversity of California, San Diego, San Diego, CA, USAPenile prosthetic surgery is an effective treatment for men with erectile dysfunction. Cancellation of surgery is disruptive and costly to patients, physicians, and the healthcare system. This pilot study sought to analyze surgery cancellations and implement a video-based patient education program to decrease surgery noncompletion. Baseline penile prosthetic surgery completion, rescheduling, and cancellation rates among consecutively scheduled surgeries were determined using a national cohort. Selected prosthetic surgeons then implemented Vidscrip, a video-based patient education program. Prerecorded videos were delivered via text message 14 days, 7 days, and 1 day preoperatively, as well as 1 day postoperatively. Subsequent analysis determined noncompletion rates, reasons for noncompletion, surgeon volume, and video utilization. Two-hundred twenty-six surgeries were scheduled in the baseline cohort; 141 were completed, and 85 were rescheduled or canceled. Among the intervention cohort, 290 patients completed, 7 rescheduled, and 37 canceled surgery. After program implementation, the surgery noncompletion rate was reduced compared to baseline (13.2% vs. 37.6%, p < .05), corresponding to a number needed to treat of 4.1. When stratified by surgeon volume, there was no difference in noncompletion rate (>20 cases vs. ≤20 cases: 8.20% vs. 32.0%, p = .35). Video utilization was widely variable among practices (median viewing time 58.6 min, IQR 5.09–113). Penile prosthetic surgery is frequently rescheduled or canceled. Implementing a video-based patient education program reduces surgery noncompletion, improving efficiency and quality of care. Wider implementation is needed to validate these findings, while cost-effectiveness analyses may further support their broad adoption.https://doi.org/10.1177/1557988319893568 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Eric Ballon-Landa Raul Clavijo Martin Gross Ashley Tapscott Ranjith Ramasamy Ashley Bowen Sheldon Freedman Michael Wierschem Charles Welliver Frank Simoncini Alberto Duboy Jay Simhan Arnold Bullock Paul Perito Tung-Chin Hsieh |
spellingShingle |
Eric Ballon-Landa Raul Clavijo Martin Gross Ashley Tapscott Ranjith Ramasamy Ashley Bowen Sheldon Freedman Michael Wierschem Charles Welliver Frank Simoncini Alberto Duboy Jay Simhan Arnold Bullock Paul Perito Tung-Chin Hsieh A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations American Journal of Men's Health |
author_facet |
Eric Ballon-Landa Raul Clavijo Martin Gross Ashley Tapscott Ranjith Ramasamy Ashley Bowen Sheldon Freedman Michael Wierschem Charles Welliver Frank Simoncini Alberto Duboy Jay Simhan Arnold Bullock Paul Perito Tung-Chin Hsieh |
author_sort |
Eric Ballon-Landa |
title |
A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations |
title_short |
A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations |
title_full |
A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations |
title_fullStr |
A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations |
title_full_unstemmed |
A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations |
title_sort |
novel video-based patient education program to reduce penile prosthetic surgery cancellations |
publisher |
SAGE Publishing |
series |
American Journal of Men's Health |
issn |
1557-9891 |
publishDate |
2019-12-01 |
description |
Penile prosthetic surgery is an effective treatment for men with erectile dysfunction. Cancellation of surgery is disruptive and costly to patients, physicians, and the healthcare system. This pilot study sought to analyze surgery cancellations and implement a video-based patient education program to decrease surgery noncompletion. Baseline penile prosthetic surgery completion, rescheduling, and cancellation rates among consecutively scheduled surgeries were determined using a national cohort. Selected prosthetic surgeons then implemented Vidscrip, a video-based patient education program. Prerecorded videos were delivered via text message 14 days, 7 days, and 1 day preoperatively, as well as 1 day postoperatively. Subsequent analysis determined noncompletion rates, reasons for noncompletion, surgeon volume, and video utilization. Two-hundred twenty-six surgeries were scheduled in the baseline cohort; 141 were completed, and 85 were rescheduled or canceled. Among the intervention cohort, 290 patients completed, 7 rescheduled, and 37 canceled surgery. After program implementation, the surgery noncompletion rate was reduced compared to baseline (13.2% vs. 37.6%, p < .05), corresponding to a number needed to treat of 4.1. When stratified by surgeon volume, there was no difference in noncompletion rate (>20 cases vs. ≤20 cases: 8.20% vs. 32.0%, p = .35). Video utilization was widely variable among practices (median viewing time 58.6 min, IQR 5.09–113). Penile prosthetic surgery is frequently rescheduled or canceled. Implementing a video-based patient education program reduces surgery noncompletion, improving efficiency and quality of care. Wider implementation is needed to validate these findings, while cost-effectiveness analyses may further support their broad adoption. |
url |
https://doi.org/10.1177/1557988319893568 |
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