Patient Perspectives in the Diagnosis and Treatment of Gallstone Disease: A Qualitative Analysis. J Surg Res 2024 Oct;302:958-965
Date
09/22/2024Pubmed ID
39305827DOI
10.1016/j.jss.2024.07.126Scopus ID
2-s2.0-85204182036 (requires institutional sign-in at Scopus site)Abstract
INTRODUCTION: Gallstone disease is one of the most common surgical diagnoses in the United States. Notably absent from the literature is the patient's perspective on priorities in management. Understanding patient values will assist surgeons and systems in achieving high-quality, patient-focused care for biliary disease.
METHODS: Patients who underwent elective or urgent cholecystectomy were invited to participate in a semistructured interview to assess their experience. Interviews were performed over the phone or in person and recordings were transcribed. Each transcription was analyzed independently by two authors using the MAXQDA software, and a mixed deductive-inductive approach was used to develop themes. Anonymized quotes were used to illustrate themes and subthemes regarding the patient's experiences and priorities surrounding gallstone disease.
RESULTS: A total of 29 interviews were completed. Most participants were female, but represented a diverse racial and educational group. The most common diagnosis was acute cholecystitis (48%), and 76% of patients underwent an emergency operation. Patients indicated that their main priority regarding treatment was prompt pain control with definitive management so they could return to their previous quality of life. Most patients wanted face-to-face communication with the surgical team both pre and postoperatively. Patients wished they had more information about postoperative care and expectations in the preoperative setting.
CONCLUSIONS: Patients' priorities in their care for gallstone disease are centered around definitive management and quality of life. Improvements in communication were identified regarding meeting the surgeon, and postoperative communication. These results can inform surgeons how to prioritize patient perspectives in an acute care surgical system that was not designed with patient input.
Author List
Biesboer EA, Al Tannir AH, Maring M, Mantz-Wichman M, Flynn KE, Morris RS, de Moya MA, Murphy PBAuthors
Kathryn Eve Flynn PhD Vice Chair, Professor in the Medicine department at Medical College of WisconsinRachel S. Morris MD Associate Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultAged
Aged, 80 and over
Cholecystectomy
Female
Gallstones
Humans
Interviews as Topic
Male
Middle Aged
Qualitative Research
Quality of Life
