Patients’ satisfaction with fast-track surgery in
gynaecological oncology
S. PHILP, MN(NP), RN, BN, GRAD CERT CANCER NURSING, GRAD CERT WOMEN’S HEALTH NURSING, NURSE PRACTITIONER, GYNAECOLOGI-
CAL ONCOLOGY, Lifehouse Gynaecologic Oncology Group, Chris O’Brien Lifehouse, Camperdown, NSW, and
Cancer Nursing Research Unit, Sydney Nursing School, University of Sydney, Sydney, NSW, J. CARTER, MD (CGO),
PROFESSOR, Lifehouse Gynaecologic Oncology Group, Chris O’Brien Lifehouse, Camperdown, NSW, and Sydney
Medical School, The University of Sydney, Sydney, NSW, S. PATHER, MD (CGO), ASSOCIATE PROFESSOR, Lifehouse
Gynaecologic Oncology Group, Chris O’Brien Lifehouse, Camperdown, NSW, and Sydney Medical School, The
University of Sydney, Sydney, NSW, C. BARNETT, PHD, SENIOR RESEARCH OFFICER, Cancer Nursing Research Unit,
Sydney Nursing School, University of Sydney, Sydney, NSW, N. D’ABREW, BA (PSYCH) HONS, SENIOR PROJECT MANAGER,
Cancer Nursing Research Unit, Sydney Nursing School, University of Sydney, Sydney, NSW, & K. WHITE, PHD, RN,
ONCCERT, CERTPALL, PROFESSOR, CANCER INSTITUTE OF NSW CHAIR, Cancer Nursing Research Unit, Sydney Nursing School,
University of Sydney, Sydney, NSW, and School of Nursing, Midwifery and Postgraduate Medicine, Edith Cowan
University, Joondalup, WA, Australia
PHILP S., CARTER J., PATHER S., BARNETT C., D’ABREW N. & WHITE K. (201 ) European Journal of
Cancer Care
Patients’ satisfaction with fast-track surgery in gynaecological oncology
This study investigates the experience and satisfaction with care of fast-tracked gynaecological patients. The
Sydney Gynaecological Oncology Group, New South Wales, Australia, has previously shown the benefits of a
fast-track surgery programme for gynaecology patients with both complex benign gynaecological pathology
and gynaecological malignancy. The question of whether these benefits translate into a positive experience for
fast-tracked patients, in the context of their hospital stay and healthcare team care, has not been previously
explored in detail. A self-administered satisfaction questionnaire incorporating the European Organisation for
Research and Treatment of Cancer (EORTC) cancer in-patient satisfaction with care measure (INPATSAT-32)
questionnaire with additional questions was administered to 106 gynaecology participants at Royal Prince
Alfred Hospital. Participants reported high levels of satisfaction with patient care and support received from
doctors, ward nurses and the hospital as a service and care organisation, within the context of a fast-track
surgical programme. Early hospital discharge after gynaecological surgery results in both enhanced recovery
after surgery (ERAS) and high levels of patient satisfaction.
Keywords: fast-track surgery, early hospital discharge, gynaecological oncology, INPATSAT-32, patient
satisfaction, enhanced recovery after surgery (ERAS).
INTRODUCTION
Fast-track surgery (FTS), or ‘enhanced recovery after
surgery’, is a successful multimodal programme for the
management of patients that has been implemented
across a range of surgical areas. It aims to improve recov-
ery from surgery, in addition to reducing patients’ morbid-
ity (Chase et al. 2008; Alcorn & Renwick 2009). The
Correspondence address: Shannon Philp, NP, Lifehouse, 119-143 Missenden
Road, Camperdown, NSW, 2050. Lecturer and Coordinator, Cancer and
Haematology Nursing, Sydney Nursing School, The University of Sydney,
88 Mallett St, Camperdown, NSW, 2050, Australia (e-mail: Shannon.Philp
@lh.org.au).
Accepted 4 September 2014
DOI: 10.1111/ecc.12254
European Journal of Cancer Care, 2015
© 2014 John Wiley & Sons Ltd
Original Article
24, 567–573
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24, 567–573 ,