TY - JOUR
T1 - A Novel Video-Based Patient Education Program to Reduce Penile Prosthetic Surgery Cancellations
AU - Ballon-Landa, Eric
AU - Clavijo, Raul
AU - Gross, Martin
AU - Tapscott, Ashley
AU - Ramasamy, Ranjith
AU - Bowen, Ashley
AU - Freedman, Sheldon
AU - Wierschem, Michael
AU - Welliver, Charles
AU - Simoncini, Frank
AU - Duboy, Alberto
AU - Simhan, Jay
AU - Bullock, Arnold
AU - Perito, Paul
AU - Hsieh, Tung Chin
N1 - Publisher Copyright:
© The Author(s) 2019.
PY - 2019/12
Y1 - 2019/12
N2 - 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.
AB - 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.
KW - Adult
KW - Appointments and Schedules
KW - Cohort Studies
KW - Erectile Dysfunction/diagnosis
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Compliance/statistics & numerical data
KW - Patient Education as Topic/organization & administration
KW - Penile Implantation/methods
KW - Penile Prosthesis
KW - Pilot Projects
KW - Program Development
KW - Program Evaluation
KW - Prospective Studies
KW - Quality Improvement
KW - Risk Assessment
KW - Video Recording
UR - http://www.scopus.com/inward/record.url?scp=85076268074&partnerID=8YFLogxK
U2 - 10.1177/1557988319893568
DO - 10.1177/1557988319893568
M3 - Article
C2 - 31810419
AN - SCOPUS:85076268074
SN - 1557-9883
VL - 13
SP - 1557988319893568
JO - American journal of men's health
JF - American journal of men's health
IS - 6
ER -