Recovery expectancies impact postdischarge recovery 42 days after laparoscopic sacrocolpopexy
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ORIGINAL ARTICLE
Recovery expectancies impact postdischarge recovery 42 days after laparoscopic sacrocolpopexy Michael Heit 1
&
Chen X. Chen 2 & Christine Pan 1 & Kevin L. Rand 3
Received: 24 August 2020 / Accepted: 22 October 2020 # The International Urogynecological Association 2020
Abstract Introduction and hypothesis The aim of this retrospective cohort study was to determine if recovery expectancies were associated with actual postdischarge recovery after laparoscopic sacrocolpopexy. Methods Study subjects (N = 167) undergoing laparoscopic sacrocolpopexy were asked to preoperatively predict the likelihood of a prolonged postdischarge recovery (> 42 days). Low, medium, and high recovery expectancy groups were created from responses to the likelihood of prolonged postdischarge recovery question. Previously established predictors of actual recovery 42 days after laparoscopic sacrocolpopexy included age, body mass index, Charlson co-morbidity index, short form (SF)-36 bodily pain scores, doctors’ and others’ health locus of control, and sick role investment. One parsimonious hierarchical linear and logistic regression model was constructed to determine if preoperative recovery expectancies were independently associated with PSR13 scores and “significant” postdischarge recovery after controlling for previously established predictors. Results Study subjects with high recovery expectancies had higher PSR13 scores than subjects with low recovery expectancies (82.32 ± 15.34 vs 73.30 ± 15.30, mean difference 9.01, 95%CI 1.08–16.94). Study subjects with low recovery expectancies scored 7.7 points lower on the PSR13 scale (minimally important difference = 5), which translated into a 73% reduction in the likelihood of being “significantly” recovered 42 days after surgery, after controlling for previously established predictors. Conclusions A low recovery expectancy has a negative impact on actual recovery 42 days after laparoscopic sacrocolpopexy. Our findings are important because preoperative recovery expectancies are modifiable predictors, making them a candidate for an expectancy manipulation intervention designed to optimize recovery after pelvic reconstructive surgery. Keywords Postdischarge surgical recovery . Recovery expectancies . Laparoscopic sacrocolpopexy
Introduction Optimizing postdischarge recovery is a desirable public health outcome because of the 312.9 million surgeries performed The manuscript was presented as a short oral presentation at the 2019 AUGS/IUGA Joint Scientific Meeting in Nashville, TN, USA, from 24 to 28 September 2019 * Michael Heit [email protected] 1
Department of Obstetrics and Gynecology, School of Medicine, Indiana University, 11725 North Illinois Street, K140, Indianapolis, IN 46032, USA
2
Department of Community and Health Systems, School of Nursing, Indiana University, Indianapolis, IN, USA
3
Department of Psychology, School of Science, Indiana University-Purdue University, Indianapolis, IN, USA
annually worldwide [1]. The development of minimally invasive surgical te
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