Research done on patient and/or parent satisfaction among patients underwent hypospadias surgery at TASH and DMCSH; Three years cross sectional, prospective study; Ethiopia, 2022
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Date
2023
Authors
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Publisher
Addis Ababa University
Abstract
Introduction
Hypospadias is one of the most common congenital anomalies in boys, occurring in 1 in 150 to 300 live
births (Elliott et al., 2011; Springer et al., 2015) followed by Down’s Syndrome, Cleft Lip and Spinal
bifida. Surgeon perspective of outcome assessment is vital; but it will not be complete without patient
input. In spite of what surgeons may determine a successful repair, parental and patient perception of
their outcomes may differ (Lorenzo et al., 2014; Mureau et al., 1996). Longitudinal studies following
hypospadias repair are still rare and the real impact in adolescence and adult life remains uncertain.
This may be due to lack of condition specific validated patient-related outcome (PRO) measures and
objective tools to evaluate young people and families The study was done determine the Parent reported
outcome of hypospadias repair in our institution and to identify the effects of factors on post-operative
PRO.
Objective
The objective of study was to assess patient and/or parent satisfaction among patients underwent
hypospadias surgery for three years in TASH and DMCSH; 2022
Methodology
The study was conducted in TASH and DMCSH for children with hypospadias operated during January,
2019 – December, 2021. Data was collected in four major stages as chart retrieval, address
identification, phone communication and data analysis.
The study design was hospital based cross sectional descriptive.
Result and Discussion
Potential variables identified for confound of association for post hypospadias surgery satisfaction
includes age, location, type of hypospadias, type of first procedure, and total number of procedure.
Bivariate and multinomial logistic regression was done with above variables showed that there is strong
association of satisfaction level with localities from Addis Abeba (P=0.02, 95% CI)
Our study revealed that locality or address, type of hypospadias, and repeated procedures all shares
major contribution in reducing our patients and parents level of satisfaction after hypospadias surgery.
We are also showed that it is possible to assess post-operative PRO and post-operative follow up by the
use of mobile phones with consistency of operating team and strong network connection.
Conclusion and Recommendation
Parental and /or patient related outcome assessment and satisfaction level has paramount importance
than surgeon oriented outcome assessment. We can use phone calls for post hypospadias surgery
satisfaction assessment without much difficulty.
Description
Keywords
Satisfaction, Parent oriented outcome, Post hypospadias repair