ONE-STOP SURGERY: INNOVATION TO INCREASE FAMILY SATISFACTION

Infographic · Feb 2023 · 1 min read

In brief

One-stop surgery consolidates outpatient visit, preoperative assessment, and inguinal hernia repair into a single day, reducing hospital visits from 3 to 1 while maintaining safety and improving family satisfaction. This Chilean infographic summarizes a study of 91 children showing equivalent complication rates with enhanced efficiency and parent-reported satisfaction compared to traditional multi-visit care.

One-stop surgery reduces hospital visits from 3 to 1 for pediatric inguinal hernia repair without increasing complications or recurrence.
98% of one-stop surgery patients were discharged same-day, demonstrating feasibility for ASA I-II children ≥3 months old.
Family satisfaction scores were higher for general satisfaction, communication, and family inclusion with the one-stop model.
Complication rates (1.9% vs 2.7%) and recurrence rates (0% vs 2.7%) were comparable between one-stop and traditional approaches.
One-stop surgery streamlines care delivery while maintaining quality, offering a patient-centered alternative to multi-visit protocols.

Written by the GCMD Library team from the infographic.

The infographic uses a red, white, and blue color scheme with icons representing patients and families. The left side shows study parameters with an infant icon highlighting the hernia location. The center compares three separate clinic visits (top) against a consolidated one-stop surgery approach (bottom) using calendar and door icons. The right side displays outcome metrics with smiley face icons and family silhouettes, emphasizing satisfaction and communication benefits.

Infographic by Chilenian Society of Pediatric surgery

"One-Stop Surgery: An Innovation to Limit Hospital Visits in Children"

Authors: Kelly M A Dreuning, Joep P M Derikx, Ayoub Ouali, Liedewij M J Janssen, Maurits W van Tulder, Jos W R Twisk, Lotte Haverman, L W Ernest van Heurn.

Abstract

Introduction: One-stop surgery (OSS) allows for same-day outpatient clinic visit, preoperative assessment, and surgical repair. This study aims to determine the efficiency, (cost-)effectiveness, and family satisfaction of one-stop inguinal hernia surgery compared with usual care.

Material and methods: Children (≥ 3 months) with inguinal hernia and American Society of Anesthesiologists (ASA) grades I-II, scheduled for OSS (intervention) or regular treatment (control) between March 1, 2017, and December 1, 2018, were eligible for inclusion. Exclusion criteria consisted of age less than 3 months and ASA grades III-IV. The primary outcome measure was treatment efficiency (i.e., total number of hospital visits and waiting time [days] between referral and surgery). Secondary outcome measures were the effectiveness in terms of complication and recurrence rate, and parent-reported satisfaction and cost-effectiveness using the Dutch Pediatric Quality of Life Healthcare Satisfaction and Institute for Medical Technology Assessment Productivity Cost Questionnaire.

Results: Ninety-one (intervention: 54; control: 37) patients (56% boys) were included. Median (interquartile range) number of hospital visits was lower in the intervention group (1 vs 3; p < 0.001). All but one of the OSS patients (98%) were discharged home on the day of surgery. Postoperative complication (1.9% vs 2.7%; p = 0.787) and recurrence rates (0% vs 2.7%; p = 0.407) did not differ between the intervention and control patients. "General satisfaction," "satisfaction with communication," and "inclusion of family" were higher after OSS, while satisfaction about "information," "technical skills," and "emotional needs" were similar. Median (range) follow-up was 28 (15-36) months.

Conclusions: Pediatric one-stop inguinal hernia repair seems to be an effective treatment strategy that limits the number of hospital visits and provides enhanced family satisfaction without compromising the quality of care.

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