This study aimed to evaluate patient-reported satisfaction following robot-assisted hysterectomy due to benign uterine disease and to identify the factors associated. They used a questionnaire to evaluate patients' satisfaction with robot-assisted hysterectomy.
Surgical outcomes cannot be evaluated based on clinical outcomes and cost-effectiveness alone; patient satisfaction is an important factor and should be the main objective of healthcare providers. However, patient satisfaction is a subjective, complex concept involving physical, emotional, mental, social, and cultural factors.
Few existing studies examine satisfaction following robot-assisted hysterectomy. Furthermore, there is no standard for measuring patient satisfaction due to its complexity and multi-dimensionality.
The objectives of this study were to evaluate overall patient satisfaction with the results of robot-assisted hysterectomy and to analyze the specific factors associated with patient satisfaction using a questionnaire modified at our institution.
The clear majority of patients (95.9%) were satisfied with their robot-assisted hysterectomy (42.5% were very satisfied, and 53.4% were satisfied). When asked whether they would choose robot-assisted hysterectomy as a surgical modality again if they could return to the past, patients' responses were overwhelmingly positive (94.5%), with 60.3% stating “yes definitely” and 34.2% stating “yes to some extent” (question 20).
Three patients were unsure if they would reselect robot-assisted hysterectomy, and one would not reselect it. When asked if they would recommend a robot-assisted hysterectomy to other patients as a surgical modality, patients' answers were mostly positive (93.2%), with 64.4% of patients stating “yes definitely” and 28.8% stating “yes to some extent” (question 21). Four patients were unsure if they would recommend it, and one would not recommend it.
Study population characteristics
Demographic details of the patients in this study are described which are split dichotomously into the satisfied and unsatisfied patient groups. These two groups were separated by a median score of 4 for the sum of questions 19, 20, and 21. None of the demographic characteristics influenced patients' overall satisfaction.
Contrary to our expectations, out-of-pocket payment of fees did not influence patients overall satisfaction. Eighteen patients paid the entire fee out of pocket, and most of them (61.1%) were satisfied with their operation; 11 patients were very satisfied and 7 were satisfied.
Factors associated with patient satisfaction
Specific factors associated with patient satisfaction are described which are split dichotomously into the satisfied and unsatisfied patient groups. Contrary to our expectations, surgical outcomes, such as estimated blood loss, operation time, transfusion, and complications (readmission or delayed discharge), did not influence patients' overall satisfaction.