A multidisciplinary approach to improve preoperative understanding and reduce anxiety: A randomised study

Elisa Granziera, Irene Guglieri, Paola Del Bianco, Eleonora Capovilla, Barbara Dona', Angelo Antonio Ciccarese, Denise Kilmartin, Valentina Manfredi, Gian Luca De Salvo

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND Emotional factors may influence reception of information provided during informed consent leading to incomplete understanding and reduced satisfaction. OBJECTIVE This study was designed to test the hypothesis that a multidisciplinary approach could improve understanding of the information provided by the anaesthesiologist and in turn, reduce anxiety. DESIGN A randomised controlled clinical trial. SETTING Veneto Oncology Institute, Italian comprehensive cancer centre. Recruitment from December 2008 to June 2010. PATIENTS Two hundred and fifty-one women requiring anaesthesia for breast cancer surgery. INTERVENTIONS Women undergoing surgery for primary breast cancer were randomly assigned to either the structured anaesthesiology interview group (SAI) or the integrated multidisciplinary psycho-oncological approach (IPA). In the IPA arm, patients underwent an interview with the psychooncologist. Subsequently, and prior to preoperative anaesthesia evaluation, the psycho-oncologist informed the anaesthesiologist of the type of communicative strategy to adopt for each individual. In the SAI arm, patients received only the anaesthesiology interview. MAIN OUTCOME MEASURES Anxiety as assessed by State-Trait Anxiety Inventory (STAI) questionnaire. RESULTS Two hundred and fifty-one patients were randomised and 234 analysed: 124 in the IPA arm and 110 in the SAI arm. For both groups, mean anxiety scores, according to the STAI questionnaire, were statistically lower after the anaesthesiology visit than at baseline, with a reduction of 6.5 points for the IPA arm [95% confidence interval (CI) 4.6 to 8.4, P

Original languageEnglish
Pages (from-to)734-742
Number of pages9
JournalEuropean Journal of Anaesthesiology
Volume30
Issue number12
DOIs
Publication statusPublished - Dec 2013

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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