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Anesth Analg 2005;100:87-93
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000140782.04973.D9

AMBULATORY ANESTHESIA

A Comparison of Patients’ and Health Care Professionals’ Preferences for Symptoms During Immediate Postoperative Recovery and the Management of Postoperative Nausea and Vomiting

Anna Lee, MPH, PhD, Tony Gin, MBChB, MD, FANZCA, FRCA, Angel S. C. Lau, BSN(Hons), Dip Epid Biostat, RN, and Floria F. Ng, BASc, RN

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, China

Address correspondence to Anna Lee, MPH, PhD, Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong, China. Address e-mail to annalee{at}cuhk.edu.hk Reprints will not be available.

In this study we sought to examine the differences in patients’ and health care professionals’ preferences for symptoms during immediate postoperative recovery and the management of postoperative nausea and vomiting (PONV). The key differences between symptoms during immediate postoperative recovery (PONV, sedation, and pain) and management of PONV (prophylaxis, efficacy of antiemetic, and extra cost) were used to develop 14 scenarios in a questionnaire. Fifty-two health care professionals (anesthesiologists and recovery room nurses) and 200 women undergoing elective gynecological surgery were recruited (overall response rate, 97%). From patients’ and health care professionals’ perspectives, conjoint analysis showed that the most important attribute for immediate postoperative recovery was a reduction in the risk of PONV. Health care professionals placed more importance on postoperative sedation than patients did. They were more concerned about the cost of the antiemetic to the patient than the patients were themselves. There was no preference for a policy of effective treatment versus routine prophylaxis. This study shows that there were small differences in the importance of pain, sedation, efficacy of the antiemetic, and extra cost of treatment between patients and health care professionals.

IMPLICATIONS: Patients’ and health care professionals’ preferences for recovery and antiemetic treatment were compared. There were small differences between groups in the importance of pain, sedation, efficacy of the antiemetic, and extra cost. There was no preference in either group for a policy of effective treatment versus routine prophylaxis.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.