Table 20, Summary of included studies for question 6 - Gallstone Disease

Study details	Aims of the study	Authors conclusions
(Barthelsson et al. 2003) Sweden N= 12	Explore patient experiences in relation to laparoscopic cholecystectomy	Although most patients were satisfied with day-case LC, a number of problem areas were expressed- preoperative anxiety, post-operative amnesia, experience of pain, need for additional pain medication, feelings of nausea, vomiting, bloating and swelling, information about wound care, additional telephone follow up, difficulties having small children at home.
(Blay and Donoghue 2005) Australia N=93	Determine if a preadmission education intervention reduced pain, increased self-care and decreased postoperative symptoms after laparoscopic cholecystectomy	Pre admission education intervention helps reduce post-operative pain levels following LC and significantly increases patient's knowledge of self-care and complication management.
(Blay and Donoghue 2006) Australia N= 100	Determine what information pre admission nurses provided to elective laparoscopic cholecystectomy patients.	Patients sourced information from a variety of sources, including communicating with friends and relatives for the personal perspective. Personal communication should not be replacing education by nurses. Unfortunately patients did not cite the preadmission nurse as the major source of information in this study.
(Tamhankar et al. 2009) UK N=105	Establish the proportion of people undergoing elective hernia repair or cholecystectomy who access the internet for information about their operations	A significant proportion of patients used the internet and about one third of them specifically sought information about their operation. Such information can cause worry and confusion in patients. The study highlights the need for regulated, comprehensible patient information on hospital websites to which patients should be directed.
(Young and O'Connell 2008) Australia N=28	A randomised controlled trial of inpatient vs day-case cholecystectomy, with a telephone survey to identify if discharge information was sufficient.	With careful patient selection and enhanced discharge education, LC procedures performed as a day-case offer safe and effective alternative to inpatient care.

Study details

Aims of the study

Authors conclusions

(Barthelsson et al. 2003)
Sweden
N= 12

Explore patient experiences in relation to laparoscopic cholecystectomy

Although most patients were satisfied with day-case LC, a number of problem areas were expressed- preoperative anxiety, post-operative amnesia, experience of pain, need for additional pain medication, feelings of nausea, vomiting, bloating and swelling, information about wound care, additional telephone follow up, difficulties having small children at home.

(Blay and Donoghue 2005)
Australia
N=93

Determine if a preadmission education intervention reduced pain, increased self-care and decreased postoperative symptoms after laparoscopic cholecystectomy

Pre admission education intervention helps reduce post-operative pain levels following LC and significantly increases patient's knowledge of self-care and complication management.

(Blay and Donoghue 2006)
Australia
N= 100

Determine what information pre admission nurses provided to elective laparoscopic cholecystectomy patients.

Patients sourced information from a variety of sources, including communicating with friends and relatives for the personal perspective. Personal communication should not be replacing education by nurses. Unfortunately patients did not cite the preadmission nurse as the major source of information in this study.

(Tamhankar et al. 2009)
UK
N=105

Establish the proportion of people undergoing elective hernia repair or cholecystectomy who access the internet for information about their operations

A significant proportion of patients used the internet and about one third of them specifically sought information about their operation. Such information can cause worry and confusion in patients. The study highlights the need for regulated, comprehensible patient information on hospital websites to which patients should be directed.

(Young and O'Connell 2008)
Australia
N=28

A randomised controlled trial of inpatient vs day-case cholecystectomy, with a telephone survey to identify if discharge information was sufficient.

With careful patient selection and enhanced discharge education, LC procedures performed as a day-case offer safe and effective alternative to inpatient care.

From: 4, Evidence Review and Recommendations

Gallstone Disease: Diagnosis and Management of Cholelithiasis, Cholecystitis and Choledocholithiasis.

NICE Clinical Guidelines, No. 188.

London: National Institute for Health and Care Excellence (NICE); 2014 Oct.

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Table 20Summary of included studies for question 6