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Your search keyword '"Mueller, Elizabeth R."' showing total 30 results
Start Over Author "Mueller, Elizabeth R." Publisher lippincott williams & wilkins
30 results on '"Mueller, Elizabeth R."'

2. Postoperative Urinary Retention.

Author

McDermott, Colleen D., Tunitsky-Bitton, Elena, Dueñas-Garcia, Omar F., Willis-Gray, Marcella G., Cadish, Lauren A., Edenfield, Autumn, Wang, Rui, Meriwether, Kate, and Mueller, Elizabeth R.

Published
2023
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18. Robotic compared with laparoscopic sacrocolpopexy: a randomized controlled trial.

Author

Anger, Jennifer T, Mueller, Elizabeth R, Tarnay, Christopher, Smith, Bridget, Stroupe, Kevin, Rosenman, Amy, Brubaker, Linda, Bresee, Catherine, and Kenton, Kimberly

Subjects
*PELVIC organ prolapse, *GYNECOLOGIC surgery, *LAPAROSCOPY, *QUESTIONNAIRES, *RESEARCH funding, *ROBOTICS, *TREATMENT effectiveness, *STATISTICS, *SURGERY, *ECONOMICS
Abstract

Objective: Laparoscopic and robotic sacrocolpopexy are widely used for pelvic organ prolapse (POP) treatment. Evidence comparing outcomes and costs is lacking. We compared costs and clinically relevant outcomes in women randomized to laparoscopic sacrocolpopexy compared with robotic sacrocolpopexy.Methods: Participants with symptomatic stage POP II or greater, including significant apical support loss, were randomized to either laparoscopic or robotic sacrocolpopexy. We compared surgical costs (including costs for robot, initial hospitalization) and rehospitalization within 6 weeks. Secondary outcomes included postoperative pain, POP quantification, symptom severity and quality of life, and adverse events.Results: We randomized 78 women (mean age 59 years): laparoscopic (n=38) and robotic (n=40). The robotic sacrocolpopexy group had higher initial hospital costs ($19,616 compared with $11,573, P<.001) and over 6 weeks, hospital costs remained higher for robotic sacrocolpopexy ($20,898 compared with $12,170, P<.001). When we excluded costs of robot purchase and maintenance, we did not detect a statistical difference in initial day of surgery costs of robotic compared with laparoscopic ($12,586 compared with $11,573; P=.160) or hospital costs over 6 weeks ($13,867 compared with $12,170; P=.060). The robotic group had longer operating room times (202.8 minutes compared with 178.4 minutes, P=.030) and higher pain scores 1 week after surgery (3.5±2.1 compared with 2.6±2.2; P=.044). There were no group differences in symptom bother by Pelvic Floor Distress Inventory, POP stage, or rate of adverse events.Conclusion: Costs of robotic sacrocolpopexy are higher than laparoscopic, whereas short-term outcomes and complications are similar. Primary cost differences resulted from robot maintenance and purchase costs.Clinical Trial Registration: Clinicaltrials.gov, www.clinicaltrials.gov, NCT01124916.Level Of Evidence: I. [ABSTRACT FROM AUTHOR]

Published
2014
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30. Preoperative Music Listening in Pelvic Reconstructive Surgery: A Randomized Trial.

Author

Chen YB, Barnes H, Westbay L, Wolff B, Shannon M, Adams W, Acevedo-Alvarez M, Mueller ER, and Pham TT

Subjects
Aged, Female, Humans, Middle Aged, Patient Satisfaction statistics & numerical data, Preoperative Care psychology, Plastic Surgery Procedures methods, Plastic Surgery Procedures psychology, Surveys and Questionnaires, Anxiety prevention & control, Music Therapy methods, Pelvic Floor surgery, Preoperative Care methods
Abstract

Objectives: We aimed to investigate the effect of music listening on preoperative anxiety compared with usual care in patients undergoing pelvic reconstructive surgery., Methods: Patients scheduled for pelvic reconstructive surgery were enrolled on the day of surgery. Participants were randomized to either the usual care (control group) or to music listening on headphones (music group) before their surgery. Participants completed the Spielberg State-Trait Anxiety Inventory form Y1 to measure baseline state anxiety levels before surgery and again after 30 minutes of usual care or music listening. The primary outcome was the change in state anxiety score as measured by the State-Trait Anxiety Inventory form Y1., Results: Sixty-nine women completed the study (35 assigned to the control group and 34 assigned to the music group). Analysis of the primary outcome included 66 participants (34 in the control group and 32 in the music group). Improvement in state anxiety was significantly better for patients assigned to music listening (-6.69; SD, 6.98) than for patients assigned to the control group (-1.32; SD, 8.03; P = 0.01). Six weeks postoperatively, patients in the music group (n = 29) reported higher overall satisfaction when compared with those in the control group (n = 31, P = 0.03)., Conclusion: Patients undergoing pelvic reconstructive surgery present with moderate anxiety on the day of surgery. Allowing patients to listen to their preferred music is a simple intervention that may lower preoperative anxiety and improve satisfaction in this patient population., Competing Interests: The authors have declared they have no conflicts of interest., (Copyright © 2021 American Urogynecologic Society. All rights reserved.)

Published
2021
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