TY - JOUR
T1 - Pre-operative counselling for laryngectomy patients
T2 - A systematic review
AU - Fitzgerald, E.
AU - Perry, A.
N1 - Publisher Copyright:
© Copyright 2015 JLO (1984) Limited.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Objectives: This study aimed to undertake a systematic review of the literature about pre-operative counselling for laryngectomy patients, identify its practice and patient and (where possible) carer perceptions. Methods: A search strategy was formulated using a concept map and a Population, Intervention, Comparative Interaction and Outcomes ('PICO') schema. All publications from 1975 to 2015 reporting pre-operative counselling of laryngectomy patients were included. Papers were retrieved and critiqued, and those included were assigned a level of evidence (according to the Joanna Briggs Institute schema). Results: Of the 56 papers retrieved, 21 were included in the review. The literature is limited: studies demonstrate bias and are of poor methodological quality. There are clear, persistent reports by patients and carers of shortfalls in clinical practice. Conclusion: Studies on pre-operative counselling for laryngectomees are flawed in design and represent weak levels of evidence. Pre-operative counselling has not been operationalised, resulting in differing paradigms being examined. Aggregation of data and/or results is not possible and the veracity of many studies is questioned.
AB - Objectives: This study aimed to undertake a systematic review of the literature about pre-operative counselling for laryngectomy patients, identify its practice and patient and (where possible) carer perceptions. Methods: A search strategy was formulated using a concept map and a Population, Intervention, Comparative Interaction and Outcomes ('PICO') schema. All publications from 1975 to 2015 reporting pre-operative counselling of laryngectomy patients were included. Papers were retrieved and critiqued, and those included were assigned a level of evidence (according to the Joanna Briggs Institute schema). Results: Of the 56 papers retrieved, 21 were included in the review. The literature is limited: studies demonstrate bias and are of poor methodological quality. There are clear, persistent reports by patients and carers of shortfalls in clinical practice. Conclusion: Studies on pre-operative counselling for laryngectomees are flawed in design and represent weak levels of evidence. Pre-operative counselling has not been operationalised, resulting in differing paradigms being examined. Aggregation of data and/or results is not possible and the veracity of many studies is questioned.
KW - Counseling
KW - Head and Neck Neoplasms
KW - Information Services
KW - Laryngectomy
UR - http://www.scopus.com/inward/record.url?scp=84954077410&partnerID=8YFLogxK
U2 - 10.1017/S0022215115002984
DO - 10.1017/S0022215115002984
M3 - Article
C2 - 26567459
AN - SCOPUS:84954077410
SN - 0022-2151
VL - 130
SP - 15
EP - 20
JO - The Journal of Laryngology & Otology
JF - The Journal of Laryngology & Otology
IS - 1
ER -