Evaluation of peri-operative care following repair of gastroduodenal ulcer perforation and effect on patient outcomes

Vidya Seenarain

doi:10.26182/wc51-r182

Evaluation of peri-operative care following repair of gastroduodenal ulcer perforation and effect on patient outcomes

Vidya Seenarain

Research output: Thesis › Master's Thesis

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Abstract

This study assessed the impact of variability in peri-operative management of WA General surgeons, for patients undergoing surgical repair of gastric and duodenal ulcer perforation from January 2010 to December 2017 on patient outcomes. There was a variable practice among General surgeons surveyed Australia-wide. There were more perforated gastric than duodenal ulcers, likely related to increasing prescription of NSAIDs, especially in older women. NSAIDs surpassed Helicobacter pylori as the main aetiology of perforated gastroduodenal ulcers in WA. The quality of post-operative preventative measures was poor. Standardisation of care is likely to reduce inconsistencies and improve patient outcomes in the future.

Original language	English
Qualification	Masters
Awarding Institution	The University of Western Australia
Supervisors/Advisors	Fletcher, David, Supervisor Foster, Amanda, Supervisor
Thesis sponsors	Australian Government Research Training Program
Award date	1 Feb 2024
DOIs	https://doi.org/10.26182/wc51-r182
Publication status	Unpublished - 2023

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10.26182/wc51-r182

THESIS - MASTER OF SURGERY - WILLIS Vidya - 2023_
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Cite this

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title = "Evaluation of peri-operative care following repair of gastroduodenal ulcer perforation and effect on patient outcomes",

abstract = "This study assessed the impact of variability in peri-operative management of WA General surgeons, for patients undergoing surgical repair of gastric and duodenal ulcer perforation from January 2010 to December 2017 on patient outcomes. There was a variable practice among General surgeons surveyed Australia-wide. There were more perforated gastric than duodenal ulcers, likely related to increasing prescription of NSAIDs, especially in older women. NSAIDs surpassed Helicobacter pylori as the main aetiology of perforated gastroduodenal ulcers in WA. The quality of post-operative preventative measures was poor. Standardisation of care is likely to reduce inconsistencies and improve patient outcomes in the future.",

keywords = "Gastroduodenal ulcer, Perforation, variability, ERAS, Peri-operative care, Helicobacter pylori, NSAID, patient outcomes",

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AB - This study assessed the impact of variability in peri-operative management of WA General surgeons, for patients undergoing surgical repair of gastric and duodenal ulcer perforation from January 2010 to December 2017 on patient outcomes. There was a variable practice among General surgeons surveyed Australia-wide. There were more perforated gastric than duodenal ulcers, likely related to increasing prescription of NSAIDs, especially in older women. NSAIDs surpassed Helicobacter pylori as the main aetiology of perforated gastroduodenal ulcers in WA. The quality of post-operative preventative measures was poor. Standardisation of care is likely to reduce inconsistencies and improve patient outcomes in the future.

KW - Gastroduodenal ulcer

KW - Perforation

KW - variability

KW - ERAS

KW - Peri-operative care

KW - Helicobacter pylori

KW - NSAID

KW - patient outcomes

U2 - 10.26182/wc51-r182

DO - 10.26182/wc51-r182

M3 - Master's Thesis

ER -

Evaluation of peri-operative care following repair of gastroduodenal ulcer perforation and effect on patient outcomes

Abstract

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