Virtual Reality Improves Patient Experience and Anxiety During In-office Carpal Tunnel Release
Background:. This study examined how wide- awake local anesthesia no tourniquet (WALANT) surgery in the office versus the standard operating room (OR) impacts patient experience, and the effect wide awake virtual reality (WAVR) has in conjunction with WALANT on patient experience. Methods:. This is...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2022-07-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004426 |
| _version_ | 1818465864109785088 |
|---|---|
| author | McKenzie B. Miller, MD Shelley A. Gabel, MD Lindsay C. Gluf-Magar, BA Pam S. Haan, RN, BSN Judith C. Lin, MD, MBA James H. W. Clarkson, MD |
| author_facet | McKenzie B. Miller, MD Shelley A. Gabel, MD Lindsay C. Gluf-Magar, BA Pam S. Haan, RN, BSN Judith C. Lin, MD, MBA James H. W. Clarkson, MD |
| author_sort | McKenzie B. Miller, MD |
| collection | DOAJ |
| description | Background:. This study examined how wide- awake local anesthesia no tourniquet (WALANT) surgery in the office versus the standard operating room (OR) impacts patient experience, and the effect wide awake virtual reality (WAVR) has in conjunction with WALANT on patient experience.
Methods:. This is a patient-reported outcome study of patients undergoing carpal tunnel release by a single surgeon between August 2017 and March 2021. Patients were classified by location; traditional OR versus WALANT in-office. In-office patients were further classified by whether they chose to use WAVR or not. Patients rated overall experience, enjoyability, and anxiety using a Likert scale (1–7).
Results:. The online survey had a 44.8% response rate. OR patients were twice as likely to report a neutral or negative experience (23% versus 11%, P = 0.03), significantly lower enjoyment scores (44% versus 20%, P = 0.0007)‚ and higher anxiety (42% versus 26%, P = 0.04) compared with office-based WALANT patients. With the addition of WAVR, office patients reported higher enjoyment than those who did not use WAVR (85% versus 73%, P = 0.05). Patients reporting an anxiety disorder were more likely to choose WAVR when compared with patients without anxiety disorder (73.8% versus 56.4%). When they chose WAVR, they had greater anxiolysis (79% versus 47%, P = 0.01)‚ and increased enjoyment (90% versus 59%, P = 0.005).
Conclusions:. This study demonstrates improved patient experience in the office setting, further amplified by WAVR. Preexisting anxiety disorder is a positive predictive variable toward the patients’ choice to use WAVR. |
| first_indexed | 2024-04-13T20:51:21Z |
| format | Article |
| id | doaj.art-0931cd560bec426d9f97f0b663743466 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-13T20:51:21Z |
| publishDate | 2022-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-0931cd560bec426d9f97f0b6637434662022-12-22T02:30:30ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-07-01107e442610.1097/GOX.0000000000004426202207000-00012Virtual Reality Improves Patient Experience and Anxiety During In-office Carpal Tunnel ReleaseMcKenzie B. Miller, MD0Shelley A. Gabel, MD1Lindsay C. Gluf-Magar, BA2Pam S. Haan, RN, BSN3Judith C. Lin, MD, MBA4James H. W. Clarkson, MD5From the Department of Surgery, Michigan State University College of Human Medicine, East Lansing, Mich.From the Department of Surgery, Michigan State University College of Human Medicine, East Lansing, Mich.From the Department of Surgery, Michigan State University College of Human Medicine, East Lansing, Mich.From the Department of Surgery, Michigan State University College of Human Medicine, East Lansing, Mich.From the Department of Surgery, Michigan State University College of Human Medicine, East Lansing, Mich.From the Department of Surgery, Michigan State University College of Human Medicine, East Lansing, Mich.Background:. This study examined how wide- awake local anesthesia no tourniquet (WALANT) surgery in the office versus the standard operating room (OR) impacts patient experience, and the effect wide awake virtual reality (WAVR) has in conjunction with WALANT on patient experience. Methods:. This is a patient-reported outcome study of patients undergoing carpal tunnel release by a single surgeon between August 2017 and March 2021. Patients were classified by location; traditional OR versus WALANT in-office. In-office patients were further classified by whether they chose to use WAVR or not. Patients rated overall experience, enjoyability, and anxiety using a Likert scale (1–7). Results:. The online survey had a 44.8% response rate. OR patients were twice as likely to report a neutral or negative experience (23% versus 11%, P = 0.03), significantly lower enjoyment scores (44% versus 20%, P = 0.0007)‚ and higher anxiety (42% versus 26%, P = 0.04) compared with office-based WALANT patients. With the addition of WAVR, office patients reported higher enjoyment than those who did not use WAVR (85% versus 73%, P = 0.05). Patients reporting an anxiety disorder were more likely to choose WAVR when compared with patients without anxiety disorder (73.8% versus 56.4%). When they chose WAVR, they had greater anxiolysis (79% versus 47%, P = 0.01)‚ and increased enjoyment (90% versus 59%, P = 0.005). Conclusions:. This study demonstrates improved patient experience in the office setting, further amplified by WAVR. Preexisting anxiety disorder is a positive predictive variable toward the patients’ choice to use WAVR.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004426 |
| spellingShingle | McKenzie B. Miller, MD Shelley A. Gabel, MD Lindsay C. Gluf-Magar, BA Pam S. Haan, RN, BSN Judith C. Lin, MD, MBA James H. W. Clarkson, MD Virtual Reality Improves Patient Experience and Anxiety During In-office Carpal Tunnel Release Plastic and Reconstructive Surgery, Global Open |
| title | Virtual Reality Improves Patient Experience and Anxiety During In-office Carpal Tunnel Release |
| title_full | Virtual Reality Improves Patient Experience and Anxiety During In-office Carpal Tunnel Release |
| title_fullStr | Virtual Reality Improves Patient Experience and Anxiety During In-office Carpal Tunnel Release |
| title_full_unstemmed | Virtual Reality Improves Patient Experience and Anxiety During In-office Carpal Tunnel Release |
| title_short | Virtual Reality Improves Patient Experience and Anxiety During In-office Carpal Tunnel Release |
| title_sort | virtual reality improves patient experience and anxiety during in office carpal tunnel release |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004426 |
| work_keys_str_mv | AT mckenziebmillermd virtualrealityimprovespatientexperienceandanxietyduringinofficecarpaltunnelrelease AT shelleyagabelmd virtualrealityimprovespatientexperienceandanxietyduringinofficecarpaltunnelrelease AT lindsaycglufmagarba virtualrealityimprovespatientexperienceandanxietyduringinofficecarpaltunnelrelease AT pamshaanrnbsn virtualrealityimprovespatientexperienceandanxietyduringinofficecarpaltunnelrelease AT judithclinmdmba virtualrealityimprovespatientexperienceandanxietyduringinofficecarpaltunnelrelease AT jameshwclarksonmd virtualrealityimprovespatientexperienceandanxietyduringinofficecarpaltunnelrelease |