ERAS in Pediatric and Adolescent Gynecology: How Important is Preoperative Counseling in Patient Outcomes and Does Parent Versus Patient Counseling Impact Success?

What this Trial Is About

This research investigates the role of participant involvement in pre-operative counseling within Enhanced Recovery After Surgery (ERAS) protocols for pediatric and adolescent gynecology patients aged 9 to 17. It aims to determine if having the patient participate directly in counseling, rather than counseling only the caregiver, can improve post-surgical pain and recovery outcomes. The study will also evaluate adherence to prescribed medications and how quickly participants return to their normal activities, such as school. Participants will be randomly assigned to one of two groups: one where both the patient and their caregiver attend a pre-operative counseling session, and another where only the caregiver attends. This counseling is part of the standard ERAS care protocol, and the study compares these two approaches to find any differences in outcomes. The counseling sessions happen before abdominal surgery managed under the ERAS protocol. During the study, researchers will assess pain levels using numeric pain rating scores on the first and seventh days after surgery. They will also track how many participants have returned to school by seven days post-operation, monitor medication adherence, and record narcotic prescription rates from days one to seven after surgery. The study is randomized without masking and is sponsored by the University of Colorado, Denver. Participation lasts from pre-operative counseling through one week after surgery.

ERAS in Pediatric & Adolescent Gynecology Preoperative Counseling