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Pre-operative counselling for laryngectomy patients: a systematic review

Published online by Cambridge University Press:  16 November 2015

E Fitzgerald  and
A Perry
E Fitzgerald*
Affiliation:
Department of Clinical Therapies, University of Limerick, Ireland
A Perry
Affiliation:
Faculty of Education and Health Sciences, University of Limerick, Ireland
*
Address for correspondence: Ms E Fitzgerald, Speech and Language Therapy Department, Health Service Executive Cork, City General Hospital, Infirmary Road, Cork, Ireland E-mail: [email protected]
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Abstract

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.

Keywords

Head and Neck NeoplasmsLaryngectomyCounselingInformation Services
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 1 , January 2016 , pp. 15 - 20
Copyright
Copyright © JLO (1984) Limited 2015 

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