{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T17:22:43Z","timestamp":1789233763101,"version":"build-2803163510"},"reference-count":50,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Perioper Med"],"abstract":"\n Background<\/jats:title>\n Qualitative experience data can inform health care providers how to best support families during pediatric postoperative recovery. Patient experience data can also provide actionable information to guide health care quality improvement; positive feedback can confirm the efficacy of current practices and systems, while negative comments can identify areas for improvement.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to understand families\u2019 perspectives regarding their children\u2019s surgical recovery using qualitative patient experience data (free-text comments) from a prospective cohort study conducted within a larger study developing a postoperative-outcome risk stratification model.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Participants were parents or guardians of children aged 0-18 years who underwent surgery at a pediatric tertiary care facility; children undergoing either outpatient or inpatient procedures were eligible to be enrolled. Participants with English as a second language were offered translational services during the consent process and were included if any family member could translate the surveys into their preferred language. Participants were ineligible if they and their families could not understand English or the child had a neurodevelopmental disability. Perioperative data were collected from families using web-based surveys, including 1 preoperative survey and follow-up surveys sent on postoperative days 1, 2, 3, 7, 15, 30, and 90. Surveys were completed until the family indicated the child was fully recovered or until postoperative day 90 was reached. Follow-up surveys included opportunities to leave free-text comments on the child\u2019s surgical experience.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n In total, 91% (453\/500) of enrolled families completed at least 1 postoperative survey; 53% (242\/453) provided at least 1 free-text comment and were included in the presented analysis, based on a total of 485 comments. The patient\u2019s age distribution was bimodal (modes at 2-3 and 14-15 years), with 66% (160\/242) being male. Patients underwent orthopedic (60\/242, 25%), urological (39\/242, 16%), general (36\/242,15%), otolaryngological (31\/242, 13%), ophthalmological (32\/242, 13%), dental (27\/242, 11%), and plastic (17\/242, 7%) surgeries. Largely positive comments (398\/485, 82%) were made on the recovery and clinical care experience. A key theme for improvement included \u201ccommunication,\u201d with subthemes highlighting parental concerns regarding the \u201cpreoperative discussions,\u201d \u201cclarity of discharge instructions,\u201d and \u201ccontinuity of care.\u201d Other themes included \u201clength of stay\u201d and \u201crecovery experience.\u201d Feedback also suggested survey design amendments for future iterations of this instrument.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Collecting parental recovery feedback is feasible and valued by families. Findings underscored the significance of enhancing communication strategies between health care providers and parents to align expectations and support proactive family-centered care. Our postoperative surveys allowed families to provide actionable suggestions for improving their experience, which may not have been considered during their hospital encounter. Our longitudinal survey protocol may be expanded to support continuous quality improvement initiatives involving near-real-time patient feedback to improve the health care experience of patients and families.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/65198","type":"journal-article","created":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T12:26:01Z","timestamp":1730463961000},"page":"e65198","source":"Crossref","is-referenced-by-count":5,"title":["Parental Perspectives on Pediatric Surgical Recovery: Narrative Analysis of Free-Text Comments From a Postoperative Survey"],"prefix":"10.2196","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2953-5305","authenticated-orcid":false,"given":"Jessica","family":"Luo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8382-5136","authenticated-orcid":false,"given":"Nicholas C","family":"West","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6775-2632","authenticated-orcid":false,"given":"Samantha","family":"Pang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5765-4927","authenticated-orcid":false,"given":"Julie M","family":"Robillard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6570-1631","authenticated-orcid":false,"given":"Patricia","family":"Page","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1417-2175","authenticated-orcid":false,"given":"Neil K","family":"Chadha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2894-9114","authenticated-orcid":false,"given":"Heng","family":"Gan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8128-0152","authenticated-orcid":false,"given":"Lynnie 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