title: Involvement of a surgical service improves patient satisfaction in patients admitted with small bowel obstruction.
abstract: BACKGROUND
  For patients with small bowel obstruction (SBO), surgical care has been associated with improved outcomes; however, it remains unknown how it impacts satisfaction.
  
  
  METHODS
  Patients admitted for SBO who completed the hospital satisfaction survey were eligible. Only those with adhesions or hernias were included. Chart review extracted structural characteristics and outcomes.
  
  
  RESULTS
  Forty-seven patients were included; 74% (n = 35) were admitted to a surgical service. Twenty-six percent of the patients (n = 12) were admitted to medicine, and 50% of those (n = 6) had surgical consultation. Patients with surgical involvement as the consulting or primary service (SURG) had higher satisfaction with the hospital than those cared for by the medical service (MED) (80% SURG, 33% MED, P = .015). SURG patients also had higher satisfaction with physicians (74% SURG, 44% MED, P = .015).
  
  
  CONCLUSIONS
  Surgical involvement during SBO admissions is associated with increased patient satisfaction, and adds further weight to the recommendation that these patients be cared for by surgeons.
authors.affiliation: Department of Surgery, University of Wisconsin School of Medicine and Public Health, Clinical Science Center, 600 Highland Avenue, Madison, WI 53792, USA.
authors.forename: Ryan K
authors.initials: RK
authors.lastname: Schmocker
authors.affiliation: Department of Surgery, University of Wisconsin School of Medicine and Public Health, Clinical Science Center, 600 Highland Avenue, Madison, WI 53792, USA.
authors.forename: Xia
authors.initials: X
authors.lastname: Vang
authors.affiliation: Department of Surgery, University of Wisconsin School of Medicine and Public Health, Clinical Science Center, 600 Highland Avenue, Madison, WI 53792, USA.
authors.forename: Linda M
authors.initials: LM
authors.lastname: Cherney Stafford
authors.affiliation: Department of Surgery, University of Wisconsin School of Medicine and Public Health, Clinical Science Center, 600 Highland Avenue, Madison, WI 53792, USA.
authors.forename: Glen E
authors.initials: GE
authors.lastname: Leverson
authors.affiliation: Department of Surgery, University of Wisconsin School of Medicine and Public Health, Clinical Science Center, 600 Highland Avenue, Madison, WI 53792, USA. Electronic address: winslow@surgery.wisc.edu.
authors.forename: Emily R
authors.initials: ER
authors.lastname: Winslow
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D007421:Intestine, Small; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D013503:Surgery Department, Hospital
keywords: HCAHPS; Medical service; Patient satisfaction; Small bowel obstruction; Surgery service