Perception of Semiquantitative Terms in Surgery

Gutknecht, Stefan; Kaderli, Reto; Businger, Adrian

doi:10.1097/sla.0b013e31824531ab

Cited by 5 publications

(4 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As presented by Gutknecht et al, patients do not fully comprehend the concept of a complication rate before surgery. 26 This could be an explanation for why patients may be easily persuaded to agree to a procedure that offers improved cosmesis while harboring increased complication rate.…”

Section: Discussionmentioning

confidence: 99%

“…Another concern is whether doubling the complication risk in surgeries that carry a 1–2 % complication risk can be considered ‘safe enough’ in order to be presented as a valid and equal option for patients. As presented by Gutknecht et al [27], patients do not fully comprehend the concept of a complication rate before surgery. This could be an explanation for why patients may be easily persuaded to agree to a procedure that offers improved cosmesis while harboring an increased complication rate.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Survey of Preferences Regarding Surgical Approach to Thyroid Surgery

et al. 2013

View full text Add to dashboard Cite

Background Transaxillary thyroidectomy (TAT) has gained popularity in East Asian countries; however, to date there have been no attempts to evaluate the preferences regarding TAT in the United States population. The aim of this study is to assess the preferences and considerations associated with TAT in an American cohort. Methods Self-administered surveys were distributed to 966 adults at various locations in a single state. Questions assessed preferences for the surgical approach, acceptable risks and extra costs, and willingness to pursue TAT despite reduced cancer treatment efficacy. Results The response rate was 84% with a mean age of 40±17 years. The majority of respondents were female. Eighty-two percent of the respondents preferred TAT to a cervical thyroidectomy (CerT), all risks being equal. Fifty-one percent of the respondents were willing to accept a 4% complication rate with TAT. Sixteen percent of the respondents stated they would agree to pay up to an additional $5,000 for the TAT approach. When presented with thyroid cancer, 20% of all respondents still preferred TAT even if it would not cure their disease. Patients preferring TAT over CerT were younger, female, more willing to accept complications and spend additional money, and most significantly, preferred the TAT approach even if it was less likely to cure their cancer. Conclusions Although this survey presents a hypothetical question for people who do not have thyroid disease, the majority of respondents preferred TAT over CerT. Furthermore, a substantial number were willing to accept higher complication rates and increased costs for TAT.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Survey of Preferences Regarding Surgical Approach to Thyroid Surgery

et al. 2013

View full text Add to dashboard Cite

show abstract

“…However, a low response rate can lead to a non‐responder bias and has the potential of creating a non‐representative sample. This can question the validity of the survey [33]. Surgical departments with a higher surgical volume were more likely to participate in the present study.…”

Section: Discussionmentioning

confidence: 99%

Association of Surgical Volume and Quality Management in Thyroid Surgery: A Two‐Nation Multicenter Study

et al. 2019

View full text Add to dashboard Cite

Background High-volume caseload in thyroid surgery is associated with lower postoperative complication rates resulting to better outcomes. The aim of the present study was to investigate the correlation of the departments' annual number of thyroid surgeries on the adherence to consensus guidelines and on the implementation of measures for quality assurance.Methods In 2016, we sent an anonymous electronic survey with questions related to the perioperative management in thyroid surgery to all directors of departments in operative medicine in Switzerland and Austria. We compared the pre-and postoperative management with the summarized recommendations of the four most frequently used consensus guidelines. Analogously, we analyzed the implementation of six measures for quality assurance related to thyroid surgery for each participating department. Using logistic regression analysis, we evaluated the correlation of number of guidelines respected and number of measures for quality assurance with the departments' annual number of surgeries performed. Furthermore, we evaluated the number of departments providing thyroid cancer surgery and their experience in neck dissection. ResultsThe management corresponded in 64.0% to the summarized recommendations. Adherence to the summarized recommendations and implementation of measures for quality assurance were significantly more likely with increasing numbers of surgeries performed (p = 0.049 and p \ 0.001). Ninety-two departments provided thyroid cancer surgery, whereas 12/92 (13.0%) were not able to perform central and/or lateral neck dissection. Conclusion Consensus guidelines are insufficiently implemented within thyroid surgery, and quality management is associated with surgical volume. Dominik A. Jakob and Philipp Riss contributed equally to this work.

show abstract

“…With regards to the decision making process on selecting the appropriate surgical treatment, discussions should be individualized to each patient as surgeons cannot broadly assume all patients will choose the scarless procedure. Gutknecht et al 31 reported that patients do not fully comprehend the concept of a complication rate before surgery. This explains why some patients may be easily persuaded to agree to a procedure that offers improved cosmesis, while potentially harboring an increased rate of complications.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Preference and Utility Measures for Transoral Thyroidectomy

Samargandy

Philteos

et al. 2022

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

Background: Traditional, trans-cervical thyroidectomy results in the presence of a neck scar, which has been shown to correlate with lower quality of life and lower patient satisfaction. Transoral thyroid surgery (TOTS) has been utilized as an alternative approach to avoid a cutaneous incision and scar by accessing the neck and thyroid through the oral cavity. This study was designed to evaluate patient preference through health-state utility scores for TOTS as compared to conventional trans-cervical thyroidectomy. Methods: In this cross-sectional study, patient preferences were elicited for TOTS and trans-cervical thyroidectomy with the use of an online survey. Respondents were asked to consider 4 hypothetical health scenarios involving thyroid surgery with varying approaches. Health-state utility scores were elicited using visual analog scale and standard gamble exercises. Results: Overall, 516 respondents completed the survey, of whom 261 (50.6%) were included for analysis, with a mean age of 41.5 years (SD 14.9 years), including 171 (65.5%) females. Health utility scores were similar for TOTS and conventional transcervical techniques. Statistically significant differences in the standard gamble utility score were noted for gender and ethnicity across all scenarios. Comparisons of visual analog score utilities were not statistically significant based on respondent demographics. Conclusion: Preferences for TOTS and trans-cervical thyroidectomy did not significantly differ in the current study. Females and white ethnicity indicated stronger preference for a TOTs approach compared to males and other ethnicities, respectively. Some literature suggests certain types of patients who might prefer minimally invasive thyroidectomy more so than other patients—in keeping with the current findings of this study.

show abstract

Perception of Semiquantitative Terms in Surgery

Abstract: Laypersons overestimate probabilities of semiquantitative terms named by surgeons. We recommend using "percentages" or "odds ratios" to achieve a more reliable preoperative informed consent.

Cited by 5 publications

References 47 publications

A Survey of Preferences Regarding Surgical Approach to Thyroid Surgery

A Survey of Preferences Regarding Surgical Approach to Thyroid Surgery

Association of Surgical Volume and Quality Management in Thyroid Surgery: A Two‐Nation Multicenter Study

Evaluation of Preference and Utility Measures for Transoral Thyroidectomy

Contact Info

Product

Resources

About