Patients' perspective on full disclosure and informed consent regarding postoperative visual loss associated with spinal surgery in the prone position.
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ABSTRACT: Objective
To determine patients' opinions regarding the person, method, and timing for disclosure of postoperative visual loss (POVL) associated with high-risk surgery.Patients and methods
On the basis of findings of a pilot study involving 219 patients at Mayo Clinic in Florida, we hypothesized that at least 80% of patients would prefer disclosure of POVL by the surgeon, during a face-to-face discussion, before the day of scheduled surgery. To test the hypothesis, we sent a questionnaire to 437 patients who underwent prolonged prone spinal surgical procedures at Mayo Clinic in Rochester, MN, or Mayo Clinic in Arizona from December 1, 2008, to December 31, 2009.Results
Among the 184 respondents, 158 patients gave responses supporting the hypothesis vs 26 with at least 1 response not supporting it, for an observed incidence of 86%. The 2-sided 95% confidence interval is 80% to 91%.Conclusion
At least 80% of patients prefer full disclosure of the risk of POVL, by the surgeon, during a face-to-face discussion before the day of scheduled surgery. This finding supports development of a national patient-driven guideline for disclosing the risk of POVL before prone spinal surgery.
SUBMITTER: Corda DM
PROVIDER: S-EPMC3258003 | biostudies-literature | 2011 Sep
REPOSITORIES: biostudies-literature
Publications
Patients' perspective on full disclosure and informed consent regarding postoperative visual loss associated with spinal surgery in the prone position.
Corda David M DM Dexter Franklin F Pasternak Jeffrey J JJ Trentman Terrence L TL Nottmeier Eric W EW Brull Sorin J SJ
Mayo Clinic proceedings 20110901 9
<h4>Objective</h4>To determine patients' opinions regarding the person, method, and timing for disclosure of postoperative visual loss (POVL) associated with high-risk surgery.<h4>Patients and methods</h4>On the basis of findings of a pilot study involving 219 patients at Mayo Clinic in Florida, we hypothesized that at least 80% of patients would prefer disclosure of POVL by the surgeon, during a face-to-face discussion, before the day of scheduled surgery. To test the hypothesis, we sent a ques ...[more]
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