Patient involvement in the decision-making process improves satisfaction and quality of life in postmastectomy breast reconstruction

Ashraf, Azra A.; Colakoğlu, Salih; Nguyen, John; Anastasopulos, Alexandra; Ibrahim, Ahmed M. S.; Yueh, Janet H.; Lin, Samuel J.; Tobias, Adam M.; Lee, Bernard T.

doi:10.1016/j.jss.2013.04.057

Cited by 95 publications

(40 citation statements)

References 25 publications

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“…3 Several studies suggest that increasing patient use of "supplemental" educational material actually contributes to more patient involvement, increasing satisfaction, and improved health outcomes. [4][5][6][7][8][9] Despite fewer discrepancies in Internet access across demographic groups, several studies have indicated that lower health literacy contributes to overall health disparities, negatively impacts outcomes, acts as a barrier to receiving care, and increases mortality. [10][11][12][13][14] The American Medical Association recognized these relationships in the 1999 Health Literacy Report of the Council on Scientific Affairs, recommending increasing physician awareness of the approximately one-fourth of patients with limited literacy, and encouraging routine literacy assessment while providing care.…”

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confidence: 99%

Online Patient Resources for Breast Reconstruction

Vargas

Koolen

Chuang

et al. 2014

Plastic and Reconstructive Surgery

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mentioning

confidence: 99%

Online Patient Resources for Breast Reconstruction

Vargas

Koolen

Chuang

et al. 2014

Plastic and Reconstructive Surgery

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“…Lack of concern for patient expectation has a negative impact on the appreciation of care and overall satisfaction, and can be a source of conflict between the patient and the health system. [34][35][36][37] Since clinical outcomes are equal and patients seem to prefer the single port approach, the logical conclusion should be that uncomplicated gallbladder disease has to be operated on by single port laparoscopy. There are, however, some caveats.…”

Section: Discussionmentioning

confidence: 99%

Patient preference matters: cholecystectomy for uncomplicated gallbladder diseases should be performed by single port laparoscopy

et al. 2017

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Background: Laparoscopic cholecystectomy for uncomplicated gallbladder diseases (UGD) is a low-complexity procedure with little morbidity. Single port approach (SPA) benefits are unclear. Our aim is to identify any advantages by evaluating both the clinical outcomes of this approach and also patient opinion, following a year of implementation in our institution.Methods: Data from patients operated on during 2015 for UGD by SPA or conventional laparoscopic approach (CLA) were collected. Patients were asked to answer a telephone questionnaire 4-6 months after the operation.Results: 47 patients were operated on by SPA (SP group) and 117 by CLA (CL group). No differences were found between preoperative variables, surgical time, morbidity, length of stay or wound complications. More SP group patients reported no pain at discharge (72.3 vs 54.7%, p=0.037). 138 patients answered the questionnaire. No significant differences were found when comparing overall satisfaction. Wound aspect satisfaction was higher in the SP group (100 vs 80.9%, p=0.001). A higher proportion of CL group patients felt that had they had fewer scars, they would be more satisfied (46.8 vs 9.1%, p <0.001), and 35.1% of them opined that their satisfaction would be greater had they been operated on by SPA. In the multivariate analysis, the only variable associated with maximum overall satisfaction was wound aspect satisfaction.Conclusions: SPA is a valid alternative to CLA for UGD. It should be chosen when available, since it provides equal clinical outcomes, diminishes postoperative pain and is preferred by patients.

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“…Patient-reported complications included hoarseness of voice, vibrating sensation of the eyes, insomnia, forgetfulness, weight gain and depression 9. Other studies have demonstrated high satisfaction rates following surgical treatment 10 11…”

Section: Purpose Of the Studymentioning

confidence: 99%

Patients’ perceptions and views of surgery and radioiodine ablation in the definitive management of Graves’ disease

Hookham

Truran

Allahabadia

et al. 2016

Postgraduate Medical Journal

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Background Patients’ perceptions and preferences influence the choice of radioiodine ablation (RIA) or surgery in the definitive management of Graves’ disease. This study aimed to evaluate their concerns, experiences and satisfaction following definitive treatment. Methods A postal survey of patients who had treatment with surgery or RIA between January 2011 and June 2013 for Graves’ disease was conducted. Results Of 214 patients, 136 (64%) responded. The majority of patients felt actively involved in decision making (83.8%) and were satisfied (84.9%) with their treatment. Compared with RIA, patients who underwent surgery were more satisfied with their treatment (p=0.008). Discussion with the doctor was the most useful aid to decision making. Feeling involved in decision-making process was associated with improved satisfaction (p<0.001). Common reasons for not choosing surgery were need for general anaesthesia, scarring and voice change. Avoiding close contact, risk of persistent hyperthyroidism and worsening eye disease were common reasons for not choosing RIA. Ongoing concerns were hypothyroidism, scarring and eye problems after surgery and hypothyroidism and eye problems after RIA. Conclusions This study provides insight into patients’ experiences of surgery and RIA for Graves’ disease and reinforces the importance of patient involvement in the decision-making process.

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Patient involvement in the decision-making process improves satisfaction and quality of life in postmastectomy breast reconstruction

Cited by 95 publications

References 25 publications

Online Patient Resources for Breast Reconstruction

Online Patient Resources for Breast Reconstruction

Patient preference matters: cholecystectomy for uncomplicated gallbladder diseases should be performed by single port laparoscopy

Patients’ perceptions and views of surgery and radioiodine ablation in the definitive management of Graves’ disease

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