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Patient experience and satisfaction with awake craniotomy for brain tumours
S S Wahab1, P L Grundy, C Weidmann
1Department of Neurosurgery, Wessex Neurological Centre, Southampton University Hospitals NHS Trust, Southampton, UK. salimawahab@doctors.org.uk
British Journal of Neurosurgery
|May 20, 2011
Summary
Patients undergoing awake craniotomy for brain tumor resection report high satisfaction with care. Improvements are suggested in providing written information and post-discharge support.
Area of Science:
- Neurosurgery
- Patient Experience Research
Background:
- Awake craniotomy is a growing technique for maximal brain tumor resection.
- Limited data exists on patient satisfaction and experiences with this procedure.
Purpose of the Study:
- To evaluate patient satisfaction and experiences during awake craniotomy.
- To identify areas for improvement in patient care and technique.
Main Methods:
- A questionnaire based on Royal College of Surgeons guidelines was administered to 60 patients undergoing awake craniotomy.
- 45 responses were collected, assessing outpatient consultation, anesthetic consultation, operation, and post-operative care.
Main Results:
- 93% felt involved in decisions and sufficiently informed during surgical consultation.
- 87% felt at ease during surgery, though 24% experienced discomfort (often positioning-related).
- High satisfaction reported for post-operative care (80% supported post-discharge), with 56% experiencing no pain.
Conclusions:
- Awake craniotomy demonstrates high patient satisfaction, offering valuable data for informed consent.
- Areas for enhancement include pre-operative written information, post-discharge support, and anesthetic discussion duration.
