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Why do the patients reject spinal operations? A preliminary study
Emre Durdag1, Serdal Albayrak, Omer Ayden
1Elazig Training and Research Hospital, Department of Neurosurgery, Elazığ, Turkey.
Turkish Neurosurgery
|June 4, 2015
Summary
Patient distrust and personal reasons significantly influence spinal surgery refusal. A history of dissatisfaction with neurosurgery, either personal or through an acquaintance, strongly correlates with this distrust, impacting patient decisions.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Patient Outcomes
Background:
- Rising rates of failed back and spine surgery contribute to patient hesitation.
- Understanding patient refusal reasons is crucial for improving surgical acceptance and outcomes.
Purpose of the Study:
- To investigate the primary reasons for spinal surgery refusal among patients.
- To analyze the impact of failed back surgery experiences on patient decisions.
Main Methods:
- A survey was conducted with 100 patients recommended for spinal surgery but refusing it.
- Data collected included demographics, surgical indications, refusal reasons, and history of prior surgeries or dissatisfaction.
- Statistical analysis using percentages was performed.
Main Results:
- 46% of patients refused surgery due to distrust; 54% cited personal reasons.
- Distrust was significantly associated with a history of personal or acquaintance dissatisfaction with neurosurgery (p < 0.001).
- 40% of all patients reported a negative prior neurosurgical experience.
Conclusions:
- Patient discontent with spinal surgery is increasing.
- Accurate surgical indication, proper technique, and managing patient expectations are vital for improving satisfaction.
- Consideration of minimally invasive interventions is recommended.
