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Public Perceptions of Overlapping Surgery.

Michael Kent1, Richard Whyte, Aaron Fleishman

  • 1Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA Department of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

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This summary is machine-generated.

Most people are unaware of overlapping surgery, and many do not support it. Patients strongly desire disclosure and surgeon presence documentation during informed consent for overlapping surgery.

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Area of Science:

  • Medical ethics
  • Surgical practices
  • Patient informed consent

Background:

  • Overlapping surgery is a contentious practice with concerns regarding patient safety and disclosure.
  • Public attitudes and willingness to consent to overlapping surgery remain largely unstudied.

Purpose of the Study:

  • To survey the general public's awareness, attitudes, and consent willingness regarding overlapping surgery.
  • To assess public expectations for disclosure during the informed consent process for overlapping surgery.

Main Methods:

  • A 51-question online survey was administered to 1,454 participants via Amazon Mechanical Turk.
  • The survey assessed knowledge, disclosure expectations, consent willingness, and healthcare system distrust.

Main Results:

  • Only 3.9% of respondents had prior knowledge of overlapping surgery.
  • 31% of respondents supported the practice, with a majority desiring advance disclosure, definition of critical components, and documentation of surgeon presence.
  • Higher healthcare system distrust was not significantly associated with willingness to consent.

Conclusions:

  • Public awareness of overlapping surgery is very low.
  • While not widely supported, overlapping surgery may be acceptable under specific circumstances, contingent on full disclosure.
  • Patients consistently expect transparency and detailed information during informed consent for overlapping surgery.