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Constructing post-surgical discharge instructions through a Delphi consensus methodology.

Aaron R Scott1, Cody J Sanderson2, Augustus J Rush2

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Current thyroidectomy discharge instructions are hard to read and lack key information. New, easy-to-read instructions developed using expert consensus cover essential topics for better patient education.

Keywords:
Delphi consensus methodDischarge instructionsPatient educationThyroidectomy

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Area of Science:

  • Medical Education
  • Surgical Patient Care
  • Health Literacy

Background:

  • Patient education materials are vital for physician-patient communication.
  • Existing surgical discharge instructions may have poor readability and content.
  • Thyroidectomy discharge instructions require evaluation for improvement.

Purpose of the Study:

  • To evaluate the readability and content of existing thyroidectomy discharge instructions.
  • To develop standardized, easy-to-read discharge materials for thyroidectomy patients.

Main Methods:

  • Analyzed thyroidectomy discharge materials for readability and content.
  • Utilized a modified Delphi consensus panel with 15 endocrine surgeons to identify essential topics.
  • Developed standardized discharge instructions incorporating best practices for readability and consensus topics.

Main Results:

  • Readability levels of evaluated instructions ranged from grade 6.5 to 13.2.
  • None of the existing instructions included all consensus-selected topics.
  • A Delphi panel identified 23 necessary topics, with 8 remaining unaddressed after 4 rounds.

Conclusions:

  • Post-thyroidectomy discharge instructions often exceed recommended reading levels and miss critical complication warnings.
  • Developed easy-to-read instructions address key topics and can enhance patient education.
  • The Delphi methodology is effective for creating post-surgical patient instructions.