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Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
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Factors Affecting Patient Decision-making on Surgery for Lumbar Disc Herniation
Stina Brogård Andersen1,2,3, Regner Birkelund3,4, Mikkel Ø Andersen1,3
1Spine Surgery and Research, Spine Center of Southern Denmark, Lillebaelt Hospital, Middelfart, Denmark.
Spine
|June 29, 2018
Summary
Patient decisions for lumbar disc herniation surgery are influenced by information quality, time for consideration, system power dynamics, and personal experiences. Understanding these factors aids clinical support for treatment choices.
Area of Science:
- Neurosurgery
- Patient Decision-Making
- Qualitative Health Research
Background:
- Limited evidence and guidelines exist for surgical versus nonsurgical treatment of lumbar disc herniation.
- Patient involvement in decision-making is crucial due to treatment uncertainties.
Purpose of the Study:
- To explore patient perspectives on factors influencing decisions regarding surgery for lumbar disc herniation.
- To identify key elements affecting the surgical decision-making process for this condition.
Main Methods:
- Qualitative study employing a hermeneutic-phenomenological approach.
- Semistructured interviews were conducted with 14 patients undergoing primary surgery for lumbar disc herniation.
- Interviews were transcribed and analyzed using a meaning-condensation method.
Main Results:
- Four themes emerged: insufficient patient information, limited processing time due to accelerated workflows, power imbalances between patients and clinicians, and influence of personal/family past experiences.
- Patients' treatment conceptions were not always based on adequate information.
- Reluctance to challenge healthcare systems and providers impacted patient decisions.
Conclusions:
- Patient decisions for lumbar disc herniation surgery are complex, influenced by information adequacy, time for deliberation, system dynamics, and personal history.
- Clinicians need to understand these factors to effectively support patients in choosing between surgical and nonsurgical options.
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