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Patient perspectives on inferior vena cava filter retrieval
Afsha Aurshina1, Anand Brahmandam1, Yawei Zhang1
1Division of Vascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Conn.
Patient education is key to improving inferior vena cava (IVC) filter retrieval rates. Understanding patient perspectives, especially communication preferences, can enhance follow-up and compliance for IVC filter removal.
Area of Science:
- Vascular Surgery
- Patient Outcomes
- Health Communication
Background:
- Inferior vena cava (IVC) filter retrieval rates are suboptimal.
- Previous research focused on provider/system factors, neglecting patient perspectives.
- Patient attitudes toward IVC filters and their removal are understudied.
Purpose of the Study:
- To compare attitudes of men and women with retained IVC filters.
- To identify patient factors influencing compliance and retrieval.
- To understand patient awareness and preferences regarding IVC filter management.
Main Methods:
- Retrospective review of 604 IVC filter placements (2009-2011).
- Telephone survey of 42 patients with retained filters.
- Comparison of demographics, comorbidities, and survey responses between men and women.
Main Results:
- Only 30% overall retrieval rate; 12% unaware of filter, 23% knew it was removable.
- Women better understood risks/benefits (42.8% vs 14.2%), but not long-term risks.
- Lack of follow-up often due to unawareness of risks (69%); electronic communication preferred by women, phone calls by men.
Conclusions:
- Enhanced patient education on IVC filters and long-term effects is crucial.
- Electronic communication may improve follow-up, particularly for women.
- Addressing patient perspectives is vital for optimizing IVC filter retrieval.
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