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Decisional Regret Among Patients Undergoing Colectomy.
Lindsay A Janes1, Alisha D Lussiez2, Maia Anderson2
1University of Michigan Medical School, Ann Arbor, Michigan.
Diseases of the Colon and Rectum
|September 14, 2022
Summary
About 10% of patients experience regret after colectomy, with higher rates in urgent/emergent cases. Factors influencing this regret differ between elective and urgent surgeries, necessitating tailored patient discussions.
Area of Science:
- Surgical Outcomes Research
- Patient Decision-Making
- Health Services Research
Background:
- Postoperative regret after colectomy is linked to diminished quality of life and poorer health outcomes.
- Understanding factors influencing decisional regret can help surgeons tailor preoperative counseling to mitigate risks.
Discussion:
- This study identified specific factors associated with postoperative regret in patients undergoing colectomy.
- Regret rates were higher in the urgent/emergent colectomy cohort compared to the elective cohort.
- Factors associated with regret varied significantly between elective and urgent/emergent surgical settings.
Key Insights:
- Overall, 10.5% of patients reported regret, with 13.0% in the urgent/emergent group versus 9.4% in the elective group.
- In elective colectomies, longer hospital stay, postoperative complications, and readmissions were linked to regret.
- For urgent/emergent colectomies, female sex and non-home discharge destinations were associated with higher regret rates.
Outlook:
- Individualized preoperative discussions, tailored to the surgical setting (elective vs. urgent/emergent), are crucial for aligning patient expectations and improving outcomes.
- Further research may explore specific interventions to address decisional regret in colectomy patients.
- Improving patient understanding and expectations can potentially reduce postoperative regret and enhance overall well-being.
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