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Overlapping Surgeries From the Patient's Perspective.

Yangzi Liu1, Shirley Chen1, Catherine M Hammack-Aviran2

  • 1Vanderbilt University School of Medicine, Nashville, Tennessee.

The Journal of Surgical Research
|February 21, 2023
PubMed
Summary
This summary is machine-generated.

Patients who trust their surgeon and understand operating room (OR) roles are more comfortable with overlapping surgery (OS). Informed consent and clear communication about trainee roles are key to improving patient acceptance of OS.

Keywords:
Informed consentMedical traineesOverlapping surgeryPatient educationPatient perspectiveQualitative study

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Area of Science:

  • Medical ethics
  • Surgical practice
  • Patient experience

Background:

  • Overlapping surgery (OS) is common but faces public disapproval.
  • Existing research indicates widespread patient concern regarding OS.

Purpose of the Study:

  • To investigate patient attitudes towards OS among those who provided informed consent.
  • To identify factors influencing patient comfort levels with OS.

Main Methods:

  • Qualitative study involving interviews with 12 participants who consented to OS.
  • Thematic analysis of interview transcripts to identify key themes.
  • Codebook development and application by two independent coders.

Main Results:

  • Patient comfort with OS was shaped by trust in the surgeon, concerns about OS, and understanding of operating room (OR) personnel roles.
  • Trust was built on surgeon experience and patient research; concerns included surgical unpredictability and divided surgeon attention.
  • Most participants reported neutral to high comfort levels, primarily attributed to trust in their surgeon.

Conclusions:

  • Contrary to prior research, this study found neutral to positive patient views on OS.
  • A strong surgeon-patient relationship and informed consent are crucial for patient comfort with OS.
  • Patient education regarding the roles of surgical trainees is essential to address misunderstandings and improve OS acceptance.