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Needs assessment for patient-centered education and outcome metrics in robotic surgery
BACKGROUND: From clinical experience, many patients undergoing robotic assisted surgery (RAS) have a poor understanding of the technology. To ensure informed consent and appropriate expectations, a needs assessment for patient-centered education and outcome metrics in RAS is warranted. Our goal was...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10156849/ https://www.ncbi.nlm.nih.gov/pubmed/36002685 http://dx.doi.org/10.1007/s00464-022-09500-7 |
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author | Moore, Hope Nicole de Paula, Thais Reif Keller, Deborah S. |
author_facet | Moore, Hope Nicole de Paula, Thais Reif Keller, Deborah S. |
author_sort | Moore, Hope Nicole |
collection | PubMed |
description | BACKGROUND: From clinical experience, many patients undergoing robotic assisted surgery (RAS) have a poor understanding of the technology. To ensure informed consent and appropriate expectations, a needs assessment for patient-centered education and outcome metrics in RAS is warranted. Our goal was to perform an assessment of patient understanding, comfort with robotic technology, and ability to obtain critical information from their surgeon when undergoing RAS. METHODS: Twenty patients planned for RAS by three surgeons were asked to complete a six-item Likert agreement scale survey prior to signing informed consent. The study coordinator administered surveys, while the surgeon left the room. Indicator statements were crafted to reduce bias and two-way evaluated for consistency. The surgeons were additionally asked their perception of each patient’s understanding and comfort with RAS. Frequency statistics and tendencies were analyzed. RESULTS: Surgeons strongly agreed all patients appropriately understood how RAS functioned and would ask more questions before signing consent, if needed. Patients were predominately not familiar with RAS and felt surgeons did not explain how RAS worked. There was wide variability on if patients understood how RAS worked for their treatment. Overall, patients were not completely comfortable with RAS for their care, did not understand the risks of RAS compared to other approaches, and did not feel their surgeon understood what they needed to know to make informed decisions. CONCLUSIONS: This needs assessment demonstrated critical gaps in patient knowledge about RAS, surgeon communication skills, and the ability of surgeons to know what was important from the patient perspective. The development of RAS patient-centered education and outcome metrics could help address these gaps. |
format | Online Article Text |
id | pubmed-10156849 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-101568492023-05-05 Needs assessment for patient-centered education and outcome metrics in robotic surgery Moore, Hope Nicole de Paula, Thais Reif Keller, Deborah S. Surg Endosc 2022 SAGES Oral BACKGROUND: From clinical experience, many patients undergoing robotic assisted surgery (RAS) have a poor understanding of the technology. To ensure informed consent and appropriate expectations, a needs assessment for patient-centered education and outcome metrics in RAS is warranted. Our goal was to perform an assessment of patient understanding, comfort with robotic technology, and ability to obtain critical information from their surgeon when undergoing RAS. METHODS: Twenty patients planned for RAS by three surgeons were asked to complete a six-item Likert agreement scale survey prior to signing informed consent. The study coordinator administered surveys, while the surgeon left the room. Indicator statements were crafted to reduce bias and two-way evaluated for consistency. The surgeons were additionally asked their perception of each patient’s understanding and comfort with RAS. Frequency statistics and tendencies were analyzed. RESULTS: Surgeons strongly agreed all patients appropriately understood how RAS functioned and would ask more questions before signing consent, if needed. Patients were predominately not familiar with RAS and felt surgeons did not explain how RAS worked. There was wide variability on if patients understood how RAS worked for their treatment. Overall, patients were not completely comfortable with RAS for their care, did not understand the risks of RAS compared to other approaches, and did not feel their surgeon understood what they needed to know to make informed decisions. CONCLUSIONS: This needs assessment demonstrated critical gaps in patient knowledge about RAS, surgeon communication skills, and the ability of surgeons to know what was important from the patient perspective. The development of RAS patient-centered education and outcome metrics could help address these gaps. Springer US 2022-08-24 2023 /pmc/articles/PMC10156849/ /pubmed/36002685 http://dx.doi.org/10.1007/s00464-022-09500-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | 2022 SAGES Oral Moore, Hope Nicole de Paula, Thais Reif Keller, Deborah S. Needs assessment for patient-centered education and outcome metrics in robotic surgery |
title | Needs assessment for patient-centered education and outcome metrics in robotic surgery |
title_full | Needs assessment for patient-centered education and outcome metrics in robotic surgery |
title_fullStr | Needs assessment for patient-centered education and outcome metrics in robotic surgery |
title_full_unstemmed | Needs assessment for patient-centered education and outcome metrics in robotic surgery |
title_short | Needs assessment for patient-centered education and outcome metrics in robotic surgery |
title_sort | needs assessment for patient-centered education and outcome metrics in robotic surgery |
topic | 2022 SAGES Oral |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10156849/ https://www.ncbi.nlm.nih.gov/pubmed/36002685 http://dx.doi.org/10.1007/s00464-022-09500-7 |
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