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Visual Preoperative Risk Depiction Tools for Shared Decision-making: A Pilot Study from the Surgeon’s Perspective
Shared decision-making (SDM) and effective risk communication improve patient satisfaction, adherence to treatment, and understanding of perioperative care pathways. Available risk calculators are less relevant for low-risk operations. The aim of this pilot study was to develop graphical risk visual...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9708169/ https://www.ncbi.nlm.nih.gov/pubmed/36467117 http://dx.doi.org/10.1097/GOX.0000000000004690 |
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author | Bhat, Saiuj Wang, Alice T. Wood, Fiona Orgill, Dennis P. |
author_facet | Bhat, Saiuj Wang, Alice T. Wood, Fiona Orgill, Dennis P. |
author_sort | Bhat, Saiuj |
collection | PubMed |
description | Shared decision-making (SDM) and effective risk communication improve patient satisfaction, adherence to treatment, and understanding of perioperative care pathways. Available risk calculators are less relevant for low-risk operations. The aim of this pilot study was to develop graphical risk visualization tools to enhance surgical SDM discussions preoperatively. METHODS: Complications for reduction mammoplasty and skin grafting in a burns setting were sourced from the American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator, the American Society of Plastic Surgeons website, peer-reviewed literature, and available clinical data. Pre- and postoperative patient satisfaction data were collected from the published literature on Breast-Q patient-reported outcomes for reduction mammoplasty. Everyday risk comparisons were collected from a general online database search. Three distinct risk depiction tools (spiral, tile, and scatter plot) were developed in the Microsoft Office Suite. Anonymous REDCap surveys were sent to healthcare practitioners for feedback. RESULTS: Twenty-six survey results were collected. Twenty-four respondents (92%) agreed these graphics would be useful for SDM discussions. Nineteen respondents (73%) either agreed or strongly agreed that these graphics depicted risk in a meaningful way. Fifteen respondents (58%) indicated they would use these graphics in daily practice. The majority of respondents preferred the spiral design (58%). Areas for improvement included design simplification and written explanations to accompany graphics. Feedback from the survey was incorporated into the spiral design. CONCLUSIONS: Risk visualization tools meaningfully depict surgical risks to improve communication in SDM. This study proposes a tool that can be adapted for many surgical procedures. |
format | Online Article Text |
id | pubmed-9708169 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-97081692022-12-01 Visual Preoperative Risk Depiction Tools for Shared Decision-making: A Pilot Study from the Surgeon’s Perspective Bhat, Saiuj Wang, Alice T. Wood, Fiona Orgill, Dennis P. Plast Reconstr Surg Glob Open Technology Shared decision-making (SDM) and effective risk communication improve patient satisfaction, adherence to treatment, and understanding of perioperative care pathways. Available risk calculators are less relevant for low-risk operations. The aim of this pilot study was to develop graphical risk visualization tools to enhance surgical SDM discussions preoperatively. METHODS: Complications for reduction mammoplasty and skin grafting in a burns setting were sourced from the American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator, the American Society of Plastic Surgeons website, peer-reviewed literature, and available clinical data. Pre- and postoperative patient satisfaction data were collected from the published literature on Breast-Q patient-reported outcomes for reduction mammoplasty. Everyday risk comparisons were collected from a general online database search. Three distinct risk depiction tools (spiral, tile, and scatter plot) were developed in the Microsoft Office Suite. Anonymous REDCap surveys were sent to healthcare practitioners for feedback. RESULTS: Twenty-six survey results were collected. Twenty-four respondents (92%) agreed these graphics would be useful for SDM discussions. Nineteen respondents (73%) either agreed or strongly agreed that these graphics depicted risk in a meaningful way. Fifteen respondents (58%) indicated they would use these graphics in daily practice. The majority of respondents preferred the spiral design (58%). Areas for improvement included design simplification and written explanations to accompany graphics. Feedback from the survey was incorporated into the spiral design. CONCLUSIONS: Risk visualization tools meaningfully depict surgical risks to improve communication in SDM. This study proposes a tool that can be adapted for many surgical procedures. Lippincott Williams & Wilkins 2022-11-29 /pmc/articles/PMC9708169/ /pubmed/36467117 http://dx.doi.org/10.1097/GOX.0000000000004690 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Technology Bhat, Saiuj Wang, Alice T. Wood, Fiona Orgill, Dennis P. Visual Preoperative Risk Depiction Tools for Shared Decision-making: A Pilot Study from the Surgeon’s Perspective |
title | Visual Preoperative Risk Depiction Tools for Shared Decision-making: A Pilot Study from the Surgeon’s Perspective |
title_full | Visual Preoperative Risk Depiction Tools for Shared Decision-making: A Pilot Study from the Surgeon’s Perspective |
title_fullStr | Visual Preoperative Risk Depiction Tools for Shared Decision-making: A Pilot Study from the Surgeon’s Perspective |
title_full_unstemmed | Visual Preoperative Risk Depiction Tools for Shared Decision-making: A Pilot Study from the Surgeon’s Perspective |
title_short | Visual Preoperative Risk Depiction Tools for Shared Decision-making: A Pilot Study from the Surgeon’s Perspective |
title_sort | visual preoperative risk depiction tools for shared decision-making: a pilot study from the surgeon’s perspective |
topic | Technology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9708169/ https://www.ncbi.nlm.nih.gov/pubmed/36467117 http://dx.doi.org/10.1097/GOX.0000000000004690 |
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