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Patient views on surgeon-specific outcome reporting in vascular surgery: novel validated patient questionnaire study

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Title: Patient views on surgeon-specific outcome reporting in vascular surgery: novel validated patient questionnaire study
Authors: John, IJ
Choo, H
Pettengell, CJ
Riga, CV
Martin, GFJ
Bicknell, CD
Item Type: Journal Article
Abstract: BACKGROUND: SSMD are used to enhance transparency, improve quality and facilitate patient choice. The use of SSMD is controversial, but patients' views on such data are largely unknown. OBJECTIVES: The aim of this study was therefore to explore the views of patients and to identify their priorities for outcome reporting in vascular surgery. METHODS: A prospective questionnaire study of 165 patients receiving care in a single academic vascular unit was performed. Data on patients' current understanding and use of SSMD, together with future priorities were collected. RESULTS: Of the 165 patients 80% were unaware of SSMD. 72% thought they should be made aware of the data, although 63% thought they were likely to misinterpret the results. The majority recognized the utility of SSMD to inform treatment (60%) and surgeon (53%) choice. The majority prioritize the patient-surgeon relationship (90%) and past experiences of care (71%) when making treatment decisions. A significant majority (66% vs 49%; P < 0.005) would favour hospital-level to surgeon-level data. The main patient priorities for future outcome reporting were waiting list length (56%), the quality of hospital facilities (55%), and patient satisfaction (54%). CONCLUSIONS: The aims of SSMD reporting are not currently being met, and both patients and healthcare professionals have shared concerns over the nature and usefulness of the data. Patients express a preference for hospital-level outcomes and prioritize the experience of receiving care over outcomes when making treatment decisions. Future outcome reporting should include patient-directed hospital-level metrics that are readily accessible and understood by all.
Issue Date: 1-Dec-2021
Date of Acceptance: 1-Dec-2019
URI: http://hdl.handle.net/10044/1/75798
DOI: 10.1097/SLA.0000000000003730
ISSN: 0003-4932
Publisher: Lippincott, Williams & Wilkins
Start Page: e1030
End Page: e1037
Journal / Book Title: Annals of Surgery
Volume: 274
Issue: 6
Copyright Statement: Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved. This is a non-final version of an article published in final form in Annals of Surgery, 5 December 2019, https://doi.org/10.1097/SLA.0000000000003730
Sponsor/Funder: Imperial College Healthcare NHS Trust- BRC Funding
Imperial College Healthcare NHS Trust- BRC Funding
Funder's Grant Number: RDB04 79560
Keywords: Surgery
11 Medical and Health Sciences
Publication Status: Published
Conference Place: United States
Online Publication Date: 2019-12-05
Appears in Collections:Department of Surgery and Cancer
Faculty of Medicine
Institute of Global Health Innovation