Preoperative Surgical Discussion and Information Retention by Patients

Abstract

Background: To assess how much information communicated to patients is understood and retained after preoperative discussion of upper extremity procedures. Methods: A prospective study was designed by recruiting patients prior to undergoing upper extremity surgical procedures after a detailed discussion of their operative technique, postoperative care and treatment outcomes. Patients were given the same 20-item questionnaire to fill out twice, at two pre operative visits. An independent evaluator filled out a third questionnaire as a control. Various discussion points of the survey were compared among the 3 questionnaires and retained information and perceived comprehension were evaluated. Results: The average patients’ age was 50.3 (27–75) years The average time between the two surveys preoperative 1 and preoperative 2 was 40.7 (7–75) days,. The average patient had approximately 2 years of college or an associate’s degree. Patients initially retained 73% (52–90%) of discussion points presented during preoperative 1 and 61% (36–85%) of the information at preoperative 2 p = .002. 50% of patients felt they understood 100% of the discussion, this dropped to only 10% at their preoperative 2 visit. 15% of our patients did not know what type of anesthesia they were having at preoperative 2. Conclusions: A communication barrier between patients and physicians exists when patients are informed about their preoperative surgical discussion. The retention of information presented is worsened with elapsing time from the initial preoperative discussion to the second preoperative visit immediately prior to surgery. Methods to enhance patients’ retention of information prior to surgery must be sought and implemented which will improve patients’ treatment outcome.