What does this research mean for the field?

Providing extended written information about possible complications before cardiac surgery significantly increases patient satisfaction compared to standard care, without increasing anxiety or depression. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate cardiac surgery patients' perceptions of pre-operative risk information and assess whether detailed written complication disclosures affect psychological distress.

August 3, 2005European Journal of Cardio-Thoracic SurgeryOpen Access

Extended written pre-operative information about possible complications at cardiac surgery—do the patients want to know?

Q: What is the clinical evidence from this study?

Study design: Cohort. Population: Cardiac surgery (coronary artery bypass and/or valve surgery) (n=338). Intervention: Extended written information regarding possible complications vs. Conventional written standard information. Primary outcome: Satisfaction with written information about common and rare complications (p=<0.001).

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Key result

Extended written information about possible complications before cardiac surgery significantly increased patient satisfaction with the information compared to standard care, without increasing anxiety or depression.

Why the study?

Does detailed written information about possible complications improve patient satisfaction and affect anxiety or distress in patients planned for cardiac surgery?

Population

338 patients planned for cardiac surgery (n=182 in intervention group, n=156 in control group)

Comparison

Detailed written information regarding possible… vs Conventional information

Design

Cohort

Follow-up

8 weeks after surgery

Authors

BIBodil IvarssonLund University SLSylvia LarssonLund University CLCarsten LührsLund University

Discussion

Member takes

Implication

May support extended written information to boost satisfaction without anxiety; hypothesis-generating, requiring RCTs before cardiac surgery practice change.

Key Points

To evaluate cardiac surgery patients' perceptions of pre-operative risk information and assess whether detailed written complication disclosures affect psychological distress.
Comparative trial involving 182 patients receiving extended written information regarding surgical complications (intervention) and 156 patients receiving conventional information (control).
Questionnaires evaluated patient satisfaction, anxiety and depression (Hospital Anxiety and Depression Scale, HADS), and distress (Impact of Event Scale, IES) pre-operatively and 8 weeks post-surgery.
A majority of patients in both cohorts wanted information regarding both common and rare complications (72% intervention vs. 69% control).
Intervention patients were significantly more satisfied with all dimensions of the information received both pre- and post-operatively compared with controls.
No significant differences were identified between groups for anxiety, depression, or distress scores on HADS or IES before surgery or at 8 weeks of follow-up.

Study Design

Type

Cohort (n=338)

Multicenter

Structured PICO

Does detailed written information about possible complications improve patient satisfaction and affect anxiety or distress in patients planned for cardiac surgery?

Population

338 patients planned for cardiac surgery (n=182 in intervention group, n=156 in control group)

Intervention

Detailed written information regarding possible complications related to cardiac surgery

Comparator

Conventional information

Outcome

Patients' experiences of information regarding possible complications, anxiety and depression (HADS), and avoidance or intrusion distress (IES)patient reported

Main Result

p-value: p=<0.001

Providing detailed written information about potential complications before cardiac surgery improves patient satisfaction without increasing anxiety or depression.

Limitations

Non-randomised design
Sequential data collection (control group completed first, followed by intervention group after a 10-week intermission)

Cite This Study

Ivarsson et al. (2005) conducted a cohort in Cardiac surgery (coronary artery bypass and/or valve surgery) (n=338). Extended written information regarding possible complications vs. Conventional written standard information was evaluated on Satisfaction with written information about common and rare complications (p=<0.001). Extended written information about possible complications before cardiac surgery significantly increased patient satisfaction with the information compared to standard care, without increasing anxiety or depression.

synapsesocial.com/papers/6a17423151b167d07f5df26e https://doi.org/10.1016/j.ejcts.2005.05.006

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Implication

May support extended written information to boost satisfaction without anxiety; hypothesis-generating, requiring RCTs before cardiac surgery practice change.

Extended written pre-operative information about possible complications at cardiac surgery—do the patients want to know?

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Extended written pre-operative information about possible complications at cardiac surgery—do the patients want to know?

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Main Result

Limitations

Cite This Study

Also Consider

Also Consider