Regret in Surgical Decision Making: A Systematic Review of Patient and Physician Perspectives

被引:120
作者
Wilson, Ana [1 ]
Ronnekleiv-Kelly, Sean M. [1 ]
Pawlik, Timothy M. [2 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Surg, Baltimore, MD 21205 USA
[2] Ohio State Univ, Dept Surg, Urban Meyer III & Shelley Meyer Chair Canc Res, Wexner Med Ctr, 395 W 12th Ave,Suite 670, Columbus, OH 43210 USA
关键词
QUALITY-OF-LIFE; LOCALIZED PROSTATE-CANCER; LAPAROSCOPIC RADICAL PROSTATECTOMY; ENDOSCOPIC THORACIC SYMPATHECTOMY; PELVIC ORGAN PROLAPSE; TERM-FOLLOW-UP; BREAST-CANCER; THORACOSCOPIC SYMPATHECTOMY; ANTICIPATED REGRET; HEALTH-CARE;
D O I
10.1007/s00268-017-3895-9
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objective Regret is a powerful motivating factor in medical decision making among patients and surgeons. Regret can be particularly important for surgical decisions, which often carry significant risk and may have uncertain outcomes. We performed a systematic review of the literature focused on patient and physician regret in the surgical setting. Methods A search of the English literature between 1986 and 2016 that examined patient and physician self-reported decisional regret was carried out using the MEDLINE/PubMed and Web of Science databases. Clinical studies performed in patients and physicians participating in elective surgical treatment were included. Results Of 889 studies identified, 73 patient studies and 6 physician studies met inclusion criteria. Among the 73 patient studies, 57.5% examined patients with a cancer diagnosis, with breast (26.0%) and prostate (28.8%) cancers being most common. Interestingly, self-reported patient regret was relatively uncommon with an average prevalence across studies of 14.4%. Factors most often associated with regret included type of surgery, disease-specific quality of life, and shared decision making. Only 6 studies were identified that focused on physician regret; 2 pertained to surgical decision making. These studies primarily measured regret of omission and commission using hypothetical case scenarios and used the results to develop decision curve analysis tools. Conclusion Self-reported decisional regret was present in about 1 in 7 surgical patients. Factors associated with regret were both patient- and procedure related. While most studies focused on patient regret, little data exist on how physician regret affects shared decision making.
引用
收藏
页码:1454 / 1465
页数:12
相关论文
共 83 条
[1]   Analysis of Benign Prostatic Hyperplasia Patients' Perspective Through a Third Party-administered Survey [J].
Abdul-Muhsin, Haidar M. ;
Tyson, Mark D. ;
Andrews, Paul E. ;
Castle, Erik P. ;
Ferrigni, Robert G. ;
Wolter, Christopher E. ;
Swanson, Scott K. ;
McLemore, Ryan Y. ;
Humphreys, Mitchell R. .
UROLOGY, 2016, 88 :155-160
[2]   Orthognathic Surgery: Pretreatment Information and Patient Satisfaction [J].
AlKharafi, Lateefa ;
AlHajery, Dalal ;
Andersson, Lars .
MEDICAL PRINCIPLES AND PRACTICE, 2014, 23 (03) :218-224
[3]   Defining when to offer operative treatment for intrahepatic cholangiocarcinoma: A regret-based decision curves analysis [J].
Bagante, Fabio ;
Spolverato, Gaya ;
Cucchetti, Alessandro ;
Gani, Faiz ;
Popescu, Irinel ;
Ruzzenente, Andrea ;
Marques, Hugo P. ;
Aldrighetti, Luca ;
Gamblin, T. Clark ;
Maithel, Shishir K. ;
Sandroussi, Charbel ;
Bauer, Todd W. ;
Shen, Feng ;
Poultsides, George A. ;
Marsh, James Wallis ;
Gugliehni, Alfredo ;
Pawlik, Timothy M. .
SURGERY, 2016, 160 (01) :106-117
[4]   Decision preparation, satisfaction and regret in a multi-center sample of men with newly diagnosed localized prostate cancer [J].
Berry, Donna L. ;
Wang, Qian ;
Halpenny, Barbara ;
Hong, Fangxin .
PATIENT EDUCATION AND COUNSELING, 2012, 88 (02) :262-267
[5]   Assessment of patients' and caregivers' informational and decisional needs for left ventricular assist device placement: Implications for informed consent and shared decision-making [J].
Blumenthal-Barby, Jennifer S. ;
Kostick, Kristin M. ;
Delgado, Estevan D. ;
Volk, Robert J. ;
Kaplan, Holland M. ;
Wilhelms, L. A. ;
McCurdy, Sheryl A. ;
Estep, Jerry D. ;
Loebe, Matthias ;
Bruce, Courtenay R. .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2015, 34 (09) :1182-1189
[6]   Patient regrets after bilateral prophylactic mastectomy [J].
Borgen, PI ;
Hill, ADK ;
Tran, KN ;
Van Zee, KJ ;
Massie, MJ ;
Payne, D ;
Biggs, CG .
ANNALS OF SURGICAL ONCOLOGY, 1998, 5 (07) :603-606
[7]   Shared Decision Making and Choice for Elective Surgical Care: A Systematic Review [J].
Boss, Emily F. ;
Mehta, Nishchay ;
Nagarajan, Neeraja ;
Links, Anne ;
Benke, James R. ;
Berger, Zackary ;
Espinel, Ali ;
Meier, Jeremy ;
Lipstein, Ellen A. .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2016, 154 (03) :405-420
[8]   Validation of a decision regret scale [J].
Brehaut, JC ;
O'Connor, AM ;
Wood, TJ ;
Hack, TF ;
Siminoff, L ;
Gordon, E ;
Feldman-Stewart, D .
MEDICAL DECISION MAKING, 2003, 23 (04) :281-292
[9]   The importance of classification in sympathetic surgery and a proposed mechanism for compensatory hyperhidrosis: experience with 464 cases [J].
Chou, S. -H. ;
Kao, E. -L. ;
Lin, C. -C. ;
Chang, Y. -T. ;
Huang, M. -F. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2006, 20 (11) :1749-1753
[10]   Living with treatment decisions: Regrets and quality of life among men treated for metastatic prostate cancer [J].
Clark, JA ;
Wray, NP ;
Ashton, CM .
JOURNAL OF CLINICAL ONCOLOGY, 2001, 19 (01) :72-80