Patient preference survey: are patients willing to delay surgery if obstructive sleep apnea is suspected?
Abstract Background Screening and optimizing patients for OSA in the perioperative period may reduce postoperative complications. However, sleep studies can be difficult to obtain before surgery. Previous surveys reported that the majority of sleep physicians would delay surgery to diagnose and mana...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-09-01
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| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12871-018-0594-5 |
| _version_ | 1818406004016021504 |
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| author | George Ho Crispiana Cozowicz Jean Wong Mandeep Singh Enoch Lam Eva E. Mörwald Najia Hasan Stavros G. Memtsoudis Frances Chung |
| author_facet | George Ho Crispiana Cozowicz Jean Wong Mandeep Singh Enoch Lam Eva E. Mörwald Najia Hasan Stavros G. Memtsoudis Frances Chung |
| author_sort | George Ho |
| collection | DOAJ |
| description | Abstract Background Screening and optimizing patients for OSA in the perioperative period may reduce postoperative complications. However, sleep studies can be difficult to obtain before surgery. Previous surveys reported that the majority of sleep physicians would delay surgery to diagnose and manage OSA, but most anesthesiologists would not. While disagreements exist, the importance of shared decision making and patient preferences have never been studied on this topic. It is unknown whether patients with suspected OSA, when given information about OSA, would be willing to delay surgery to diagnose and manage their condition preoperatively. Methods This study consisted of a self-administered questionnaire that surveyed patients, patient relatives, or any accompanying members. The survey was conducted in the preoperative clinic or in the perioperative patient and family waiting area at two hospitals in Canada and in the United States. A hypothetical scenario was used: participants were given information about OSA, and asked about their preferences regarding preoperative management should they be at risk for OSA in the setting of pending elective surgery. The objective of this study was to determine whether respondents preferred to 1) proceed with surgery as planned, 2) delay surgery to ensure the medical condition of OSA is diagnosed and optimized, or 3) let his/her physician decide. Results The final survey contained 19 questions and the survey was conducted from June 2016 to September 2016. Four hundred and seventy-three surveys were collected. Forty-four percent of respondents, when given information about OSA, preferred to delay surgery pending a sleep study and treatment. Forty percent of respondents who preferred to delay surgery would tolerate delaying up to two months. Conclusion Increasing emphasis and significant value has been placed on shared-decision making between patients and physicians. Educating patients about the risks of OSA and incorporating patient preferences into the perioperative management of OSA may be warranted. |
| first_indexed | 2024-12-14T09:05:02Z |
| format | Article |
| id | doaj.art-b4c6b12df60a4284b0f66e36038957dd |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-14T09:05:02Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-b4c6b12df60a4284b0f66e36038957dd2022-12-21T23:08:43ZengBMCBMC Anesthesiology1471-22532018-09-011811810.1186/s12871-018-0594-5Patient preference survey: are patients willing to delay surgery if obstructive sleep apnea is suspected?George Ho0Crispiana Cozowicz1Jean Wong2Mandeep Singh3Enoch Lam4Eva E. Mörwald5Najia Hasan6Stavros G. Memtsoudis7Frances Chung8Department of Anesthesiology and Pain Medicine, Toronto Western Hospital, University Health Network, University of TorontoDepartment of Anesthesiology, Hospital for Special Surgery, Weill Cornell Medical CollegeDepartment of Anesthesiology and Pain Medicine, Toronto Western Hospital, University Health Network, University of TorontoDepartment of Anesthesiology and Pain Medicine, Toronto Western Hospital, University Health Network, University of TorontoDepartment of Anesthesiology and Pain Medicine, Toronto Western Hospital, University Health Network, University of TorontoDepartment of Anesthesiology, Hospital for Special Surgery, Weill Cornell Medical CollegeDepartment of Anesthesiology and Pain Medicine, Toronto Western Hospital, University Health Network, University of TorontoDepartment of Anesthesiology, Hospital for Special Surgery, Weill Cornell Medical CollegeDepartment of Anesthesiology and Pain Medicine, Toronto Western Hospital, University Health Network, University of TorontoAbstract Background Screening and optimizing patients for OSA in the perioperative period may reduce postoperative complications. However, sleep studies can be difficult to obtain before surgery. Previous surveys reported that the majority of sleep physicians would delay surgery to diagnose and manage OSA, but most anesthesiologists would not. While disagreements exist, the importance of shared decision making and patient preferences have never been studied on this topic. It is unknown whether patients with suspected OSA, when given information about OSA, would be willing to delay surgery to diagnose and manage their condition preoperatively. Methods This study consisted of a self-administered questionnaire that surveyed patients, patient relatives, or any accompanying members. The survey was conducted in the preoperative clinic or in the perioperative patient and family waiting area at two hospitals in Canada and in the United States. A hypothetical scenario was used: participants were given information about OSA, and asked about their preferences regarding preoperative management should they be at risk for OSA in the setting of pending elective surgery. The objective of this study was to determine whether respondents preferred to 1) proceed with surgery as planned, 2) delay surgery to ensure the medical condition of OSA is diagnosed and optimized, or 3) let his/her physician decide. Results The final survey contained 19 questions and the survey was conducted from June 2016 to September 2016. Four hundred and seventy-three surveys were collected. Forty-four percent of respondents, when given information about OSA, preferred to delay surgery pending a sleep study and treatment. Forty percent of respondents who preferred to delay surgery would tolerate delaying up to two months. Conclusion Increasing emphasis and significant value has been placed on shared-decision making between patients and physicians. Educating patients about the risks of OSA and incorporating patient preferences into the perioperative management of OSA may be warranted.http://link.springer.com/article/10.1186/s12871-018-0594-5Obstructive sleep apneaAnesthesiologySurveysDecision making |
| spellingShingle | George Ho Crispiana Cozowicz Jean Wong Mandeep Singh Enoch Lam Eva E. Mörwald Najia Hasan Stavros G. Memtsoudis Frances Chung Patient preference survey: are patients willing to delay surgery if obstructive sleep apnea is suspected? BMC Anesthesiology Obstructive sleep apnea Anesthesiology Surveys Decision making |
| title | Patient preference survey: are patients willing to delay surgery if obstructive sleep apnea is suspected? |
| title_full | Patient preference survey: are patients willing to delay surgery if obstructive sleep apnea is suspected? |
| title_fullStr | Patient preference survey: are patients willing to delay surgery if obstructive sleep apnea is suspected? |
| title_full_unstemmed | Patient preference survey: are patients willing to delay surgery if obstructive sleep apnea is suspected? |
| title_short | Patient preference survey: are patients willing to delay surgery if obstructive sleep apnea is suspected? |
| title_sort | patient preference survey are patients willing to delay surgery if obstructive sleep apnea is suspected |
| topic | Obstructive sleep apnea Anesthesiology Surveys Decision making |
| url | http://link.springer.com/article/10.1186/s12871-018-0594-5 |
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