Information needs of patients in spine surgery: development of a question prompt list to guide informed consent consultations

The Spine Journal : Official Journal of the North American Spine Society
Mirjam RenovanzSabine Fischbeck

Abstract

Informed consent is mandatory before surgery and fundamental in the physician-patient interaction. However, communication is sometimes suboptimal. The objective was to develop a question prompt list (QPL) for patients undergoing spine surgery (spinal neurosurgery-QPL, "SN-QPL") to encourage them to acquire information during the informed consent consultation (ICC) and assess patients' information needs. We conducted a prospective uncontrolled single center study in order to develop a QPL for patients undergoing spine surgery. Patients inclusion criteria were as follows: (1) planned spinal surgery, (2) age 18 to 80 years, (3) legal capacity, (4) ability to understand and respond to questionnaires, and (5) informed consent. We applied the following self-report measures: the developed preliminary QPL with regard to surgery topics and assessment of patients' information needs. First, we performed a literature review, patient interviews, and two expert rounds. Subsequently, we validated a preliminary SN-QPL including 37 items before and after ICC with regard to importance of items and fulfillment of information needs in 118 patients. A principal component analysis followed by varimax rotation revealed the final SN-QPL. For the final...Continue Reading

Citations

Dec 12, 2020·World Neurosurgery·Nathan A ShlobinNader S Dahdaleh
Jun 6, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sabine FischbeckFlorian Ringel
Nov 2, 2020·Neurosurgical Focus·Nathan A ShlobinSandi Lam

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