Informed consent in sinus surgery: Link between demographics and patient desires

Rodney J. Taylor, Alexander G. Chiu, James N. Palmer, Kim Schofeld, Bert W. O'Malley, Jeffrey S. Wolf

Research output: Contribution to journalReview article

16 Scopus citations

Abstract

Objective: To evaluate and understand differences in expectations according to patient demographics during the informed consent process for functional endoscopic sinus surgery (FESS). Study Design: Multi-institutional, cross-sectional survey design. Methods: Anonymous surveys were administered to patients in two tertiary academic centers with a chief complaints relating to "allergy and sinus" problems. Patients completed and eight-item questionnaire thai assessed demographics and the nature and level of risks that patients wished to be informed of before FESS. Univariate and multivariate analyses were performed to assess for differences in patient desires related to FESS risks according to demographics. Results: Three hundred eighty-nine completed surveys were analyzed. Younger patients (P = .049), white patients (P = .0026), and more educated patients (P = .0033) wished to know about complications at the lowest risks levels (lowest incidence), regardless of severity. With regards to specific complications, black patients and patients with less formal education were less interested in being informed about the potential risks of orbital complications, cerebrospinal fluid leak, or possible need for revision surgery. Multivariate analysis confirmed that race, education, age were independently significant factors in determining response. Conclusion: Demographic-related differences exist in patient's desires and expectations in the informed consent process for a sinus procedure. Physicians should be aware of these differences when counseling patients about sinus surgery. More research is needed to elucidate the factors that underlie the observed differences.

Original languageEnglish (US)
Pages (from-to)826-831
Number of pages6
JournalLaryngoscope
Volume115
Issue number5
DOIs
StatePublished - May 1 2005
Externally publishedYes

Keywords

  • Disparities
  • Ethnicity
  • FESS
  • Functional endoscopic sinus surgery
  • Informed consent
  • Multivariate
  • Univariate

ASJC Scopus subject areas

  • Otorhinolaryngology

Fingerprint Dive into the research topics of 'Informed consent in sinus surgery: Link between demographics and patient desires'. Together they form a unique fingerprint.

  • Cite this

    Taylor, R. J., Chiu, A. G., Palmer, J. N., Schofeld, K., O'Malley, B. W., & Wolf, J. S. (2005). Informed consent in sinus surgery: Link between demographics and patient desires. Laryngoscope, 115(5), 826-831. https://doi.org/10.1097/01.MLG.0000157333.40429.72