Patients' perspective on full disclosure and informed consent regarding postoperative visual loss associated with spinal surgery in the prone position

David M Corda; Franklin Dexter; Jeffrey J Pasternak; Terrence L Trentman; Eric W Nottmeier; Sorin J Brull

doi:10.4065/mcp.2011.0279

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Patients' perspective on full disclosure and informed consent regarding postoperative visual loss associated with spinal surgery in the prone position

Journal article

Open access

Peer reviewed

Patients' perspective on full disclosure and informed consent regarding postoperative visual loss associated with spinal surgery in the prone position

David M Corda, Franklin Dexter, Jeffrey J Pasternak, Terrence L Trentman, Eric W Nottmeier and Sorin J Brull

Mayo Clinic proceedings, Vol.86(9), pp.865-868

09/2011

DOI: 10.4065/mcp.2011.0279

PMCID: PMC3258003

PMID: 21878598

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Abstract

To determine patients' opinions regarding the person, method, and timing for disclosure of postoperative visual loss (POVL) associated with high-risk surgery. On the basis of findings of a pilot study involving 219 patients at Mayo Clinic in Florida, we hypothesized that at least 80% of patients would prefer disclosure of POVL by the surgeon, during a face-to-face discussion, before the day of scheduled surgery. To test the hypothesis, we sent a questionnaire to 437 patients who underwent prolonged prone spinal surgical procedures at Mayo Clinic in Rochester, MN, or Mayo Clinic in Arizona from December 1, 2008, to December 31, 2009. Among the 184 respondents, 158 patients gave responses supporting the hypothesis vs 26 with at least 1 response not supporting it, for an observed incidence of 86%. The 2-sided 95% confidence interval is 80% to 91%. At least 80% of patients prefer full disclosure of the risk of POVL, by the surgeon, during a face-to-face discussion before the day of scheduled surgery. This finding supports development of a national patient-driven guideline for disclosing the risk of POVL before prone spinal surgery.

United States - epidemiology

Prone Position

Professional-Patient Relations

Humans

Postoperative Complications - prevention & control

Postoperative Period

Male

Postoperative Complications - epidemiology

Disclosure

Spinal Cord - surgery

Patient Satisfaction

Informed Consent

Pilot Projects

Vision Disorders - prevention & control

Female

Perception

Vision Disorders - epidemiology

Details

Title: Subtitle: Patients' perspective on full disclosure and informed consent regarding postoperative visual loss associated with spinal surgery in the prone position
Creators: David M Corda - Department of Anesthesiology, Mayo Clinic, Jacksonville, FL 32224, USA. corda.david@mayo.edu
Franklin Dexter
Jeffrey J Pasternak
Terrence L Trentman
Eric W Nottmeier
Sorin J Brull
Resource Type: Journal article
Publication Details: Mayo Clinic proceedings, Vol.86(9), pp.865-868
DOI: 10.4065/mcp.2011.0279
PMID: 21878598
PMCID: PMC3258003
NLM abbreviation: Mayo Clin Proc
ISSN: 0025-6196
eISSN: 1942-5546
Publisher: England
Language: English
Date published: 09/2011
Academic Unit: Health Management and Policy; Anesthesia
Record Identifier: 9983806383002771

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