Public Perceptions of Transoral Endocrine Surgery and their Influence on Choice of Operative Approach.

Autor: Broekhuis JM; Harvard Medical School, Boston, MA; Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA. Electronic address: jbroekhu@bidmc.harvard.edu., Chen HW; Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA., Maeda AH; Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA., Duncan S; Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA., Grogan RH; Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX., James BC; Harvard Medical School, Boston, MA; Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA. Electronic address: bjames1@bidmc.harvard.edu.
Jazyk: angličtina
Zdroj: The Journal of surgical research [J Surg Res] 2021 Nov; Vol. 267, pp. 56-62. Date of Electronic Publication: 2021 Jun 12.
DOI: 10.1016/j.jss.2021.04.041
Abstrakt: Background: Transoral Endocrine Surgery (TES) represents an alternative to the open approach with no visible scar. Studies have shown TES has a safety profile similar to the open approach, but adoption has been limited. Public perception and preference for TES are factors associated with adoption that have not been explored. Here we aim to understand the perception of TES by the public and factors which influence decision making.
Materials and Methods: A 38-question survey was designed to assess factors which influence willingness to pursue TES. The survey was distributed utilizing Amazon Mechanical Turk (MTurk), a crowdsourcing marketplace in which individuals perform tasks virtually based on interest. Descriptive analyses, Pearson chi-squared tests, Student's t-tests, and multivariate logistic regression were performed to evaluate theoretical decision to pursue TES.
Results: Respondents (n = 795) were 47% female, 78% white, 70% held a college degree or higher, and had a mean age of 37. The majority (69%) preferred a mouth incision over a neck incision. Respondents were willing to pursue TES for a theoretical cancer despite increased cost (52%) and longer operative time (70%). Respondents top two most important surgical factors were safety and experience.
Conclusions: Our data suggest the general public is willing to pursue TES and factors thought to be barriers to choosing TES may not deter the public. An informed discussion with appropriately-selected patients should be had between the patient and surgeon regarding specific surgical and postoperative differences including risks, safety, and experience.
(Copyright © 2021. Published by Elsevier Inc.)
Databáze: MEDLINE
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