$Role of the treating surgeon in the consent process for elective refractive surgery$
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Role of the treating surgeon in the consent process for elective refractive surgery

Steven C Schallhorn,1–3 Stephen J Hannan,3 David Teenan,3 Julie M Schallhorn1 1Department of Ophthalmology, University of California, San Francisco, San Francisco, 2Roski Eye Institute, University of Southern California, Los Angeles, CA, USA; 3Optical Express, Glasgow, UK Purpose: To com...

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Autores principales:	Schallhorn SC, Hannan SJ, Teenan D, Schallhorn JM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Consent process refractive surgery laser vision correction refractive lens exchange quality of life outcomes Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1e9fbb97b3764044b20248f0394cd8bc
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spelling	oai:doaj.org-article:1e9fbb97b3764044b20248f0394cd8bc2021-12-02T05:35:17ZRole of the treating surgeon in the consent process for elective refractive surgery1177-5483https://doaj.org/article/1e9fbb97b3764044b20248f0394cd8bc2016-11-01T00:00:00Zhttps://www.dovepress.com/role-of-the-treating-surgeon-in-the-consent-process-for-elective-refra-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Steven C Schallhorn,1–3 Stephen J Hannan,3 David Teenan,3 Julie M Schallhorn1 1Department of Ophthalmology, University of California, San Francisco, San Francisco, 2Roski Eye Institute, University of Southern California, Los Angeles, CA, USA; 3Optical Express, Glasgow, UK Purpose: To compare patient’s perception of consent quality, clinical and quality-of-life outcomes after laser vision correction (LVC) and refractive lens exchange (RLE) between patients who met their treating surgeon prior to the day of surgery (PDOS) or on the day of surgery (DOS). Design: Retrospective, comparative case series. Setting: Optical Express, Glasgow, UK. Methods: Patients treated between October 2015 and June 2016 (3972 LVC and 979 RLE patients) who attended 1-day and 1-month postoperative aftercare and answered a questionnaire were included in this study. All patients had a thorough preoperative discussion with an optometrist, watched a video consent, and were provided with written information. Patients then had a verbal discussion with their treating surgeon either PDOS or on the DOS, according to patient preference. Preoperative and 1-month postoperative visual acuity, refraction, preoperative, 1-day and 1-month postoperative questionnaire were compared between DOS and PDOS patients. Multivariate regression model was developed to find factors associated with patient’s perception of consent quality. Results: Preoperatively, 8.0% of LVC and 17.1% of RLE patients elected to meet their surgeon ahead of the surgery day. In the LVC group, 97.5% of DOS and 97.2% of PDOS patients indicated they were properly consented for surgery (P=0.77). In the RLE group, 97.0% of DOS and 97.0% of PDOS patients stated their consent process for surgery was adequate (P=0.98). There was no statistically significant difference between DOS and PDOS patients in most of the postoperative clinical or questionnaire outcomes. Factors predictive of patient’s satisfaction with consent quality were postoperative satisfaction with vision (46.7% of explained variance), difficulties with night driving, close-up vision or outdoor/sports activities (25.4%), visual phenomena (12.2%), dry eyes (7.5%), and patient’s satisfaction with surgeon’s care (8.2%). Conclusion: Perception of quality of consent was comparable between patients that elected to meet the surgeon PDOS, and those who did not. Keywords: consent process, refractive surgery, laser vision correction, refractive lens exchange, quality of life outcomesSchallhorn SCHannan SJTeenan DSchallhorn JMDove Medical PressarticleConsent processrefractive surgerylaser vision correctionrefractive lens exchangequality of life outcomesOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 2391-2402 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Consent process refractive surgery laser vision correction refractive lens exchange quality of life outcomes Ophthalmology RE1-994
spellingShingle	Consent process refractive surgery laser vision correction refractive lens exchange quality of life outcomes Ophthalmology RE1-994 Schallhorn SC Hannan SJ Teenan D Schallhorn JM Role of the treating surgeon in the consent process for elective refractive surgery
description	Steven C Schallhorn,1–3 Stephen J Hannan,3 David Teenan,3 Julie M Schallhorn1 1Department of Ophthalmology, University of California, San Francisco, San Francisco, 2Roski Eye Institute, University of Southern California, Los Angeles, CA, USA; 3Optical Express, Glasgow, UK Purpose: To compare patient’s perception of consent quality, clinical and quality-of-life outcomes after laser vision correction (LVC) and refractive lens exchange (RLE) between patients who met their treating surgeon prior to the day of surgery (PDOS) or on the day of surgery (DOS). Design: Retrospective, comparative case series. Setting: Optical Express, Glasgow, UK. Methods: Patients treated between October 2015 and June 2016 (3972 LVC and 979 RLE patients) who attended 1-day and 1-month postoperative aftercare and answered a questionnaire were included in this study. All patients had a thorough preoperative discussion with an optometrist, watched a video consent, and were provided with written information. Patients then had a verbal discussion with their treating surgeon either PDOS or on the DOS, according to patient preference. Preoperative and 1-month postoperative visual acuity, refraction, preoperative, 1-day and 1-month postoperative questionnaire were compared between DOS and PDOS patients. Multivariate regression model was developed to find factors associated with patient’s perception of consent quality. Results: Preoperatively, 8.0% of LVC and 17.1% of RLE patients elected to meet their surgeon ahead of the surgery day. In the LVC group, 97.5% of DOS and 97.2% of PDOS patients indicated they were properly consented for surgery (P=0.77). In the RLE group, 97.0% of DOS and 97.0% of PDOS patients stated their consent process for surgery was adequate (P=0.98). There was no statistically significant difference between DOS and PDOS patients in most of the postoperative clinical or questionnaire outcomes. Factors predictive of patient’s satisfaction with consent quality were postoperative satisfaction with vision (46.7% of explained variance), difficulties with night driving, close-up vision or outdoor/sports activities (25.4%), visual phenomena (12.2%), dry eyes (7.5%), and patient’s satisfaction with surgeon’s care (8.2%). Conclusion: Perception of quality of consent was comparable between patients that elected to meet the surgeon PDOS, and those who did not. Keywords: consent process, refractive surgery, laser vision correction, refractive lens exchange, quality of life outcomes
format	article
author	Schallhorn SC Hannan SJ Teenan D Schallhorn JM
author_facet	Schallhorn SC Hannan SJ Teenan D Schallhorn JM
author_sort	Schallhorn SC
title	Role of the treating surgeon in the consent process for elective refractive surgery
title_short	Role of the treating surgeon in the consent process for elective refractive surgery
title_full	Role of the treating surgeon in the consent process for elective refractive surgery
title_fullStr	Role of the treating surgeon in the consent process for elective refractive surgery
title_full_unstemmed	Role of the treating surgeon in the consent process for elective refractive surgery
title_sort	role of the treating surgeon in the consent process for elective refractive surgery
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/1e9fbb97b3764044b20248f0394cd8bc
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Role of the treating surgeon in the consent process for elective refractive surgery

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