Risk communication in cataract surgery.
BMJ Open Ophthalmol
; 9(1)2024 May 09.
Article
in En
| MEDLINE
| ID: mdl-38729627
ABSTRACT
PURPOSE:
Risk communication is an integral aspect of shared decision-making and evidence-based patient choice. There is currently no recommended way of communicating risks and benefits of cataract surgery to patients. This study aims to investigate whether the way this information is presented influences patients' perception of how risky surgery will be. METHODS ANDANALYSIS:
Two-arm parallel randomised study and patients referred for cataract surgery were assigned to receive information framed either positively (99% chance of no adverse effects) or negatively (1% chance of adverse effects). Subsequently, patients rated their perceived risk of experiencing surgical side effects on a 1-6 scale.RESULTS:
This study included 100 patients, 50 in each study group. Median (IQR) risk perception was 2 (1-2) in the positive framing group and 3 (1-3) in the negative framing group (p<0.0001). Risk framing was the only factor that was significant in risk perception, with no differences found by other patient clinical or demographic characteristics.CONCLUSION:
Patients who received positive framing reported lower risk scores for cataract surgery than patients who received negative framing. Patient factors were not identified as significant determinants in patients' perceived risk. Larger longitudinal studies are warranted to further investigate.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cataract Extraction
/
Communication
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
BMJ Open Ophthalmol
Year:
2024
Document type:
Article
Affiliation country:
Canada
Country of publication:
United kingdom