Comparison of the Efficacy of Three Different Methods of Explaining the Surgical Procedure of Hemithyroidectomy

• Published in: Indian journal of endocrinology and metabolism 2018-07, Vol.22 (4), p.520-524
• Main Authors: Mayilvaganan, Sabaretnam, Shivaprasad, Channabasappa
• Format: Article
• Language: English
• Subjects: Anxiety; Cellular biology; Decision making; Evaluation; Forecasts and trends; Hospitals; Informed consent; Medical communication; Methods; Original; Patient outcomes; Patient satisfaction; Physician-patient relations; Questionnaires; Radiation therapy; Surgeons; Surgery; Thyroid gland; Thyroidectomy; Variance analysis
• ISSN: 2230-8210; 2230-9500
• DOI: 10.4103/ijem.IJEM_609_17

For patients indicated for surgical treatment, adequate information about the procedure and its complications is a prerequisite for consent, reassures the patient, and allows them to make a well-informed decision. This prospective randomized study aimed to compare the outcomes of three different methods of explaining the procedure of hemithyroidectomy to patients' satisfaction. The three different methods for explaining the surgical procedure included a conventional diagram, three-dimensional (3D) thyroid model, and 2-minute animated video. A modified Patient Satisfaction Questionnaire was used to evaluate the efficacy of the methods and assess overall patient experience; 20 patients were randomized to each group. An endocrine surgeon performed the operative procedure using a sutureless technique. The procedure was explained to the patient a week before surgery in the outpatient department. Majority of the patients were female. The most common indication for surgery was a solitary thyroid nodule. Patients who watched the animated video demonstrated significantly higher satisfaction levels and significantly lower anxiety levels than those in the other groups ( < 0.01). Patients who watched the video or who received instructions using the 3D model also reported that their information needs were met. Overall experience with the procedure and hospital stay was not significantly different between the groups. Overall patient satisfaction for the surgical procedure was similar across the three groups. However, the animated video appeared to be a better model to explain the procedure to the patient, resulting in enhanced knowledge acquisition, reduced anxiety, and improved patient satisfaction.