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Patient perspectives and overall satisfaction after liver resection for benign disease.
Lendoire, Mateo; Martin, Alfredo; Montes, Leonardo; Yance, Maximiliano; Gil, Octavio; Schelotto, Pablo Barros; McCormack, Lucas; Lendoire, Javier.
Afiliação
  • Lendoire M; Department of Liver Surgery and Transplant, Hospital Alemán de Buenos Aires, Buenos Aires, Argentina. Electronic address: mateolendoire@hotmail.com.
  • Martin A; Department of Liver Surgery and Transplant, Hospital Argerich de Buenos Aires, Buenos Aires, Argentina.
  • Montes L; Department of General Surgery, Liver, Intestinal, and Pancreas Transplant Services, Hospital Universitario Fundación Favaloro de Buenos Aires, Buenos Aires, Argentina.
  • Yance M; Department of Hepatobiliary Surgery and Transplant, Sanatorio Allende of Córdoba, Córdoba, Argentina.
  • Gil O; Department of Hepatobiliary Surgery and Transplant, Sanatorio Allende of Córdoba, Córdoba, Argentina.
  • Schelotto PB; Department of General Surgery, Liver, Intestinal, and Pancreas Transplant Services, Hospital Universitario Fundación Favaloro de Buenos Aires, Buenos Aires, Argentina.
  • McCormack L; Department of Liver Surgery and Transplant, Hospital Alemán de Buenos Aires, Buenos Aires, Argentina.
  • Lendoire J; Department of Liver Surgery and Transplant, Hospital Argerich de Buenos Aires, Buenos Aires, Argentina.
J Gastrointest Surg ; 28(5): 679-684, 2024 May.
Article em En | MEDLINE | ID: mdl-38704206
ABSTRACT

BACKGROUND:

Management of benign liver lesions (BLLs) is still an object of discussion. Frequently, patients receive multiple opinions about their diagnosis and treatment from physicians specialized in different areas, which can be opposite and controversial. This study aimed to understand patients' decision-making process in electing surgery and assess their satisfaction after resection for BLLs.

METHODS:

A 104-question survey was administered to 98 patients who had a resection for BLLs in 4 different hepatopancreatobiliary and transplant centers in Argentina. The first section included 64 questions regarding the initial discovery of the BLL, the decision-making process, and the understanding of the patient's feelings after surgery. The second section, 42 queries, referred to the quality of life. The patient's final diagnosis and outcome were correlated with the survey results using univariate analysis.

RESULTS:

Among 97 patients who had undergone liver resection for BLLs, 69 (70%) completed the survey. The median age was 51.71 years (range, 18-75), and 63% of the patients were females. Moreover, 21% of patients received conflicting information from different healthcare providers. Surgeons were the best to describe the BLL to the patient (63%), and 30% of patients obtained opinions from multiple surgeons. The respondents were quite or fully satisfied with their decision to have surgery (90%) and the decision-making process (91%). Only 59% of patients considered their lifestyle better after surgery, and 89% of patients would have retaken the same decision.

CONCLUSION:

Patients with resected BLLs are delighted with the decision to have surgery, regardless of the final diagnosis and outcome. The role of surgeons is crucial in the decision-making process.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Satisfação do Paciente / Hepatectomia / Hepatopatias Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Argentina Idioma: En Revista: J Gastrointest Surg Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de publicação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Satisfação do Paciente / Hepatectomia / Hepatopatias Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Argentina Idioma: En Revista: J Gastrointest Surg Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2024 Tipo de documento: Article País de publicação: Holanda