Evidence map›Paper›PMID 32929659›Full record

Observational studyCanadian journal of anaesthesia = Journal canadien d'anesthesie2020

Evaluation of a preoperative personalized risk communication tool: a prospective before-and-after study.

Emily Hladkowicz, David Yachnin, Laura Boland, Kumanan Wilson, Annette McKinnon, Kira Hawrysh, Terry Hawrysh, Cameron Bell, Katherine Atkinson, Carl van Walraven and 13 more

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03422133 (A Patient-oriented Risk Communication Tool to Improve Patient Experience, Knowledge and Outcomes After Elective Surgery), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03422133 completednot on this map

A Patient-oriented Risk Communication Tool to Improve Patient Experience, Knowledge and Outcomes After Elective Surgery

TypeobservationalSponsorOttawa Hospital Research InstituteRan2018 to 2019Enrolled201ConditionsElective Surgical ProceduresArmsPatient-oriented, personalized risk communication eHealth application
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Observational
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  4. Review
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  11. A qualitative analysis of patient-reported anticipated benefits of having elective surgery.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Emily HladkowiczDepartment of Anesthesiology & Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
David YachninDepartment of Anesthesiology & Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Laura BolandOttawa Hospital Research Institute, Ottawa, ON, Canada.
Kumanan WilsonOttawa Hospital Research Institute, Ottawa, ON, Canada.
Annette McKinnonThe Ottawa Hospital, Ottawa, ON, Canada.
Kira HawryshThe Ottawa Hospital, Ottawa, ON, Canada.
Terry HawryshThe Ottawa Hospital, Ottawa, ON, Canada.
Cameron BellOttawa Hospital Research Institute, Ottawa, ON, Canada.
Katherine AtkinsonDepartment of Public Health Science, Karolinska Institute, Solna, Sweden.
Carl van WalravenOttawa Hospital Research Institute, Ottawa, ON, Canada.
Monica TaljaardOttawa Hospital Research Institute, Ottawa, ON, Canada.
Kednapa ThavornOttawa Hospital Research Institute, Ottawa, ON, Canada.
Dawn StaceyOttawa Hospital Research Institute, Ottawa, ON, Canada.
Homer YangDepartment of Anesthesia and Perioperative Medicine, Western University, London, ON, Canada.
Christopher PysykDepartment of Anesthesiology & Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Husein MolooOttawa Hospital Research Institute, Ottawa, ON, Canada.
Doug ManuelOttawa Hospital Research Institute, Ottawa, ON, Canada.
David MacDonaldDepartment of Anesthesiology, Dalhousie University, Halifax, NS, Canada.
Luke T LavalléeOttawa Hospital Research Institute, Ottawa, ON, Canada.
Sylvain GagneDepartment of Anesthesiology & Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Alan J ForsterOttawa Hospital Research Institute, Ottawa, ON, Canada.
Gregory L BrysonDepartment of Anesthesiology & Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada.
Daniel I McIsaacDepartment of Anesthesiology & Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada. dmcisaac@toh.on.ca.ORCID http://orcid.org/0000-0002-8543-1859

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients want personalized information before surgery; most do not receive personalized risk estimates. Inadequate information contributes to poor experience and medicolegal complaints. We hypothesized that exposure to the Personalized Risk Evaluation and Decision Making in Preoperative Clinical Assessment (PREDICT) app, a personalized risk communication tool, would improve patient knowledge and satisfaction after anesthesiology consultations compared with standard care.

methodsWe conducted a prospective clinical study (before-after design) and used patient-reported data to calculate personalized risks of morbidity, mortality, and expected length of stay using a locally calibrated National Surgical Quality Improvement Program risk calculator embedded in the PREDICT app. In the standard care (before) phase, the application's materials and output were not available to participants; in the PREDICT app (after) phase, personalized risks were communicated. Our primary outcome was knowledge score after the anesthesiology consultation. Secondary outcomes included patient satisfaction, anxiety, feasibility, and acceptability.

resultsWe included 183 participants (90 before; 93 after). Compared with standard care phase, the PREDICT app phase had higher post-consultation: knowledge of risks (14.3% higher; 95% confidence interval [CI], 6.5 to 22.0; P < 0.001) and satisfaction (0.8 points; 95% CI, 0.1 to 1.4; P = 0.03). Anxiety was unchanged (- 1.9%; 95% CI, - 4.2 to 0.5; P = 0.13). Acceptability was high for patients and anesthesiologists.

conclusionExposure to a patient-facing, personalized risk communication app improved knowledge of personalized risk and increased satisfaction for adults before elective inpatient surgery.

trial registrationwww.clinicaltrials.gov (NCT03422133); registered 5 February 2018.

Indexed as

CommunicationPatient SatisfactionAdultElective Surgical ProceduresHumansProspective StudiesQuality ImprovementcommunicationeHealthriskssurgerytechnology

Identifiers

PMID32929659

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.