Discussing Life Expectancy with Surgical Patients
Author Information
Author(s): Clarke Michael G, Kennedy Katherine P, MacDonagh Ruaraidh P
Primary Institution: Department of Urology & General Surgery, Taunton & Somerset Hospital, UK
Hypothesis
Do patients want to know their life expectancy and survival probability, and how should this information be delivered?
Conclusion
Many patients are unwilling to discuss their life expectancy and survival probability, but providing this information in various formats may encourage better engagement in decision-making.
Supporting Evidence
- 58% of patients wanted to know their life expectancy if it could be calculated.
- 71% preferred the survival curve as a graphical representation.
- 36% of patients did not wish to know their life expectancy or survival probability.
Takeaway
Some patients don't want to know how long they might live, but if doctors explain it in different ways, more patients might be interested.
Methodology
A cross-sectional survey was conducted with 120 patients to assess their desire to know life expectancy and survival probability, and their preferred presentation formats.
Potential Biases
The use of mixed graphic types may have influenced patients' preferences and understanding.
Limitations
The study did not provide individualized estimates of life expectancy or survival probability, and the sample may not be generalizable due to the age and education level of participants.
Participant Demographics
Patients aged 50-90 years, with a mean age of 68.7 years; 60 males and 60 females; educational backgrounds varied.
Statistical Information
P-Value
p = 0.86 for survival probability, p = 0.48 for life expectancy
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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