Journal article
Patient‐Reported Decisional Regret After Operative Otolaryngology Procedures: A Scoping Review
The Laryngoscope
10 Nov 2023
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective To review the published literature on decisional regret in adult patients undergoing operative otolaryngology procedures. The primary outcome was decisional regret scale (DRS) scores. DRS scores of 0 indicate no regret, 1–25 mild regret, and >25 moderate to strong/severe regret. Data Sources A comprehensive librarian‐designed strategy was used to search MEDLINE, Embase, and CINAHL from inception to September 2023. Review Methods Inclusion criteria consisted of English‐language studies of adult patients who underwent operative otolaryngology treatments and reported DRS scores. Data was extracted by two independent reviewers. Preferred Reporting Items for Systematic Reviews and Meta‐analyses Extension for Scoping Reviews (PRISMA‐ScR) guidelines were followed. Oxford Centre's Levels of Evidence were used for quality assessment. Results In total, 6306 studies were screened by two independent reviewers; 13 studies were included after full‐text analysis. Subspecialties comprised: Head and neck (10), endocrine (1), general (1), and rhinology (1). The DRS results of the included studies spanned a mean range of 10.1–23.9 or a median range of 0–20.0. There was a trend toward more decisional regret after large head and neck procedures or when patients underwent multiple treatment modalities. Depression, anxiety, and patient‐reported quality of life measures were all correlated with decisional regret. Oxford Centre's Levels of Evidence ranged from 2 to 4. Conclusion This is the first comprehensive review of decisional regret in otolaryngology. The majority of patients had no or mild (DRS <25) decisional regret after otolaryngology treatments. Future research on pre‐operative counseling and shared decision‐making to further minimize patient decisional regret is warranted. Level of Evidence N/A Laryngoscope , 2023
Metrics
Details
- Title
- Patient‐Reported Decisional Regret After Operative Otolaryngology Procedures: A Scoping Review
- Creators
- Alice Q. Liu - University of British ColumbiaBrendan D. McNeely - University of British ColumbiaEitan Prisman - University of British ColumbiaAmanda Hu - University of British Columbia
- Publication Details
- The Laryngoscope
- Publisher
- Wiley
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Otolaryngology (and Head and Neck Surgery)
- Web of Science ID
- WOS:001103151300001
- Scopus ID
- 2-s2.0-85176592862
- Other Identifier
- 991021811750904721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Medicine, Research & Experimental
- Otorhinolaryngology