Patients' and clinicians' perceptions of label of 'high-risk' in context of elective general surgery. Other
Conditions
Interventions
Individuals who have undergone elective pancreatic, oesophagectomy or colorectal surgery will be invited to take part in the focus group component of the study. The aim is to recruit a total of thirty
Sponsors
University of Glasgow
Eligibility
Sex/Gender
All
Age
18 Years to 110 Years
Inclusion criteria
Inclusion criteria: Focus groups: 1. Adults (defined as people over the age of 18) 2. Undergone elective pancreatic, oesophagectomy or colorectal surgery for cancer in the past year 3. The procedure must have been within one of the hospitals in NHS Greater Glasgow and Clyde 4. Have since been discharged from the hospital 5. Able and willing to engage in group discussion 6. Consent to participate in the focus group Clinician survey: 1. Anaesthetic and Surgical Trainees/speciality grade doctors 2. Anaesthetic and General Surgical Consultants 3. Currently working in the NHS in the United Kingdom 4. Consent to participating in clinician survey (implied by completion of the survey)
Exclusion criteria
Exclusion criteria: Focus group: 1. Children (defined as people under the age of 18) 2. Not undergone one of the stipulated procedures 3. Emergency procedures 4. Procedure outside of NHS Greater Glasgow and Clyde 5. Still an inpatient 6. Not able and/or willing to engage in group discussion 7. Not able/willing to consent to participation in group discussion Clinician survey: 1. Do not meet the criteria to be classified as an appropriate trainee/speciality grade doctor 2. Do not meet the criteria to be classified as an appropriate consultant 3. Not currently working in the United Kingdom 4. Not able/ willing to consent to take part in clinician survey
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Patients' perceptions of the label of 'high-risk', currently defined as 5% mortality, in the context of elective general surgery, will be measured using a thematic analysis of qualitative data gathered from the conduct of focus groups likely to occur in October to November 2025 2. Clinicians' perceptions of the label of 'high-risk', currently defined as mortality > 5%, in the context of elective general surgery and reasoning for referral to the preoperative 'high-risk' clinic, will be measured using quantitative and qualitative analysis of virtual survey results likely to occur in August to September 2025 | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Alternative outcomes to consider in the label/definition of 'high-risk' are measured through emerging themes from the results of the focus groups and survey after both components are completed and analysed 2. Alignment between patients' and clinicians' perceptions of 'high-risk' is measured through emerging themes from the results of the focus groups and survey after both components are completed and analysed 3. Alignment between patients' and clinicians' perceptions of 'high-risk' and current outcomes recorded in databases measured through comparing analysis of the results of focus groups and surveys, and reviewing databases that currently collect outcome data for patients undergoing elective general surgery locally and nationally 4. Influence on perceptions of 'high-risk' and decision making in the context of elective general surgery measured through emerging themes from the results of the focus groups and survey after both components are completed and analysed 5. Suggestions of alternative definitions are likely to be achieved through thematic analysis of survey and focus group responses, with the potential for specific opinions to be stated about this in both arms of the study, after the results of both the survey and focus groups are analysed | — |
Countries
Scotland, United Kingdom
Contacts
Public ContactAnna-Marie Tiah
Outcome results
None listed