Breast Cancer, Complication of Surgical Procedure
Conditions
Brief summary
Patient report complication data to our best knowledge has not been studied yet in electronic consent. This study is a feasibility study to assess whether patients will reliably report their complications, the quality of this reporting and whether the information provided in the consent form matches up to their experience. This data will then be used to improve the consent process and evaluate whether the Patient Initiated Follow Up (PIFU) model is effective or if it leads to underreporting of problems.
Detailed description
At the time of consent, patients are informed of possible post-operative complications. It is often not known whether these complications actually occur, whether there are others which go unreported and the extent, both quantitatively and qualitatively, of the complications. Patient reported complication data, to our best knowledge has not been previously studied. This study is a feasibility study to assess whether patients will reliably report their complications, the quality of this reporting and whether the information provided in the consent form matches up to their experience. In this case, consent is to be sought digitally; the digital consent form includes a procedure specific list of recognised complications but these might not reflect actual patient experience. If PRC data collection is feasible and reliable, this technique could be scaled to create a consent feedback loop, enabling operative outcome data to be collected from all patients, to be be used to improve the consent process for subsequent patients. Awareness of post-operative patient complications is important and it is an NHS (National Health Service) requirement that complications are discussed within regular clinical governance (mortality/morbidity) audit departmental meetings. Currently this process relies on clinicians obtaining and reporting these complications. The move towards Patient Initiated Follow Up (PIFU) models may be leading to underreporting of problems. Potentially Patient Reported Complications would allow for a more comprehensive understanding of the benefits and consequences of the various surgical procedures. This in turn might help facilitate 'shared decision making' and allow treatment decisions to be tailored to the individual patients.
Interventions
None listed
Sponsors
Portsmouth Hospitals NHS Trust
University of East Anglia
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Consent form 1- Adult patients who have the capacity to consent for themselves. * Female adult aged 18years or above * Diagnosed with early invasive breast cancer suitable for breast conserving surgery * Undergoing Wide Local Excision of the breast and sentinel lymph node biopsy. * Participant must be able to fill out an electronic questionnaire or take part in a phone questionnaire. * Participant is willing and able to give informed consent for participation in the study.
Exclusion criteria
* Unable to consent for themselves or do not wish to participate. * Patients who need an interpreter.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients who respond to the feedback questionnaire | 6 months | Calculate the proportion of patients who respond to the feedback questionnaire |
| Final attrition rate | 6 months | Calculate the final attrition rate. This is the proportion of patients who fail to respond to the email questionnaire and telephone call. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quoted risks in the consent to the incidence of complications | 6 months | Compare the quoted risks in the consent to the incidence of complications reported by the patients. |
| Frequency of PRC and CRCs (Consent Form Reported Complications) | 6 months | Review the monthly department CGM (Clinical Governance Meeting) data for the study period and correlate the frequency of PRC and CRCs. |
| Understanding of consent | 6 months | Calculate the proportion of patients that feedback that they have understood the consent form. |
| Language used in patient reported complications | 6 months | Examine the language used by patients in the free-text box for reporting complications and whether this matches to that use in their consent form. |
| Accuracy of potential complications | 6 months | To examine the feedback from the patient questionnaire which asks, if they experienced a complication, was it mentioned as a possibility in their consent form. |
| Participant preparation for surgery | 6 months | From the feedback from the patient questionnaire, do patients feel fully informed about the procedure they are undertaking and feel well prepared |
Countries
United Kingdom
Contacts
CONTACTIan Gedge
PRINCIPAL_INVESTIGATOREdward St John
Portsmouth Hospitals NHS Trust
Outcome results
None listed