TY - JOUR
T1 - Patients' preferences in mode of surgery of an adnexal mass
AU - Geomini, Peggy M.A.J.
AU - Bremer, Gérard L.
AU - Kruitwagen, Roy F.P.M.
AU - Opmeer, Brent C.
AU - Mol, Ben Willem J.
PY - 2009/9/1
Y1 - 2009/9/1
N2 - Objective. We assessed the preferences of women with an adnexal mass for the mode of surgery. Methods. A structured interview was designed in which women, scheduled for surgery for an adnexal mass, were confronted with fictive scenarios of the different approaches. Women were asked at what probability of a false negative test result of frozen section diagnosis they would prefer frozen section diagnosis over primary radical surgery. Furthermore, the women were asked at what probability of ovarian malignancy they would prefer laparoscopy over laparotomy. Results. We interviewed 43 women. When the probability of frozen section diagnosis being false negative was set at 90%, 97% of the women preferred primary radical surgery. The mean threshold at which women switched their preference from primary radical surgery to frozen section diagnosis was at a risk of 49% on a false negative test result of frozen section diagnosis. In the choice between laparoscopy over laparotomy, the mean threshold at which the women switched their preference from laparoscopy to laparotomy was at a risk of 55% on ovarian malignancy. Conclusion. Women scheduled for surgery of an adnexal mass at low risk of ovarian malignancy, prefer frozen section diagnosis over primary radical surgery and prefer laparoscopy over laparotomy.
AB - Objective. We assessed the preferences of women with an adnexal mass for the mode of surgery. Methods. A structured interview was designed in which women, scheduled for surgery for an adnexal mass, were confronted with fictive scenarios of the different approaches. Women were asked at what probability of a false negative test result of frozen section diagnosis they would prefer frozen section diagnosis over primary radical surgery. Furthermore, the women were asked at what probability of ovarian malignancy they would prefer laparoscopy over laparotomy. Results. We interviewed 43 women. When the probability of frozen section diagnosis being false negative was set at 90%, 97% of the women preferred primary radical surgery. The mean threshold at which women switched their preference from primary radical surgery to frozen section diagnosis was at a risk of 49% on a false negative test result of frozen section diagnosis. In the choice between laparoscopy over laparotomy, the mean threshold at which the women switched their preference from laparoscopy to laparotomy was at a risk of 55% on ovarian malignancy. Conclusion. Women scheduled for surgery of an adnexal mass at low risk of ovarian malignancy, prefer frozen section diagnosis over primary radical surgery and prefer laparoscopy over laparotomy.
KW - Adnexal mass
KW - Frozen section
KW - Patients' preference
KW - Primary radical surgery
UR - http://www.scopus.com/inward/record.url?scp=70249140882&partnerID=8YFLogxK
U2 - 10.1080/01674820903142259
DO - 10.1080/01674820903142259
M3 - Article
C2 - 19670032
AN - SCOPUS:70249140882
VL - 30
SP - 162
EP - 167
JO - Journal of Psychosomatic Obstetrics & Gynecology
JF - Journal of Psychosomatic Obstetrics & Gynecology
SN - 0167-482X
IS - 3
ER -