A cross-sectional survey of patient perceptions of the National Neurosurgical Audit Programme (NNAP).

IF 1 4区医学 Q4 CLINICAL NEUROLOGY

British Journal of Neurosurgery Pub Date : 2024-04-02 DOI:10.1080/02688697.2024.2334433

Nithish Jayakumar, Aasim Hagroo, Oliver Kennion, Damian Holliman

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引用次数: 0

Abstract

Background: The National Neurosurgical Audit Programme (NNAP) publishes mortality outcomes of consultants and neurosurgical units across the United Kingdom. It is unclear how useful outcomes data is for patients and whether it influences their decision-making process. Our aim was to identify patients' perceptions and understanding of the NNAP data and its influences.

Materials and methods: This single-centre study was conducted in the outpatient neurosurgery clinics at a regional neurosurgical centre. All adult (age ≥ 18) neurosurgical patients, with capacity, were invited to take part. Native and non-native English speakers were eligible. Statistical analyses were performed on SPSS v28 (IBM). Ethical approval was obtained.

Results: A total of 84 responses were received (54.7% females). Over half (51.0%) of respondents felt that they understood a consultant's mortality outcomes. Educational level determines respondents' understanding (χ²(8) = 16.870; p = .031). Most respondents were unaware of the NNAP (89.0%). Only a third of respondents (35.1%) understood the funnel plot used to illustrate mortality.

Conclusions: Most patients were unaware of the NNAP and most did not understand the data on the website. Understanding of mortality data seemed to be related to respondents' educational level which would be important to keep in mind when planning how to depict mortality data.

查看原文本刊更多论文

关于患者对国家神经外科审核计划（NNAP）看法的横断面调查。

背景：国家神经外科审计计划（NNAP）公布了英国各地顾问和神经外科单位的死亡率结果。目前还不清楚结果数据对患者有多大用处，以及是否会影响他们的决策过程。我们的目的是确定患者对 NNAP 数据及其影响的看法和理解：这项单中心研究在一家地区性神经外科中心的神经外科门诊进行。所有有行为能力的成年（年龄≥ 18 岁）神经外科患者均受邀参加。英语为母语和非母语的患者均可参加。统计分析采用 SPSS v28 (IBM)。结果共收到 84 份回复（54.7% 为女性）。超过半数（51.0%）的受访者认为他们了解顾问的死亡结果。受教育程度决定了受访者的理解程度（χ2(8) = 16.870; p = .031）。大多数受访者不了解 NNAP（89.0%）。只有三分之一的受访者（35.1%）了解用于说明死亡率的漏斗图：大多数患者不了解 NNAP，大多数患者不理解网站上的数据。对死亡率数据的理解似乎与受访者的教育水平有关，这一点在计划如何描述死亡率数据时必须牢记。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Neurosurgery 医学-临床神经学

CiteScore

2.30

自引率

9.10%

发文量

139

审稿时长

3-8 weeks

期刊介绍： The British Journal of Neurosurgery is a leading international forum for debate in the field of neurosurgery, publishing original peer-reviewed articles of the highest quality, along with comment and correspondence on all topics of current interest to neurosurgeons worldwide. Coverage includes all aspects of case assessment and surgical practice, as well as wide-ranging research, with an emphasis on clinical rather than experimental material. Special emphasis is placed on postgraduate education with review articles on basic neurosciences and on the theory behind advances in techniques, investigation and clinical management. All papers are submitted to rigorous and independent peer-review, ensuring the journal’s wide citation and its appearance in the major abstracting and indexing services.