How Patient Decision Making Characteristics Affect Satisfaction in Facial Plastic Surgery: A Prospective Pilot Study
Jeremie D. Oliver, MD, MS Candidate1, Deanna C. Menapace, MD1, Jeffrey P. Staab, MD, MS1, Oren Freidman, MD2, Chelsey Recker, PA-C1, Grant S. Hamilton, III, MD1.
1Mayo Clinic, Rochester, MN, USA, 2University of Pennsylvania, Philadelphia, PA, USA.
PURPOSE: The main objective of this study was to prospectively analyze which personality traits, clinical psychiatric states, and patient decision-making characteristics predict who will be less-satisfied after facial plastic surgery
METHODS: This prospective study enrolled 60 adult subjects into one of three groups: aesthetic, functional, and reconstructive facial plastic surgery procedures, n=20 in each group, from November 2011 to February 2016. Self-report surveys of personality traits (NEO-PI-R), psychiatric state (PHQ-9, GAD, HAI-S), and decision-making characteristics (Maximizer/Satisficer Survey) were given during the pre-operative clinic visits. In post-operative follow-up, satisfaction questionnaires at three, six and twelve months were administered. Data analysis examined associations between patient satisfaction, decision-making characteristics, and psychiatric variables.
RESULTS: Bivariate analyses showed that Max/Sat decision-making style was significantly related to patient satisfaction scores in the year following surgery. This difference reached statistical significance at 6 months and remained a strong trend at 12 months. Patients who were "less than extremely satisfied" at both post-operative time points were more likely to portray the Maximizer decision-making style. No other variables were associated with patient satisfaction at any time point. Max/Sat Survey scores were not associated with self-reports of depression, anxiety, or illness anxiety. Mean scores on the Max/Sat Survey did not differ between the aesthetic, functional and reconstructive groups.
CONCLUSION: The Max/Sat survey captures an aspect of patient care not traditionally measured by standard clinical psychometric screening tools to help predict satisfaction. A short questionnaire targeting consumer decision-making may be a helpful tool for preoperative counseling.
Back to 2019 Abstracts