Brief report: do patients with poor outcomes regret having had infrainguinal bypass surgery?
BACKGROUND
Retrospection and hindsight bias may lead patients with bad outcomes to regret the choice of infrainguinal bypass surgery.


OBJECTIVE
To assess patients' retrospective evaluations of surgery stratified by common criteria to judge surgical success. SURVEY DESIGN: Cross-sectional phone surveys of 33 patients, an average of 162 d following infrainguinal bypass surgery.


RESULTS
Of the 33 patients evaluated, 26 (79%) experienced undesirable outcomes, including amputation (4, 12%), prolonged hospitalization (8, 24%), wound infection (8, 24%), readmission to the hospital (12, 36%), additional surgery (11, 33%), and other complications (16, 48%). Of the patients surveyed, nearly all (30, 91%) reported that they would still want to have had the surgery if they had a 5-y 50% mortality, and the same proportion reported they would recommend the surgery to someone else with similar medical problems (30, 91%).


CONCLUSIONS
If confirmed in larger populations, these findings suggest that when viewed retrospectively, results traditionally considered poor outcomes may not deter many patients' preferences for surgical management of their infrainguinal vascular disease.
Schwarze
Margaret L
ML
Department of Surgery, University of Wisconsin, Madison, Wisconsin 53792, USA. schwarze@surgery.wisc.edu
Sayla
Maliha A
MA
Alexander
G Caleb
GC
D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003625:Data Collection; D003657:Decision Making; D004644:Emotions; D005260:Female; D006801:Humans; D007264:Inguinal Canal / Q000098:blood supply*; D007407:Interviews as Topic; D023821:Limb Salvage / Q000379:methods* / Q000523:psychology; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000009:adverse effects* / Q000379:methods* / Q000523:psychology