Assessing parents preferences for the avoidance of undesirable anesthesia side effects in their children undergoing surgical procedures.
BACKGROUND
Willingness to pay (WTP) surveys have proven to be useful tools in determining patient preferences though relatively few pediatric studies have utilized them. Studies in the adult surgical population have used such methods to assess patients' perspectives regarding the avoidance of anesthesia side effects or outcomes. The purpose of this survey was to assess parental preferences, using a relative WTP model, for the avoidance of anesthesia side effects in their children undergoing surgery.


METHODS
The survey was distributed to 150 parents of children who were undergoing surgery. Parents were asked to rank order (1 = most unwanted to 7 = least troublesome) six stated potential anesthesia side effects and to allocate a fixed dollar percentage of a $100 toward prevention of each. A total of 142 surveys were returned (95% response rate).


RESULTS
Parents ranked vomiting as the least desirable side effect for their child (rank order = 1.9) and pain as second (rank order = 2.14). However, parents allocated $33.48 to prevent pain compared with $28.89 for vomiting as a relative dollar amount.


CONCLUSIONS
This study suggests that targeting management toward the prevention of these adverse outcomes may improve parental satisfaction with anesthesia care of their children.
Wagner
Deborah S
DS
Department of Anesthesiology, University of Michigan Health System, Ann Arbor, MI 48109-0211, USA. debbiew@umich.edu
Yap
Jose Martin
JM
Bradley
Kathryn M
KM
Voepel-Lewis
Terri
T
D000328:Adult; D000758:Anesthesia / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D003625:Data Collection / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D010149:Postoperative Pain / Q000191:economics / Q000517:prevention & control; D010290:Parents; D020250:Postoperative Nausea and Vomiting / Q000191:economics / Q000517:prevention & control; D013514:Surgical Procedures, Operative; D011795:Surveys and Questionnaires