title: Patients' awareness of postoperative adhesions: results from a multi-centre study and online survey.
abstract: OBJECTIVE
  To analyse and to compare how female patients are informed about adhesions and their related problems by surgeons preoperatively.
  
  
  METHODS
  Over 8 weeks 105 patients (Germany) and 82 (UK) patients admitted for laparoscopic or open abdominopelvic surgery were interviewed preoperatively in a multi-centre study in Germany and the UK. 212 responses to an online survey were also analysed.
  
  
  RESULTS
  Less than 50% of patients are made aware of adhesions. Even fewer patients were told about complications caused by adhesions. Lack of knowledge is cited by 46% of patients as a reason for health professionals not informing them about adhesions. 41% considered adhesions as not sufficiently important. Patients who had previously heard of adhesions were most commonly informed by physicians.
  
  
  CONCLUSIONS
  There is lack of information among patients and physicians about adhesions and their complications. Written information before surgery and computer-based applications may help raise patient's awareness.
authors.affiliation: University Hospital for Women, University of Tuebingen, Calwerstrasse 7/1, 72076 Tübingen, Germany. Bernhard.Kraemer@med.uni-tuebingen.de
authors.forename: Bernhard
authors.initials: B
authors.lastname: Kraemer
authors.forename: Jennifer C
authors.initials: JC
authors.lastname: Birch
authors.forename: Judy V
authors.initials: JV
authors.lastname: Birch
authors.forename: Nina
authors.initials: N
authors.lastname: Petri
authors.forename: Umar
authors.initials: U
authors.lastname: Ahmad
authors.forename: Dilshad
authors.initials: D
authors.lastname: Marikar
authors.forename: Markus
authors.initials: M
authors.lastname: Wallwiener
authors.forename: Christian
authors.initials: C
authors.lastname: Wallwiener
authors.forename: Amanda
authors.initials: A
authors.lastname: Foran
authors.forename: Taufiek K
authors.initials: TK
authors.lastname: Rajab
mesh_terms: D000328:Adult; D005260:Female; D005858:Germany; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D008875:Middle Aged; D010353:Patient Education as Topic / Q000706:statistics & numerical data*; D011183:Postoperative Complications; D011795:Surveys and Questionnaires; D000267:Tissue Adhesions; D006113:United Kingdom