title: Catheter ablation of atrial fibrillation-patient satisfaction from a single-center UK experience.
abstract: BACKGROUND
  Patient satisfaction is an indicator of quality of care and a key factor for patients' healthcare choices. Although atrial fibrillation (AF) ablation is now common, there are no published data on patient satisfaction during this procedure.
  
  
  METHODS
  Anonymous patient satisfaction questionnaires were distributed to consecutive AF ablation patients over 6 months at a single center.
  
  
  RESULTS
  Of 101 questionnaires returned, 51 % related to a first procedure. Pre-operative clinic experiences were good. Prior to ablation, 53 % reported receiving information leaflets, while 55 % reported using the Internet to search for further information. Mean anxiety pre-procedurally on a ten-point scale was 3.1 ± 2.9 and 97 % of patients felt prepared. Afterwards, however, 31 % found the experience not as expected, mainly due to being in more pain or more awake. A large number of patients recalled the procedure in detail, despite use of conscious sedation. Overall cath lab experience was good or excellent for the majority (79 %). Patients felt less well than expected immediately post-procedure and perceived a higher complication rate immediately after ablation (24 %) and at home (32 %) than reported by physicians (4.5 %). Despite this, 89 % would recommend an AF ablation to a friend or relative, and 96 % would recommend our institution.
  
  
  CONCLUSIONS
  Our findings suggest that most patients are satisfied with the AF ablation experience, but this is not solely dependent on procedural success. Dissatisfaction occurs due to unmet expectations, particularly excess pain, i.e. greater than expected, during and after ablation. An improved consent process may improve patient experience. Physicians should also address initiatives to reduce pain during AF ablation.
authors.affiliation: The Heart Hospital, London UK & Institute of Cardiovascular Sciences, University College London, London, UK. vivienne.ezzat@gmail.com
authors.forename: Vivienne A
authors.initials: VA
authors.lastname: Ezzat
authors.forename: Anastasia
authors.initials: A
authors.lastname: Chew
authors.forename: James W
authors.initials: JW
authors.lastname: McCready
authors.forename: Pier D
authors.initials: PD
authors.lastname: Lambiase
authors.forename: Anthony W
authors.initials: AW
authors.lastname: Chow
authors.forename: Martin D
authors.initials: MD
authors.lastname: Lowe
authors.forename: Edward
authors.initials: E
authors.lastname: Rowland
authors.forename: Oliver R
authors.initials: OR
authors.lastname: Segal
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001281:Atrial Fibrillation / Q000453:epidemiology* / Q000601:surgery*; D017115:Catheter Ablation / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007258:Informed Consent / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011183:Postoperative Complications / Q000453:epidemiology*; D015995:Prevalence; D011788:Quality of Life; D012189:Retrospective Studies; D012307:Risk Factors; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D006113:United Kingdom / Q000453:epidemiology