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. 1998 Jul-Aug;89(4):280-3.
doi: 10.1007/BF03403936.

Elective neurosurgical office consultations: how well are patients informed?

J Bampoe  1 , B Salhia, J Micallef, J Glen, M Bernstein
Affiliations

Elective neurosurgical office consultations: how well are patients informed?

J Bampoe et al. Can J Public Health. 1998 Jul-Aug.

Abstract
in English, French

A prospective study was performed on elective neurosurgical office referrals to one neurosurgeon at the Toronto Hospital from September 1988 to May 1996. Patient level of information was tested using the chisquare test on the study population of 2,017 patients grouped according to the type of referring doctor and regional category of diagnosis. There was a statistically significant difference in the degree of knowledge of referred patients according to the type of referring doctor (p < 0.008). In addition there was statistical significance found in the difference in degree of knowledge among patients referred with the various regional categories of disease (p < 0.008). Patients referred by family physicians are not as informed as to the nature of their neurosurgical referral as those referred by neurologists and other specialists. Furthermore, patients with an intracranial diagnosis had a greater level of knowledge about their referral than those patients referred for spinal, peripheral nerve or other diagnoses.

On a effectué une étude prospective sur les patients envoyés pour neurochirurgie élective au cabinet d’un neurochirurgien de l’hôpital de Toronto entre septembre 1988 et mai 1996. Le niveau d’information du patient a été étudié à l’aide du test chi-carré sur une population de 2 017 patients regroupés en fonction du médecin traitant et de la catégorie régionale du diagnostic.

On a observé une différence statistiquement significative dans le niveau de connaissances des patients en fonction du type de médecin traitant (p<0,008). On a également relevé un lien statistique significatif dans le niveau de connaissances des patients par rapport aux diverses catégories régionales de maladie (p<0,008).

Les patients envoyés par des médecins de famille ne sont pas aussi bien informés des raisons de leur orientation vers un neurochirurgien que ceux envoyés par des neurologues et d’autres spécialistes.

En outre, les patients chez qui on a diagnostiqué un trouble intracrânien connaissaient mieux les raisons de leur orientation vers une neurochirurgie que ceux envoyés en raison d’un problème au niveau des nerfs périphériques rachidiens ou autres.

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