Use this URL to cite or link to this record in EThOS:
Title: Health informatics in plastic surgery : the creation, development and evaluation of an interactive upper limb surgery website with an anatomical three dimensional visualisation model
Author: Shamsian , Negin
Awarding Body: University of Leeds
Current Institution: University of Leeds
Date of Award: 2010
Availability of Full Text:
Access from EThOS:
Background: The concept of informed consent is one that is not clearly elucidated. Prior to any invasive procedure, surgeons have a legal obligation to inform patients about the procedure. Traditionally, this has involved a discussion with a surgeon , occasionally supplemented by written leaflet information directed at the specific procedure. Objective: The main objective was to create, develop and evaluate an interactive upper limb surgery website with an anatomical three dimensional visualisation model. The purpose of this was to compare the use and effectiveness of an oral consultation alone and an oral consultation with a web-based visualisation package on the rate of information retention in patients undergoing carpal tunnel decompression. Methods: This was a prospective study with 50 participants who underwent a standard oral consultation. Detailed information was given about the indication, the probable complications and the details of the forthcoming carpal tunnel decompression procedure. There was a post consultation questionnaire measuring information retention of the standard risks of carpal tunnel decompression. This was then followed with a visualisation intervention (standardised information supported by an interactive three dimensional hand website and carpal tunnel model). Information retention was measured following the exposure to the multimedia package. The main outcome measure was patient's immediate information retention of the risks of surgery. Results: Patients who had the oral consultation and visualisation had higher information retention of the risks of surgery. Conclusions: Using an interactive computerised hand surgery visualisation model increased the information retention of the patients. The presentation of the visualised information in the Visualisation Group did not require significantly more time than the standard consultation. Discussion: Patients want more information and greater involvement in decisions about their treatment according to The Healthcare Commission Survey results from 2004 - 2010. The results of the survey reveal that patients are being discharged without enough information. Risks, benefits and expected outcomes of treatments still need to be communicated better to patients. Given the substantial increase in recent years of medico-legal claims against surgeons in the United Kingdom with Plastic Surgery traditionally one of the most vulnerable, computerised visualisation may provide a means of improving the consent process thereby decreasing litigation,
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (M.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available