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2017 ; 21
(3
): ä Nephropedia Template TP
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English Wikipedia
Patients Knowledge and Perceptions of Morcellation
#MMPMID28694681
Mowers EL
; Lim CS
; Skinner B
; Mahnert N
; Till SR
; As-Sanie S
JSLS
2017[Jul]; 21
(3
): ä PMID28694681
show ga
BACKGROUND AND OBJECTIVES: Morcellation has received increased media and
professional attention, but it remains unclear how much the average patient knows
about this topic. We sought to evaluate patients' knowledge of morcellation,
assess their perceptions of the risks and benefits, and determine how these
perceptions affect their decision regarding the route of surgery. METHODS:
Anonymous paper surveys were administered to 500 patients attending gynecologic
appointments at the University of Michigan. Survey questions gathered demographic
information and assessed knowledge of various surgical approaches for
hysterectomy and myomectomy. Questions regarding patients' knowledge of
morcellation explored various types of morcellation and the risks and benefits of
this procedure. RESULTS: Of the 500 surveys administered, 396 patients answered
at least 1 survey question resulting in a response rate of 79.2%. The mean ± SD
age of respondents was 47.0 ± 14.1 years, 80.8% were white, and 83.1% had
completed some college. Only 8.3% of patients reported that they had ever heard
of morcellation. Even among women who were actively considering a hysterectomy or
myomectomy (n = 33) or those who had undergone a hysterectomy or myomectomy (n =
98), only 12.1 and 7.1%, respectively, had heard of morcellation. Of those who
had heard of morcellation (n = 32), only 9.4% correctly identified the definition
in a multiple-choice question. Only 4.0% of women would choose an abdominal
approach to avoid morcellation. CONCLUSIONS: Patients have very little knowledge
about morcellation and most patients have never heard of the procedure. Very few
patients would refuse morcellation and opt for an abdominal surgery instead.