Trends of Communicating Perioperative Findings for Patients and Caregivers, and Its Effect on Patient Satisfaction in Tikur Anbessa Hospital, Addis Ababa, Ethiopia A Prospective Cross-sectional Study, 2024 

Trends of Communicating Perioperative Findings for Patients and Caregivers, and Its Effect on Patient Satisfaction in Tikur Anbessa Hospital, Addis Ababa, Ethiopia A Prospective Cross-sectional Study, 2024 | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Trends of Communicating Perioperative Findings for Patients and Caregivers, and Its Effect on Patient Satisfaction in Tikur Anbessa Hospital, Addis Ababa, Ethiopia A Prospective Cross-sectional Study, 2024 Dr. Kidus Geremew, Prof. Berhanu Kotisso, Dr. Dawit Bekele This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6314087/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract BACKGROUND Perioperative patient and physician communication skills are essential to provide high-quality care to patients. Tikur Anbessa hospital, being Ethiopia's tertiary referral hospital and a center of different surgical specialties, is an ideal place to study the relationship between patients' perioperative communication and its effect on satisfaction. The purpose of this study is to assess the trend of perioperative patient communication and its effect on patient satisfaction in Tikur Anbessa Hospital METHODS The study was conducted from May 01 to August 30, 2024 at Tikur Anbessa Specialized Hospital. A prospective cross-sectional study was conducted by collecting primary data from interviews. The sample size of 226 was estimated by using the Cochrane formula considering a previous level of satisfaction 84%. Convenience sampling was chosen. Data was entered into SPSS v25. Descriptive and regression analysis done and the outputs presented using tables, graphs, & figures accordingly. RESULTS This study shows a mean overall surgical patient satisfaction rate of 67.3% . And among several possible factors contributing to the overall patient satisfaction, this study showed significant association with patients being informed about the diagnosis of illness preoperatively (AOR: 16.9, C.O.R: 0.017 [95% C.I: 0.002–0.129]) Estimated cost and length of stay preoperatively (AOR: 8.65, C.O.R: 0.041 [95% C.I: 0.006–0.305 ]) Intraoperative finding and Procedure done, (AOR 11.74, C.O.R: 0.033 [95% C.I: 0.010-.110]) Anticipated postop course, (AOR 7.67, C.O.R: 0.035 [95% C.I: 0.008–0.147]) CONCLUSION Overall patient satisfaction is fair in Tikur Anbessa Hospital but comparatively lower than the previously reported figures in the literature. Addressing gaps of information with an important focus on preoperative information of patients’ diagnosis, the anticipated course and informing the intraoperative findings and procedures will significantly influence the satisfaction rate. Perioperative findings Patient communication Patient-Physician Relationship Patient satisfaction rate Figures Figure 1 Figure 2 BACKGROUND Patient satisfaction has a paramount importance in determining the quality of care a patient is receiving. This satisfaction rate is dependent on several factors among which the proper communication between the treating physician and patient is the primary factor. In a surgical patient, the ideal communication should be done both prior to surgery as well as postoperatively. It is well established from clinical practice and backed by research of many kinds that improved communication between doctors and patients would improve patient satisfaction and compliance. Communication between doctors and patients is also widely recognized as a crucial component of therapeutic procedures. [1] Globally, there is a growing emphasis on assessing patient satisfaction as a means of monitoring the quality of health care provided in health institutions. Assessing patient satisfaction is critical for determining the quality of care delivered by a health system. [2] A surgical patient should be well counseled prior to the surgery about the very small details regarding his treatment course by the most senior treating physician. This communication should include preoperative information regarding the diagnosis of the illness, the planned procedure, estimated cost and length of stay. Following the surgery again the patient should be informed about the exact intraoperative finding and the procedure done. Postoperatively this disclosure should include the anticipated postop course as early postoperatively as possible. Finally, this information should be given by the most senior treating physician and the patient’s understanding should be assessed at the same time. There are a number of institutional researches done regarding assessment of the level of patient satisfaction in relation to perioperative communication. However, most of these studies have a primary focus on the preoperative counseling part, assessing the patients’ level of understanding and consent to the procedure. According to a survey conducted in the western Amhara Regional State of Ethiopia by Mekdes Alemu et al., 68.7% of surgical patients expressed satisfaction with their experience. Patient satisfaction with surgical services was significantly correlated with factors like age > 58 years, those without formal education, those with only a primary or secondary school education, those without a history of prior surgical admission, length of hospital stay < 7 days, and elective surgical admission. [2] Nevertheless, there was no explicit evaluation of the satisfaction rate with respect to the issue of perioperative communication. Despite the significance of good communication for surgeons, there are comparatively few studies that describe communication between surgeons and patients; instead, the great majority of the communication literature has concentrated on primary care physicians and internal medicine specialists and their interactions with patients. [3] Tikur Anbessa hospital, being Ethiopia's tertiary referral hospital and a center of different surgical specialties, is an ideal place to study the relationship between patients' perioperative communication and its effect on satisfaction. This research aims to assess our current satisfaction rate at Tikur Anbessa Hospital in all patients who have undergone surgery. It will, at the same time, re-evaluate the gaps emphasizing on perioperative communication and the effect on the patient satisfaction. It will provide solid and objective evidence to redirect focus on the problem and serve as a guide both at institutional and national level to devise curriculums and guidelines in improving surgical patient satisfaction. The findings deepen our current understanding about surgical patient satisfaction being deeply influenced by patients’ understanding of the intraoperative and postoperative factors equally to the preoperative discussion. This study more importantly tries to highlight the specific factors affecting the overall surgical patient satisfaction. This is very important for the treating team of physicians and surgeons to focus their attention. Finally, the results of the study bring about important contributions to making treating physicians accountable in delivering information for the patient every step of the perioperative course of surgical patients. Conceptual Framework OBJECTIVES General Objectives To assess the trend of perioperative patient communication and its effect on patient satisfaction in Tikur Anbessa Hospital Specific Objectives To determine the overall patient satisfaction among surgical patients in Tikur Anbessa Hospital To evaluate the trend of preoperative counseling in Tikur Anbessa Hospital To evaluate the trend of intraoperative finding discussion in Tikur Anbessa Hospital To evaluate the trend postoperative course discussion in Tikur Anbessa Hospital To assess the effect of perioperative patient counseling on patient satisfaction in Tikur Anbessa Hospital METHODS Study Area The study was conducted from May 01 to August 30, 2024 at Tikur Anbessa Specialized Hospital. Tikur Anbessa Hospital is a specialized hospital in Addis Ababa, Ethiopia, established in 1964. It is a main teaching hospital for both preclinical and clinical training of most disciplines in the School of Medicine of Addis Ababa University. [4] It has 200 doctors, 700 beds, 379 nurses and 115 other health professionals offering health care services. The hospital consists of 950 permanent contract administrative staff that supports the hospital activities. Under School of Medicine, the hospital spans various departments, faculties and residents [4] Study Design A prospective cross-sectional study was conducted by collecting primary data from interviews Source Population All surgical patients who underwent surgery in Tikur Anbessa Hospital Study Participants Patients who underwent surgery in Tikur Anbessa Hospital between May 01 – August 30 Sample Size Determination The sample size was estimated by using the Cochrane formula. Considering the following parameters n = the required sample size p = previous level of satisfaction 84% e = margin of sampling error tolerated (5%) = 0.05 Z = z value, collected from the z-table confidence interval (95%) n= (1.96) 2 (0.84) (0.16) / (0.05) 2 = 206 With 10% non-response rate the sample size was: 206 + 206 (0.1) = 226 Sampling Technique Convenience sampling Inclusion Criteria All randomly selected elective adult patients who had undergone surgery in Tikur Anbessa of Addis Ababa, Ethiopia Exclusion Criteria Patients who refused to give consent Pediatrics patients Patients with non-surgical management Patients who are not awake, communicating or unable to respond Patients who require critical care and follow-up postoperatively Measurement / Study Variables Dependent Variables Surgical patient satisfaction Independent Variables Demographic factors Age, sex, educational level, residence, admission type, department Preoperative counseling Patients’ information of their own diagnosis, procedure, length of stay, cost of treatment Time and place of preoperative counseling [OPD, after admission] Who gave the preoperative counseling [operating surgeon, assistant, nurse, intern, other] Time of preoperative informed consent Who took the preoperative informed consent Intraoperative finding discussion Patients’ information of the intraop finding Who discussed the findings [operating surgeon, assistant, nurse, intern, other] When was the finding discussed Patients understanding of the finding [Good / Poor] Postoperative course discussion Patients information of the postop course Time of discussing the postoperative course Who discussed the anticipated course [operating surgeon, assistant, nurse, intern, other] When was the postoperative course discussed Patients understanding of the postoperative course [Good / Poor] Data Collection Primary data was collected by interviewing post-operative patients using a structured questionnaire before their discharge. Data Quality Control The data will be collected by the primary investigator which will add to the quality and accuracy of the data collected The data collection process involves patient chart review regarding accuracy of patients understanding of the diagnosis, procedure and postoperative course. The patient card number is used to check validity and completeness of the information. Analysis Data was entered using a prepared form on Google Forms® by the principal investigator and completeness of the data was checked every day Data was entered into SPSS v25 application Descriptive analysis computed as frequency, percentages of different variables were determined Later regression analysis done between the dependent and independent variables Finally, the outputs of processed presented using tables, graphs, & figures accordingly Operational Definitions Patient satisfaction : The overall subjective score out of 10 given by the patient in describing his / her satisfaction rate, which will be converted into 100% Satisfaction : Defined as patient’s subjective satisfaction score > 5 out of 10 Dissatisfaction : Defined as patient’s subjective satisfaction score ≤ 5 Good understanding : Defined as accurate patient’s understanding of the clinical parameter subjectively assessed by the evaluator Poor understanding : Defined as wrong patient’s understanding of the clinical parameter subjectively assessed by the evaluator RESULTS Socio-Demographic Characteristics Out of the 226 patients, 55.5% were male. Patients’ age range from 18–39 years in 46%; 38.9% of patients’ age range from 40–60 years and 15% of patients’ age were above 60. 30% of patients had educational status in primary school; while 23.8% of patients had a secondary school background; 21.1% patients had educational level of university and above while 24.7% have no educational background. 26.9% of patients live in the rural country while 73.1% of patients live in the urban cities. Table 1 Socio-Demographic Characteristics Variables Categories Frequency Percent [%] Sex Male 125 55.5 Female 101 44.7 Age 18–39 104 46.0 40–60 88 38.9 > 60 34 15.0 Educational Status Primary 69 30.5 Secondary 53 23.5 University and above 48 21.2 None 56 24.8 Residence Urban 165 73.0 Rural 61 27.0 Admission Characteristics 90.7% of patients were admitted as an elective case while 9.3% of patients were emergency cases. 24.8% of these patients were colorectal patients, while 19% were hepatobiliary, 12.4% were endocrine, 14.6% were General surgery, 9.3% were Urology, 8.4% were Upper GI cases, and 7.1% of them were in cardiothoracic surgery. The remaining 4.5% of the patients were vascular surgery patients. Table 2 Admission Characteristics Variables Categories Frequency Percent [%] Department HPB 43 19.0 Endocrine 28 12.4 Upper GI 19 8.4 General 33 14.6 Colorectal 56 24.8 Urology 21 9.3 Cardiothoracic 16 7.1 Vascular 10 4.4 Admission type Elective 206 90.7 Emergency 21 9.3 Preoperative Counseling Out of the 226 respondents 92% patients were informed about the diagnosis of their illness, 83.2% patients about the planned procedure preoperatively while 79.2% patients were not informed about estimated cost and length of stay preoperatively. In 90.7% of the patients, counseling was given at the OPD and in the rest 9.3% counseling was given after admission. The preoperative counseling was given by a surgeon in 46.9% of patients, 25.7% by residents, 1.8% by interns and 25.7% of patients don’t know the counseling physician. Informed consent for the surgery was taken a day before admission in 73.9% of patients; on the day of surgery in 22% of patients and at admission in 4% of patients. The informed consent was taken by interns in 60.2% of patients, by residents in 35% of patients, by surgeons in 1.8% of patients and 3.1% of patients don’t know the physician. 54% of patients have good understanding of the treatment course and 46% of them had poor understanding of the perioperative course as judged by the investigator. Table 3 Preoperative Counseling Variables Categories Frequency Percent [%] Patient Informed about diagnosis of illness preoperatively Yes 208 92.0 No 18 8.0 Patient informed about the planned procedure preoperatively Yes 188 83.2 No 38 16.8 Patient informed about estimated cost and length of stay preoperatively Yes 47 20.8 No 179 79.2 When was the preoperative counseling given? At OPD 205 90.7 After admission 21 9.3 Who gave the preoperative counseling Surgeon 106 46.9 Resident 58 25.7 Intern 4 1.8 Don’t Know 58 25.7 When was informed consent taken? At Admission 9 4.0 A day before surgery 167 73.9 On the day of surgery 50 22.1 Who took the preoperative consent Resident 79 35.0 Intern 136 60.2 Don’t know 7 3.1 Surgeon 4 1.8 How well the patient understood the anticipated postop course?" Good 122 54.0 Poor 104 46.0 Intraoperative Finding Discussion Out of the 226 patients, 55.3% of them were not informed about the intraop finding and procedure done. Among those informed, 39% of them were informed during ward rounds; 32.4% of them were informed just after the procedure and 29.5% of them were informed on the day of surgery. Most of this information was given by the operating surgeon in 43.8%; assistant surgeon in 33%, residents in 13.3%; OR nurse and intern contribute for 1% each and 16.2% of the patients don’t know the informing individual. Overall patient understanding of the intraop finding and procedure was poor in 50.7% of the patients. Table 4 Intraoperative Finding Discussion Variables Categories Frequency Percent [%] Patient / attendants informed about the IOF and Procedure done? Yes 101 44.7 No 125 55.3 When was the patient / attendants informed about the finding? Just after the procedure 34 32.4 In the day of surgery 31 29.5 During ward rounds 41 39 Who informed the intra-op finding? Operating Surgeon 46 43.8 Assistant Surgeon 33 31 OR Nurse 1 1 Intern 1 1 Resident 14 13.3 Don’t Know 17 16.2 How well the patient understood the intraop finding and procedure done? Good 111 49.3 Poor 114 50.7 Postoperative Course Discussion Out of the 226 patients, 64.2% of them were not informed about the anticipated course. Of the informed patients 68.6% of them were informed during the ward rounds; 19.8% of them on the day of the surgery and only 11.6% of them just after the procedure. Most of this information was given by the operating surgeon in 48.2%; followed by assistant surgeon in 22.4%, ward resident in 16.5%, interns in 3.5%; and 9.4% of the patients don’t know the informing health professional. Overall understanding of the patients regarding the postoperative course was poor in 63.7% of the patients. Table 5 Postoperative Course Discussion Variables Categories Frequency Percent [%] Patient informed about the anticipated postop course? Yes 81 35.8 No 145 64.2 When was the patient / attendants informed? Just after the procedure 10 11.6 In the day of surgery 17 19.8 During ward rounds 59 68.6 Who informed the post-op course? Operating surgeon 41 48.2 Assistant surgeon 19 22.4 Ward intern 3 3.5 Ward Resident 14 16.5 Don’t Know 8 9.4 How well the patient understood the anticipated postop course? Good 82 36.3 Poor 144 63.7 Overall Patient Satisfaction The overall patient satisfaction is 10/10 in 6.2% of patients; 9/10 in 15.5% of patients; 8/10 in 18.1% of patients; 7/10 in 17.3% of patients; 6/10 in 15% of patients; 5/10 in 13.7% of patients; 4/10 in 8% of patients; 3/10 in 4% of patients; 2/10 in 0.9% of patients and 1/10 in 1.3% of patients. The mean result of the overall satisfaction of the patients is calculated to be 6.73/10 which is 67.3%. The median and the mode result of the overall patient satisfaction are 7 and 8 respectively. ANALYSIS The correlation between the dependent and independent variables was analyzed using Binary Logistic regression. The significantly related variables with p value cutoff < 0.25 were selected. These include Educational Status, (C.O.R: 0.774 [95% C.I: 0.6-0.997]) Residence, (C.O.R: 0.389 [95% C.I: 0.208–0.727]) Admission Type, (C.O.R: 0.477 [95% C.I: 0.190–1.195]) Information about the diagnosis of illness preoperatively (C.O.R: 0.017 [95% C.I: 0.002–0.129 ]) Information about the planned procedure preoperatively (C.O.R:0.132 [95% C.I: 0.062–0.281]) Information about estimated cost and length of stay preoperatively (C.O.R: 0.041 [95% C.I: 0.006–0.305 ]) Who gave the preoperative counseling, (C.O.R: 0.674 [95% C.I: 0.534–0.851]) How well the patient understood the anticipated postop course, (C.O.R: 0.164 [95% C.I: 0.084–0.318]) Patient / attendants informed about the IOF and Procedure done, (C.O.R: 0.033 [95% C.I: 0.010-.110 ]) Who informed the intra-op finding, (C.O.R: 0.827 [95% C.I: 0.664–1.030]) How well the patient understood the intraop finding and procedure done, (C.O.R: 0.071 [95% C.I: 0.030–0.166]) Is the patient informed about the anticipated postop course, (C.O.R: 0.035 [95% C.I: 0.008–0.147 ]) How well the patient understood the anticipated postop course, (C.O.R: 0.053 [95% C.I: 0.016–0.176 ]) Later, Multivariate analysis was done with the dependent variable and the significant independent variables using Binary Logistic Regression. The result showed significant association between patients’ satisfaction rate and patients being informed about The diagnosis of illness preoperatively (AOR: 16.9, C.O.R: 0.017 [95% C.I: 0.002–0.129]) Estimated cost and length of stay preoperatively (AOR: 8.65, C.O.R: 0.041 [95% C.I: 0.006–0.305 ]) Intraoperative finding and Procedure done, (AOR 11.74, C.O.R: 0.033 [95% C.I: 0.010-.110]) Anticipated postop course, (AOR 7.67, C.O.R: 0.035 [95% C.I: 0.008–0.147]) There was no significant relation of overall patient satisfaction and the rest of the independent variables. Bivariate Analysis Table 6 Bivariate Analysis Selected Variables B S.E. Wald df Sig. C.O.R 95% C.I. for EXP(B) Lower Upper Educational Status − .257 .129 3.941 1 .047 .774 .600 .997 Residence − .944 .319 8.745 1 .003 .389 .208 .727 Admission Type − .741 .469 2.498 1 .114 .477 .190 1.195 Are you informed about the diagnosis of your illness preoperatively -4.092 1.042 15.409 1 .000 .017 .002 .129 Are you informed about the planned procedure preoperatively -2.027 .387 27.408 1 .000 .132 .062 .281 Are you informed about estimated cost and length of stay preoperatively -3.194 1.023 9.747 1 .002 .041 .006 .305 Who gave the preoperative counseling − .394 .119 11.031 1 .001 .674 .534 .851 How well the patient understood the anticipated postop course?" -1.811 .339 28.581 1 .000 .164 .084 .318 Patient / attendants informed about the IOF and Procedure done? -3.406 .613 30.893 1 .000 .033 .010 .110 Who informed the intra-op finding? − .190 .112 2.866 1 .090 .827 .664 1.030 How well the patient understood the intraop finding and procedure done? -2.646 .433 37.393 1 .000 .071 .030 .166 Is the patient informed about the anticipated postop course? -3.356 .735 20.824 1 .000 .035 .008 .147 How well the patient understood the anticipated postop course? -2.934 .612 22.988 1 .000 .053 .016 .176 Table 7 Bivariate Analysis - Excluded Variables Multivariate Analysis Excluded Variables B S.E. Wald df Sig. C.O.R 95% C.I. for EXP(B) Lower Upper When was the preoperative counseling given? − .038 .508 .006 1 .941 .963 .356 2.604 When was informed consent taken? − .055 .310 .031 1 .859 .947 .516 1.737 Who took the preoperative consent .009 .244 .002 1 .969 1.009 .626 1.628 When was the patient / attendants informed about the finding? .063 .258 .060 1 .806 1.065 .643 1.766 When was the patient / attendants informed? -19.437 5924.597 .000 1 .997 .000 .000 . Age(1) .294 .457 .414 1 .520 1.342 .548 3.286 Department(1) − .119 .763 .024 1 .876 .888 .199 3.960 Who informed the post-op course?(1) .000 15566.703 .000 1 1.000 1.000 .000 . Table 8 Multivariate Analysis B S.E. Wald df Sig. Exp(B) 95% C.I. for EXP(B) Lower Upper Are you informed about the diagnosis of your illness preoperatively(1) 2.829 1.052 7.227 1 .007 16.926 2.152 133.113 Are you informed about estimated cost and length of stay preoperatively(1) 2.158 1.067 4.087 1 .043 8.653 1.068 70.109 Patient / attendants informed about the IOF and Procedure done?(1) 2.464 .638 14.922 1 .000 11.746 3.365 40.995 Is the patient informed about the anticipated postop course? (1) 2.038 .774 6.926 1 .008 7.672 1.682 34.987 Constant -2.833 1.029 7.581 1 .006 .059 Table 9 Cross tabulation Overall Patient Satisfaction Dissatisfied Satisfied Count Column N % Count Column N % Are you informed about the diagnosis of your illness preoperatively Yes 46 73.0% 162 99.4% No 17 27.0% 1 0.6% Are you informed about estimated cost and length of stay preoperatively Yes 1 1.6% 46 28.2% No 62 98.4% 117 71.8% Patient / attendants informed about the IOF and Procedure done? Yes 3 4.8% 98 60.1% No 60 95.2% 65 39.9% Is the patient informed about the anticipated postop course? Yes 2 3.2% 79 48.5% No 61 96.8% 84 51.5% DISCUSSION This study shows a mean overall surgical patient satisfaction rate of 67.3% . And among several possible factors contributing to the overall patient satisfaction, this study showed significant association with patients being informed about The diagnosis of illness preoperatively (AOR: 16.9, C.O.R: 0.017 [95% C.I: 0.002–0.129]) Estimated cost and length of stay preoperatively (AOR: 8.65, C.O.R: 0.041 [95% C.I: 0.006–0.305 ]) Intraoperative finding and Procedure done, (AOR 11.74, C.O.R: 0.033 [95% C.I: 0.010-.110]) Anticipated postop course, (AOR 7.67, C.O.R: 0.035 [95% C.I: 0.008–0.147]) This result is comparable but slightly lower than the study done by Mekdes Alemu et.al in western Amhara Regional State, Ethiopia, which revealed a satisfaction rate of 68.7%. [2] However, the satisfaction rate in the later study was not specifically assessed regarding the consideration of perioperative communication. Again this result is significantly lower than a study conducted at the University of Gondar which revealed that 98.1% of patients were satisfied with the perioperative surgical service they received. The variables that had association with good outcome were: Information about the disease and operation, operation theater staff attention of the patients complains [5] . In this study, even though there were good number of patients being informed about their diagnosis and planned procedure [91%, 83% respectively], 78% of patients were not informed about the cost of the procedure and the estimated length of stay. This has brought a significant effect on the patient satisfaction result. There’s overall patient understanding of the intraop finding and procedure was poor in nearly half of the patients (50.7%); this factor was also found to have significant association with the poor satisfaction of the surgical patients. CONCLUSIONS The surgical department and staff should make it a trend to give patients the information regarding their diagnosis, estimated cost and length of ward stay and anticipated postop course. This practice should again be monitored using regular assessment and monitoring methods. The rate of preoperative counseling and the involvement of surgeons was remarkably good. The surgical staff should be encouraged to continue providing this constant level of care. Postoperative findings should be notified to patients by the operating team as early in the postop course of the procedure. More importantly the informing health professional should make sure the patient is well informed. Abbreviations IOF : Intraoperative Finding Intraop : Intraoperative Postop : Postoperative OPD : Outpatient Department IPD : Inpatient Department OR : Operation Room AAU : Addis Ababa University CHS : College of Health Sciences LPPSq : Leiden Perioperative care Patient Satisfaction questionnaire Declarations Ethical Considerations Ethical approval was obtained from the Department of Research and Ethics Review Committee (DRERC) of Addis Ababa University College of Health Sciences, Ethical Review Committee Office (ERCO) and Addis Ababa Health Bureau IRB (Internal Review Board). A letter informing Tikur Anbessa Hospital will be collected from the Ethical committee of the Departmental Research and Ethics Review Committee (DRERC) about the study. All eligible charts will be retrieved and patients were interviewed All the information obtained from the study subjects were coded to maintain confidentiality Consent for Publication Not applicable Availability of data and materials The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request. Competing Interests The authors declare that they have no competing interests Funding Addis Ababa University, Department of Surgery, 25,000 Ethiopian Birr Authors’ Contribution KG has participated in the conception and design of the work, data collection, and interpretation an analysis and final preparation of the thesis. BK has participated in the conception and design of the work, revision of the final results and analysis and approved the submitted version. DB has also participated in revision of the final results and analysis and approved the submitted version. All authors agreed reviewed and are personally accountable for the contributions in the paper and ensure any questions related to the accuracy or integrity of any part of the work, even ones in which the author was not personally involved, are appropriately investigated, resolved, and the resolution documented in the literature Acknowledgement I would like to acknowledge the Department of Surgery, Addis Ababa University, College of Health Science for preparing such an opportunity for residents to exercise research in health related topics and to study the gaps pertaining to our day-to-day surgical activity and bring about helpful recommendations in the field of surgery. My next gratitude goes to my colleagues Dr Nardos Mulu and Fiker Gezahegn in reviewing this research proposal and their notable comments. References Trummer, U. F., Mueller, U. O., Nowak, P., Stidl, T., & Pelikan, J. M. (2006). Does physician–patient communication that aims at empowering patients improve clinical outcome? Patient Education and Counseling, 61(2), 299–306. https://doi.org/10.1016/j.pec.2005.04.009 Alemu ME, Worku WZ, Berhie AY. Patient satisfaction and associated factors towards surgical service among patients undergoing surgery at referral hospitals in western Amhara Regional State, Ethiopia. Heliyon. 2023 Mar 4;9(3):e14266. doi: 10.1016/j.heliyon.2023.e14266. PMID: 36938460; PMCID: PMC10015238. Levinson, W., Hudak, P., & Tricco, A. C. (2013). A systematic review of surgeon–patient communication: Strengths and opportunities for improvement. Patient Education and Counseling, 93(1), 3–17. https://doi.org/10.1016/j.pec.2013.03.023 Wikipedia Contributors. (2024, August 26). Black Lion Hospital. Wikipedia; Wikimedia Foundation. Gebremedhn, E. G., & Lemma, G. F. (2017). Patient satisfaction with the perioperative surgical services and associated factors at a University Referral and Teaching Hospital, 2014: a cross-sectional study. Pan African Medical Journal, 27. https://doi.org/10.11604/pamj.2017.27.176.10671 Additional Declarations No competing interests reported. Supplementary Files QUESTIONNAIRE.docx Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-6314087","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":443563144,"identity":"6a40836d-6284-4ce5-8147-0d1bacbcc1be","order_by":0,"name":"Dr. Kidus Geremew","email":"data:image/png;base64,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","orcid":"","institution":"Addis Ababa University","correspondingAuthor":true,"prefix":"Dr.","firstName":"Kidus","middleName":"","lastName":"Geremew","suffix":""},{"id":443563145,"identity":"7c2b09ae-d11b-4e77-8cbc-c14cd276386c","order_by":1,"name":"Prof. Berhanu Kotisso","email":"","orcid":"","institution":"Addis Ababa University","correspondingAuthor":false,"prefix":"","firstName":"Prof.","middleName":"Berhanu","lastName":"Kotisso","suffix":""},{"id":443563147,"identity":"7e085ae6-dd12-483d-bc27-f855ec8e680e","order_by":2,"name":"Dr. Dawit Bekele","email":"","orcid":"","institution":"Addis Ababa University","correspondingAuthor":false,"prefix":"Dr.","firstName":"Dawit","middleName":"","lastName":"Bekele","suffix":""}],"badges":[],"createdAt":"2025-03-26 16:08:26","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-6314087/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-6314087/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":80847957,"identity":"6ed9b2b7-043f-42a4-ab12-ec48f14bc8d3","added_by":"auto","created_at":"2025-04-17 17:53:21","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":192489,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cem\u003eConceptual Framework\u003c/em\u003e\u003c/p\u003e","description":"","filename":"floatimage1.png","url":"https://assets-eu.researchsquare.com/files/rs-6314087/v1/c169683837dc0364a26a0245.png"},{"id":80847177,"identity":"8bd8451a-21b6-47e6-8118-1545c41626f4","added_by":"auto","created_at":"2025-04-17 17:45:21","extension":"png","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":100133,"visible":true,"origin":"","legend":"\u003cp\u003eFigure 1: Overall Patient Satisfaction\u003c/p\u003e","description":"","filename":"floatimage3.png","url":"https://assets-eu.researchsquare.com/files/rs-6314087/v1/d5bc6d14e1e2358eee400a47.png"},{"id":96917572,"identity":"10ba1b93-8d7f-49cf-885f-30b3cf33b8ea","added_by":"auto","created_at":"2025-11-27 14:10:09","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":1409809,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-6314087/v1/92b0ce28-376a-474a-a097-67a9f16bfeba.pdf"},{"id":80847191,"identity":"e1a01cd5-325b-4e72-a42a-c3950d6c7672","added_by":"auto","created_at":"2025-04-17 17:45:22","extension":"docx","order_by":1,"title":"","display":"","copyAsset":false,"role":"supplement","size":28862,"visible":true,"origin":"","legend":"","description":"","filename":"QUESTIONNAIRE.docx","url":"https://assets-eu.researchsquare.com/files/rs-6314087/v1/a80b13ed0d1026548cced581.docx"}],"financialInterests":"No competing interests reported.","formattedTitle":"Trends of Communicating Perioperative Findings for Patients and Caregivers, and Its Effect on Patient Satisfaction in Tikur Anbessa Hospital, Addis Ababa, Ethiopia A Prospective Cross-sectional Study, 2024 ","fulltext":[{"header":"BACKGROUND","content":"\u003cp\u003ePatient satisfaction has a paramount importance in determining the quality of care a patient is receiving. This satisfaction rate is dependent on several factors among which the proper communication between the treating physician and patient is the primary factor. In a surgical patient, the ideal communication should be done both prior to surgery as well as postoperatively. It is well established from clinical practice and backed by research of many kinds that improved communication between doctors and patients would improve patient satisfaction and compliance. Communication between doctors and patients is also widely recognized as a crucial component of therapeutic procedures. \u003cb\u003e[1]\u003c/b\u003e\u003c/p\u003e \u003cp\u003eGlobally, there is a growing emphasis on assessing patient satisfaction as a means of monitoring the quality of health care provided in health institutions. Assessing patient satisfaction is critical for determining the quality of care delivered by a health system. \u003cb\u003e[2]\u003c/b\u003e\u003c/p\u003e \u003cp\u003eA surgical patient should be well counseled prior to the surgery about the very small details regarding his treatment course by the most senior treating physician. This communication should include preoperative information regarding the diagnosis of the illness, the planned procedure, estimated cost and length of stay. Following the surgery again the patient should be informed about the exact intraoperative finding and the procedure done. Postoperatively this disclosure should include the anticipated postop course as early postoperatively as possible. Finally, this information should be given by the most senior treating physician and the patient’s understanding should be assessed at the same time.\u003c/p\u003e \u003cp\u003eThere are a number of institutional researches done regarding assessment of the level of patient satisfaction in relation to perioperative communication. However, most of these studies have a primary focus on the preoperative counseling part, assessing the patients’ level of understanding and consent to the procedure.\u003c/p\u003e \u003cp\u003e According to a survey conducted in the western Amhara Regional State of Ethiopia by Mekdes Alemu et al., 68.7% of surgical patients expressed satisfaction with their experience. Patient satisfaction with surgical services was significantly correlated with factors like age \u0026gt; 58 years, those without formal education, those with only a primary or secondary school education, those without a history of prior surgical admission, length of hospital stay \u0026lt; 7 days, and elective surgical admission. \u003cb\u003e[2]\u003c/b\u003e Nevertheless, there was no explicit evaluation of the satisfaction rate with respect to the issue of perioperative communication.\u003c/p\u003e \u003cp\u003e Despite the significance of good communication for surgeons, there are comparatively few studies that describe communication between surgeons and patients; instead, the great majority of the communication literature has concentrated on primary care physicians and internal medicine specialists and their interactions with patients. \u003cb\u003e[3]\u003c/b\u003e\u003c/p\u003e \u003cp\u003eTikur Anbessa hospital, being Ethiopia's tertiary referral hospital and a center of different surgical specialties, is an ideal place to study the relationship between patients' perioperative communication and its effect on satisfaction.\u003c/p\u003e \u003cp\u003eThis research aims to assess our current satisfaction rate at Tikur Anbessa Hospital in all patients who have undergone surgery. It will, at the same time, re-evaluate the gaps emphasizing on perioperative communication and the effect on the patient satisfaction. It will provide solid and objective evidence to redirect focus on the problem and serve as a guide both at institutional and national level to devise curriculums and guidelines in improving surgical patient satisfaction.\u003c/p\u003e \u003cp\u003eThe findings deepen our current understanding about surgical patient satisfaction being deeply influenced by patients’ understanding of the intraoperative and postoperative factors equally to the preoperative discussion.\u003c/p\u003e \u003cp\u003eThis study more importantly tries to highlight the specific factors affecting the overall surgical patient satisfaction. This is very important for the treating team of physicians and surgeons to focus their attention.\u003c/p\u003e \u003cp\u003eFinally, the results of the study bring about important contributions to making treating physicians accountable in delivering information for the patient every step of the perioperative course of surgical patients.\u003c/p\u003e \u003cp\u003eConceptual Framework\u003c/p\u003e \u003cp\u003e \u003c/p\u003e\n\u003ch3\u003eOBJECTIVES\u003c/h3\u003e\n\u003cp\u003eGeneral Objectives\u003c/p\u003e \u003cp\u003e \u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003eTo assess the trend of perioperative patient communication and its effect on patient satisfaction in Tikur Anbessa Hospital\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003cp\u003e\u003c/p\u003e \u003cp\u003eSpecific Objectives\u003c/p\u003e \u003cp\u003e \u003c/p\u003e\u003col\u003e \u003cspan\u003e \u003cli\u003e \u003cp\u003eTo determine the overall patient satisfaction among surgical patients in Tikur Anbessa Hospital\u003c/p\u003e \u003c/li\u003e \u003c/span\u003e \u003cspan\u003e \u003cli\u003e \u003cp\u003eTo evaluate the trend of preoperative counseling in Tikur Anbessa Hospital\u003c/p\u003e \u003c/li\u003e \u003c/span\u003e \u003cspan\u003e \u003cli\u003e \u003cp\u003eTo evaluate the trend of intraoperative finding discussion in Tikur Anbessa Hospital\u003c/p\u003e \u003c/li\u003e \u003c/span\u003e \u003cspan\u003e \u003cli\u003e \u003cp\u003eTo evaluate the trend postoperative course discussion in Tikur Anbessa Hospital\u003c/p\u003e \u003c/li\u003e \u003c/span\u003e \u003cspan\u003e \u003cli\u003e \u003cp\u003eTo assess the effect of perioperative patient counseling on patient satisfaction in Tikur Anbessa Hospital\u003c/p\u003e \u003c/li\u003e \u003c/span\u003e \u003c/ol\u003e "},{"header":"METHODS","content":"\u003cp\u003eStudy Area\u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003eThe study was conducted from May 01 to August 30, 2024 at Tikur Anbessa Specialized Hospital.\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eTikur Anbessa Hospital is a specialized hospital in Addis Ababa, Ethiopia, established in 1964. It is a main teaching hospital for both preclinical and clinical training of most disciplines in the School of Medicine of Addis Ababa University. \u003cb\u003e[4]\u003c/b\u003e\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eIt has 200 doctors, 700 beds, 379 nurses and 115 other health professionals offering health care services. The hospital consists of 950 permanent contract administrative staff that supports the hospital activities. Under School of Medicine, the hospital spans various departments, faculties and residents \u003cb\u003e[4]\u003c/b\u003e\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e\u003cp\u003eStudy Design\u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003eA prospective cross-sectional study was conducted by collecting primary data from interviews\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e\u003cp\u003eSource Population\u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003eAll surgical patients who underwent surgery in Tikur Anbessa Hospital\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e\u003cp\u003eStudy Participants\u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003ePatients who underwent surgery in Tikur Anbessa Hospital between May 01 – August 30\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e\u003cp\u003eSample Size Determination\u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003eThe sample size was estimated by using the Cochrane formula. Considering the following parameters\u003c/p\u003e\u003cp\u003e\u003cimg 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\"\u003e\u003c/p\u003e\n\u003cul\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003en\u003c/b\u003e = the required sample size\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003ep\u003c/b\u003e = previous level of satisfaction 84%\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003ee\u003c/b\u003e = margin of sampling error tolerated (5%) = 0.05\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eZ\u003c/b\u003e = z value, collected from the z-table confidence interval (95%)\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003cul\u003e\n \u003cli\u003e\n \u003ch3\u003e\u003cstrong\u003en= (1.96)\u003csup\u003e2\u003c/sup\u003e (0.84) (0.16) / (0.05)\u003csup\u003e2\u003c/sup\u003e\u0026thinsp;=\u0026thinsp;206\u003c/strong\u003e\u003c/h3\u003e\n \u003c/li\u003e\n \u003cli\u003e\n \u003cp\u003eWith 10% non-response rate the sample size was: \u003cstrong\u003e206\u0026thinsp;+\u0026thinsp;206 (0.1)\u0026thinsp;=\u0026thinsp;226\u003c/strong\u003e\u003c/p\u003e\n \u003c/li\u003e\n\u003c/ul\u003e\u003cp\u003eSampling Technique\u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003eConvenience sampling\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e\u003cp\u003eInclusion Criteria\u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003eAll randomly selected elective adult patients who had undergone surgery in Tikur Anbessa of Addis Ababa, Ethiopia\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e\u003cp\u003eExclusion Criteria\u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003ePatients who refused to give consent\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003ePediatrics patients\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003ePatients with non-surgical management\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003ePatients who are not awake, communicating or unable to respond\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003ePatients who require critical care and follow-up postoperatively\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e\u003cp\u003eMeasurement / Study Variables\u003c/p\u003e\u003ch3\u003eDependent Variables\u003c/h3\u003e\u003cp\u003e \u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003eSurgical patient satisfaction\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e\u003ch3\u003eIndependent Variables\u003c/h3\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003eDemographic factors\u003c/p\u003e \u003cp\u003e \u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003eAge, sex, educational level, residence, admission type, department\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003cp\u003e\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003ePreoperative counseling\u003c/p\u003e \u003cp\u003e \u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003ePatients’ information of their own diagnosis, procedure, length of stay, cost of treatment\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eTime and place of preoperative counseling [OPD, after admission]\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eWho gave the preoperative counseling [operating surgeon, assistant, nurse, intern, other]\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eTime of preoperative informed consent\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eWho took the preoperative informed consent\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003cp\u003e\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eIntraoperative finding discussion\u003c/p\u003e \u003cp\u003e \u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003ePatients’ information of the intraop finding\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eWho discussed the findings [operating surgeon, assistant, nurse, intern, other]\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eWhen was the finding discussed\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003ePatients understanding of the finding [Good / Poor]\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003cp\u003e\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003ePostoperative course discussion\u003c/p\u003e \u003cp\u003e \u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003ePatients information of the postop course\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eTime of discussing the postoperative course\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eWho discussed the anticipated course [operating surgeon, assistant, nurse, intern, other]\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eWhen was the postoperative course discussed\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003ePatients understanding of the postoperative course [Good / Poor]\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003cp\u003e\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e\u003cp\u003eData Collection\u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003ePrimary data was collected by interviewing post-operative patients using a structured questionnaire before their discharge.\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e\u003cp\u003eData Quality Control\u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003eThe data will be collected by the primary investigator which will add to the quality and accuracy of the data collected\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eThe data collection process involves patient chart review regarding accuracy of patients understanding of the diagnosis, procedure and postoperative course. The patient card number is used to check validity and completeness of the information.\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e\u003cp\u003eAnalysis\u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003eData was entered using a prepared form on Google Forms® by the principal investigator and completeness of the data was checked every day\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eData was entered into SPSS v25 application\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eDescriptive analysis computed as frequency, percentages of different variables were determined\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eLater regression analysis done between the dependent and independent variables\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eFinally, the outputs of processed presented using tables, graphs, \u0026amp; figures accordingly\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e\u003cp\u003eOperational Definitions\u003c/p\u003e\u003cul\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003ePatient satisfaction\u003c/b\u003e: The overall subjective score out of 10 given by the patient in describing his / her satisfaction rate, which will be converted into 100%\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eSatisfaction\u003c/b\u003e: Defined as patient’s subjective satisfaction score \u0026gt; 5 out of 10\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eDissatisfaction\u003c/b\u003e: Defined as patient’s subjective satisfaction score ≤ 5\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003eGood understanding\u003c/b\u003e: Defined as accurate patient’s understanding of the clinical parameter subjectively assessed by the evaluator\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003e \u003cb\u003ePoor understanding\u003c/b\u003e: Defined as wrong patient’s understanding of the clinical parameter subjectively assessed by the evaluator\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e"},{"header":"RESULTS","content":"\u003cp\u003eSocio-Demographic Characteristics\u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003eOut of the 226 patients, 55.5% were male. Patients\u0026rsquo; age range from 18\u0026ndash;39 years in 46%; 38.9% of patients\u0026rsquo; age range from 40\u0026ndash;60 years and 15% of patients\u0026rsquo; age were above 60. 30% of patients had educational status in primary school; while 23.8% of patients had a secondary school background; 21.1% patients had educational level of university and above while 24.7% have no educational background. 26.9% of patients live in the rural country while 73.1% of patients live in the urban cities.\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab1\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eSocio-Demographic Characteristics\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"4\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVariables\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCategories\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eFrequency\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003ePercent [%]\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eSex\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eMale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e125\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e55.5\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eFemale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e101\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e44.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003eAge\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e18\u0026ndash;39\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e104\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e46.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e40\u0026ndash;60\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e88\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e38.9\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u0026gt;\u0026thinsp;60\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e34\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e15.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003eEducational Status\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003ePrimary\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e69\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e30.5\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eSecondary\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e53\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e23.5\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eUniversity and above\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e48\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e21.2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eNone\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e56\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e24.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eResidence\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eUrban\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e165\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e73.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eRural\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e61\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e27.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eAdmission Characteristics\u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003e90.7% of patients were admitted as an elective case while 9.3% of patients were emergency cases. 24.8% of these patients were colorectal patients, while 19% were hepatobiliary, 12.4% were endocrine, 14.6% were General surgery, 9.3% were Urology, 8.4% were Upper GI cases, and 7.1% of them were in cardiothoracic surgery. The remaining 4.5% of the patients were vascular surgery patients.\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab2\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eAdmission Characteristics\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"4\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVariables\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCategories\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eFrequency\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003ePercent [%]\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"7\" rowspan=\"8\"\u003e \u003cp\u003eDepartment\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eHPB\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e43\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e19.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eEndocrine\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e28\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e12.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eUpper GI\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e19\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e8.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eGeneral\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e33\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e14.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eColorectal\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e56\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e24.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eUrology\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e21\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e9.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCardiothoracic\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e16\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e7.1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eVascular\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e4.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eAdmission type\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eElective\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e206\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e90.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eEmergency\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e21\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e9.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003ePreoperative Counseling\u003c/p\u003e \u003cp\u003e\u003cul\u003e\u003cli\u003e\u003cp\u003eOut of the 226 respondents 92% patients were informed about the diagnosis of their illness, 83.2% patients about the planned procedure preoperatively while 79.2% patients were not informed about estimated cost and length of stay preoperatively. In 90.7% of the patients, counseling was given at the OPD and in the rest 9.3% counseling was given after admission. The preoperative counseling was given by a surgeon in 46.9% of patients, 25.7% by residents, 1.8% by interns and 25.7% of patients don\u0026rsquo;t know the counseling physician. Informed consent for the surgery was taken a day before admission in 73.9% of patients; on the day of surgery in 22% of patients and at admission in 4% of patients. The informed consent was taken by interns in 60.2% of patients, by residents in 35% of patients, by surgeons in 1.8% of patients and 3.1% of patients don\u0026rsquo;t know the physician. 54% of patients have good understanding of the treatment course and 46% of them had poor understanding of the perioperative course as judged by the investigator.\u003c/p\u003e\u003c/li\u003e\u003c/ul\u003e\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab3\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 3\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003ePreoperative Counseling\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"4\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVariables\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCategories\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eFrequency\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003ePercent [%]\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003ePatient Informed about diagnosis of illness preoperatively\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e208\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e92.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e18\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e8.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003ePatient informed about the planned procedure preoperatively\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e188\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e83.2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e38\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e16.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003ePatient informed about estimated cost and length of stay preoperatively\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e20.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e179\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e79.2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eWhen was the preoperative counseling given?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eAt OPD\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e205\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e90.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eAfter admission\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e21\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e9.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003eWho gave the preoperative counseling\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eSurgeon\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e106\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e46.9\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eResident\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e58\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e25.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eIntern\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eDon\u0026rsquo;t Know\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e58\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e25.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003eWhen was informed consent taken?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eAt Admission\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e4.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eA day before surgery\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e167\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e73.9\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eOn the day of surgery\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e50\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e22.1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003eWho took the preoperative consent\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eResident\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e79\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e35.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eIntern\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e136\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e60.2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eDon\u0026rsquo;t know\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e3.1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eSurgeon\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eHow well the patient understood the anticipated postop course?\"\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eGood\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e122\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e54.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003ePoor\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e104\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e46.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eIntraoperative Finding Discussion\u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003eOut of the 226 patients, 55.3% of them were not informed about the intraop finding and procedure done. Among those informed, 39% of them were informed during ward rounds; 32.4% of them were informed just after the procedure and 29.5% of them were informed on the day of surgery. Most of this information was given by the operating surgeon in 43.8%; assistant surgeon in 33%, residents in 13.3%; OR nurse and intern contribute for 1% each and 16.2% of the patients don\u0026rsquo;t know the informing individual. Overall patient understanding of the intraop finding and procedure was poor in 50.7% of the patients.\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab4\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 4\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eIntraoperative Finding Discussion\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"4\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVariables\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCategories\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eFrequency\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003ePercent [%]\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003ePatient / attendants informed about the IOF and Procedure done?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e101\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e44.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e125\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e55.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003eWhen was the patient / attendants informed about the finding?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eJust after the procedure\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e34\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e32.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eIn the day of surgery\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e31\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e29.5\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eDuring ward rounds\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e41\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e39\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"5\" rowspan=\"6\"\u003e \u003cp\u003eWho informed the intra-op finding?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eOperating Surgeon\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e46\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e43.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eAssistant Surgeon\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e33\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e31\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eOR Nurse\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eIntern\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eResident\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e14\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e13.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eDon\u0026rsquo;t Know\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e17\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e16.2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eHow well the patient understood the intraop finding and procedure done?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eGood\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e111\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e49.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003ePoor\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e114\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e50.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003ePostoperative Course Discussion\u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003eOut of the 226 patients, 64.2% of them were not informed about the anticipated course. Of the informed patients 68.6% of them were informed during the ward rounds; 19.8% of them on the day of the surgery and only 11.6% of them just after the procedure. Most of this information was given by the operating surgeon in 48.2%; followed by assistant surgeon in 22.4%, ward resident in 16.5%, interns in 3.5%; and 9.4% of the patients don\u0026rsquo;t know the informing health professional. Overall understanding of the patients regarding the postoperative course was poor in 63.7% of the patients.\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab5\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 5\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003ePostoperative Course Discussion\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"4\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eVariables\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eCategories\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eFrequency\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003ePercent [%]\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003ePatient informed about the anticipated postop course?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e81\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e35.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e145\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e64.2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003eWhen was the patient / attendants informed?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eJust after the procedure\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e10\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e11.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eIn the day of surgery\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e17\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e19.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eDuring ward rounds\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e59\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e68.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"4\" rowspan=\"5\"\u003e \u003cp\u003eWho informed the post-op course?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eOperating surgeon\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e41\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e48.2\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eAssistant surgeon\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e19\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e22.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eWard intern\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e3.5\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eWard Resident\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e14\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e16.5\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eDon\u0026rsquo;t Know\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e9.4\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eHow well the patient understood the anticipated postop course?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eGood\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e82\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e36.3\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003ePoor\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e144\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e63.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eOverall Patient Satisfaction\u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003eThe overall patient satisfaction is 10/10 in 6.2% of patients; 9/10 in 15.5% of patients; 8/10 in 18.1% of patients; 7/10 in 17.3% of patients; 6/10 in 15% of patients; 5/10 in 13.7% of patients; 4/10 in 8% of patients; 3/10 in 4% of patients; 2/10 in 0.9% of patients and 1/10 in 1.3% of patients. The mean result of the overall satisfaction of the patients is calculated to be 6.73/10 which is \u003cb\u003e67.3%.\u003c/b\u003e The median and the mode result of the overall patient satisfaction are 7 and 8 respectively.\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003cp\u003e \u003c/p\u003e\n\u003ch3\u003eANALYSIS\u003c/h3\u003e\n\u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003eThe correlation between the dependent and independent variables was analyzed using Binary Logistic regression. The significantly related variables with p value cutoff\u0026thinsp;\u0026lt;\u0026thinsp;0.25 were selected. These include\u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003eEducational Status, (C.O.R: 0.774 [95% C.I: 0.6-0.997])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eResidence, (C.O.R: 0.389 [95% C.I: 0.208\u0026ndash;0.727])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eAdmission Type, (C.O.R: 0.477 [95% C.I: 0.190\u0026ndash;1.195])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eInformation about the diagnosis of illness preoperatively (C.O.R: 0.017 [95% C.I: 0.002\u0026ndash;0.129 ])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eInformation about the planned procedure preoperatively (C.O.R:0.132 [95% C.I: 0.062\u0026ndash;0.281])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eInformation about estimated cost and length of stay preoperatively (C.O.R: 0.041 [95% C.I: 0.006\u0026ndash;0.305 ])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eWho gave the preoperative counseling, (C.O.R: 0.674 [95% C.I: 0.534\u0026ndash;0.851])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eHow well the patient understood the anticipated postop course, (C.O.R: 0.164 [95% C.I: 0.084\u0026ndash;0.318])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003ePatient / attendants informed about the IOF and Procedure done, (C.O.R: 0.033 [95% C.I: 0.010-.110 ])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eWho informed the intra-op finding, (C.O.R: 0.827 [95% C.I: 0.664\u0026ndash;1.030])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eHow well the patient understood the intraop finding and procedure done, (C.O.R: 0.071 [95% C.I: 0.030\u0026ndash;0.166])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eIs the patient informed about the anticipated postop course, (C.O.R: 0.035 [95% C.I: 0.008\u0026ndash;0.147 ])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eHow well the patient understood the anticipated postop course, (C.O.R: 0.053 [95% C.I: 0.016\u0026ndash;0.176 ])\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eLater, Multivariate analysis was done with the dependent variable and the significant independent variables using Binary Logistic Regression. The result showed significant association between patients\u0026rsquo; satisfaction rate and patients being informed about\u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003eThe diagnosis of illness preoperatively (AOR: 16.9, C.O.R: 0.017 [95% C.I: 0.002\u0026ndash;0.129])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eEstimated cost and length of stay preoperatively (AOR: 8.65, C.O.R: 0.041 [95% C.I: 0.006\u0026ndash;0.305 ])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eIntraoperative finding and Procedure done, (AOR 11.74, C.O.R: 0.033 [95% C.I: 0.010-.110])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eAnticipated postop course, (AOR 7.67, C.O.R: 0.035 [95% C.I: 0.008\u0026ndash;0.147])\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eThere was no significant relation of overall patient satisfaction and the rest of the independent variables.\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003cp\u003eBivariate Analysis\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab6\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 6\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eBivariate Analysis\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"10\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c9\" colnum=\"9\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c10\" colnum=\"10\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"10\" nameend=\"c10\" namest=\"c1\"\u003e \u003cp\u003eSelected Variables\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" morerows=\"1\" nameend=\"c2\" namest=\"c1\" rowspan=\"2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eB\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eS.E.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eWald\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003edf\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eSig.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eC.O.R\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c10\" namest=\"c9\"\u003e \u003cp\u003e95% C.I. for EXP(B)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003eLower\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003eUpper\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eEducational Status\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u0026minus;\u0026thinsp;.257\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.129\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e3.941\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.047\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.774\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.600\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.997\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eResidence\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u0026minus;\u0026thinsp;.944\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.319\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e8.745\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.003\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.389\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.208\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.727\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eAdmission Type\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u0026minus;\u0026thinsp;.741\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.469\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.498\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.114\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.477\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.190\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e1.195\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eAre you informed about the diagnosis of your illness preoperatively\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-4.092\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1.042\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e15.409\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.017\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.002\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.129\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eAre you informed about the planned procedure preoperatively\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-2.027\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.387\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e27.408\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.132\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.062\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.281\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eAre you informed about estimated cost and length of stay preoperatively\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-3.194\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1.023\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e9.747\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.002\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.041\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.006\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.305\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eWho gave the preoperative counseling\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u0026minus;\u0026thinsp;.394\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.119\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e11.031\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.674\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.534\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.851\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eHow well the patient understood the anticipated postop course?\"\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-1.811\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.339\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e28.581\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.164\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.084\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.318\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003ePatient / attendants informed about the IOF and Procedure done?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-3.406\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.613\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e30.893\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.033\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.010\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.110\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eWho informed the intra-op finding?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u0026minus;\u0026thinsp;.190\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.112\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.866\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.090\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.827\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.664\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e1.030\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eHow well the patient understood the intraop finding and procedure done?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-2.646\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.433\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e37.393\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.071\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.030\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.166\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eIs the patient informed about the anticipated postop course?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-3.356\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.735\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e20.824\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.035\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.008\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.147\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eHow well the patient understood the anticipated postop course?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-2.934\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.612\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e22.988\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.053\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.016\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.176\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab7\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 7\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003e\u003cem\u003eBivariate Analysis - Excluded Variables\u003c/em\u003e Multivariate Analysis\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"11\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c9\" colnum=\"9\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c10\" colnum=\"10\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c11\" colnum=\"11\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"11\" nameend=\"c11\" namest=\"c1\"\u003e \u003cp\u003eExcluded Variables\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" morerows=\"1\" nameend=\"c2\" namest=\"c1\" rowspan=\"2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eB\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eS.E.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" morerows=\"1\" nameend=\"c6\" namest=\"c5\" rowspan=\"2\"\u003e \u003cp\u003eWald\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003edf\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eSig.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eC.O.R\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c11\" namest=\"c10\"\u003e \u003cp\u003e95% C.I. for EXP(B)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003eLower\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003eUpper\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eWhen was the preoperative counseling given?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u0026minus;\u0026thinsp;.038\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c5\" namest=\"c4\"\u003e \u003cp\u003e.508\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.006\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.941\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.963\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.356\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e2.604\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eWhen was informed consent taken?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u0026minus;\u0026thinsp;.055\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c5\" namest=\"c4\"\u003e \u003cp\u003e.310\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.031\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.859\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.947\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.516\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e1.737\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eWho took the preoperative consent\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e.009\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c5\" namest=\"c4\"\u003e \u003cp\u003e.244\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.002\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.969\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e1.009\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.626\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e1.628\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eWhen was the patient / attendants informed about the finding?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e.063\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c5\" namest=\"c4\"\u003e \u003cp\u003e.258\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.060\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.806\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e1.065\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.643\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e1.766\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eWhen was the patient / attendants informed?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e-19.437\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c5\" namest=\"c4\"\u003e \u003cp\u003e5924.597\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.997\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eAge(1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e.294\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c5\" namest=\"c4\"\u003e \u003cp\u003e.457\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.414\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.520\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e1.342\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.548\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e3.286\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eDepartment(1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u0026minus;\u0026thinsp;.119\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c5\" namest=\"c4\"\u003e \u003cp\u003e.763\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.024\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.876\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e.888\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.199\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e3.960\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eWho informed the post-op course?(1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c5\" namest=\"c4\"\u003e \u003cp\u003e15566.703\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e1.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e1.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab8\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 8\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eMultivariate Analysis\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"9\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c9\" colnum=\"9\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eB\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eS.E.\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eWald\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003edf\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eSig.\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eExp(B)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c8\" namest=\"c7\"\u003e \u003cp\u003e95% C.I. for EXP(B)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"1\" nameend=\"c9\" namest=\"c9\"\u003e\u0026nbsp;\u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eLower\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003eUpper\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"1\" nameend=\"c9\" namest=\"c9\"\u003e\u0026nbsp;\u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAre you informed about the diagnosis of your illness preoperatively(1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2.829\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.052\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e7.227\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.007\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e16.926\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e2.152\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e133.113\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAre you informed about estimated cost and length of stay preoperatively(1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2.158\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.067\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e4.087\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.043\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e8.653\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e1.068\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e70.109\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePatient / attendants informed about the IOF and Procedure done?(1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2.464\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e.638\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e14.922\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e11.746\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e3.365\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e40.995\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eIs the patient informed about the anticipated postop course? (1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2.038\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e.774\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e6.926\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.008\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e7.672\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e1.682\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e34.987\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eConstant\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e-2.833\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.029\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e7.581\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.006\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.059\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab9\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 9\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eCross tabulation\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"6\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" morerows=\"2\" nameend=\"c2\" namest=\"c1\" rowspan=\"3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"4\" nameend=\"c6\" namest=\"c3\"\u003e \u003cp\u003eOverall Patient Satisfaction\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c4\" namest=\"c3\"\u003e \u003cp\u003eDissatisfied\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c6\" namest=\"c5\"\u003e \u003cp\u003eSatisfied\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eCount\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eColumn N %\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eCount\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eColumn N %\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eAre you informed about the diagnosis of your illness preoperatively\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e46\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e73.0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e162\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e99.4%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e17\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e27.0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.6%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eAre you informed about estimated cost and length of stay preoperatively\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1.6%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e46\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e28.2%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e62\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e98.4%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e117\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e71.8%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003ePatient / attendants informed about the IOF and Procedure done?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e4.8%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e98\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e60.1%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e60\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e95.2%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e65\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e39.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eIs the patient informed about the anticipated postop course?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3.2%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e79\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e48.5%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e61\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e96.8%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e84\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e51.5%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e"},{"header":"DISCUSSION","content":"\u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003eThis study shows a mean overall surgical patient satisfaction rate of \u003cb\u003e67.3%\u003c/b\u003e. And among several possible factors contributing to the overall patient satisfaction, this study showed significant association with patients being informed about\u003c/p\u003e \u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003eThe diagnosis of illness preoperatively (AOR: 16.9, C.O.R: 0.017 [95% C.I: 0.002\u0026ndash;0.129])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eEstimated cost and length of stay preoperatively (AOR: 8.65, C.O.R: 0.041 [95% C.I: 0.006\u0026ndash;0.305 ])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eIntraoperative finding and Procedure done, (AOR 11.74, C.O.R: 0.033 [95% C.I: 0.010-.110])\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eAnticipated postop course, (AOR 7.67, C.O.R: 0.035 [95% C.I: 0.008\u0026ndash;0.147])\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eThis result is comparable but slightly lower than the study done by Mekdes Alemu et.al in western Amhara Regional State, Ethiopia, which revealed a satisfaction rate of 68.7%. \u003cb\u003e[2]\u003c/b\u003e However, the satisfaction rate in the later study was not specifically assessed regarding the consideration of perioperative communication.\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eAgain this result is significantly lower than a study conducted at the University of Gondar which revealed that 98.1% of patients were satisfied with the perioperative surgical service they received. The variables that had association with good outcome were: Information about the disease and operation, operation theater staff attention of the patients complains \u003cb\u003e[5]\u003c/b\u003e.\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eIn this study, even though there were good number of patients being informed about their diagnosis and planned procedure [91%, 83% respectively], 78% of patients were not informed about the cost of the procedure and the estimated length of stay. This has brought a significant effect on the patient satisfaction result.\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eThere\u0026rsquo;s overall patient understanding of the intraop finding and procedure was poor in nearly half of the patients (50.7%); this factor was also found to have significant association with the poor satisfaction of the surgical patients.\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e"},{"header":"CONCLUSIONS","content":"\u003cp\u003e \u003cul\u003e \u003cli\u003e \u003cp\u003eThe surgical department and staff should make it a trend to give patients the information regarding their diagnosis, estimated cost and length of ward stay and anticipated postop course. This practice should again be monitored using regular assessment and monitoring methods.\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003eThe rate of preoperative counseling and the involvement of surgeons was remarkably good. The surgical staff should be encouraged to continue providing this constant level of care.\u003c/p\u003e \u003c/li\u003e \u003cli\u003e \u003cp\u003ePostoperative findings should be notified to patients by the operating team as early in the postop course of the procedure. More importantly the informing health professional should make sure the patient is well informed.\u003c/p\u003e \u003c/li\u003e \u003c/ul\u003e \u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cp\u003e\u003cstrong\u003e\u003cem\u003eIOF\u003c/em\u003e\u003c/strong\u003e\u003cem\u003e: Intraoperative Finding\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eIntraop\u003c/em\u003e\u003c/strong\u003e\u003cem\u003e: Intraoperative\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003ePostop\u003c/em\u003e\u003c/strong\u003e\u003cem\u003e: Postoperative\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eOPD\u003c/em\u003e\u003c/strong\u003e\u003cem\u003e: Outpatient Department\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eIPD\u003c/em\u003e\u003c/strong\u003e\u003cem\u003e: Inpatient Department\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eOR\u003c/em\u003e\u003c/strong\u003e\u003cem\u003e: Operation Room\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eAAU\u003c/em\u003e\u003c/strong\u003e\u003cem\u003e: Addis Ababa University\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eCHS\u003c/em\u003e\u003c/strong\u003e\u003cem\u003e: College of Health Sciences\u003c/em\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cem\u003eLPPSq\u003c/em\u003e\u003c/strong\u003e\u003cem\u003e: Leiden Perioperative care Patient Satisfaction questionnaire\u003c/em\u003e\u003c/p\u003e\n"},{"header":"Declarations","content":"\u003ch2\u003eEthical Considerations\u003c/h2\u003e\n\u003cul\u003e\n \u003cli\u003eEthical approval was obtained from the\u0026nbsp;Department of Research and Ethics Review Committee (DRERC) of Addis Ababa University College of Health Sciences, Ethical Review Committee Office (ERCO) and Addis Ababa Health Bureau IRB (Internal Review Board).\u003c/li\u003e\n \u003cli\u003eA letter\u0026nbsp;informing Tikur Anbessa Hospital will be collected from the Ethical committee of the Departmental Research and Ethics Review Committee (DRERC) about the study. All eligible charts will be retrieved and patients were interviewed\u003c/li\u003e\n \u003cli\u003eAll the information obtained from the study subjects were coded to maintain confidentiality\u003c/li\u003e\n\u003c/ul\u003e\n\u003ch2 id=\"_Toc193153218\"\u003eConsent for Publication\u003c/h2\u003e\n\u003cul\u003e\n \u003cli\u003eNot applicable\u003c/li\u003e\n\u003c/ul\u003e\n\u003ch2 id=\"_Toc193153219\"\u003eAvailability of data and materials\u003c/h2\u003e\n\u003cul\u003e\n \u003cli\u003eThe datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.\u003c/li\u003e\n\u003c/ul\u003e\n\u003ch2 id=\"_Toc193153220\"\u003eCompeting Interests\u003c/h2\u003e\n\u003cul\u003e\n \u003cli\u003eThe authors declare that they have no competing interests\u003c/li\u003e\n\u003c/ul\u003e\n\u003ch2 id=\"_Toc193153221\"\u003eFunding\u003c/h2\u003e\n\u003cul\u003e\n \u003cli\u003eAddis Ababa University, Department of Surgery, 25,000 Ethiopian Birr\u003c/li\u003e\n\u003c/ul\u003e\n\u003ch2 id=\"_Toc193153222\"\u003eAuthors\u0026rsquo; Contribution\u003c/h2\u003e\n\u003cul\u003e\n \u003cli\u003e\u003cstrong\u003eKG\u003c/strong\u003e has participated in the conception and design of the work, data collection, and interpretation an analysis and final preparation of the thesis.\u003c/li\u003e\n \u003cli\u003e\u003cstrong\u003eBK\u003c/strong\u003e has participated in the conception and design of the work, revision of the final results and analysis and approved the submitted version.\u003c/li\u003e\n \u003cli\u003e\u003cstrong\u003eDB\u003c/strong\u003e has also participated in revision of the final results and analysis and approved the submitted version.\u003c/li\u003e\n \u003cli\u003eAll authors agreed reviewed and are personally accountable for the contributions in the paper and ensure any questions related to the accuracy or integrity of any part of the work, even ones in which the author was not personally involved, are appropriately investigated, resolved, and the resolution documented in the literature\u003c/li\u003e\n\u003c/ul\u003e\n\u003ch2 id=\"_Toc193153223\"\u003eAcknowledgement\u0026nbsp;\u003c/h2\u003e\n\u003cul\u003e\n \u003cli\u003eI would like to acknowledge the Department of Surgery, Addis Ababa University, College of Health Science for preparing such an opportunity for residents to exercise research in health related topics and to study the gaps pertaining to our day-to-day surgical activity and bring about helpful recommendations in the field of surgery.\u003c/li\u003e\n \u003cli\u003eMy next gratitude goes to my colleagues Dr Nardos Mulu and Fiker Gezahegn in reviewing this research proposal and their notable comments.\u003c/li\u003e\n\u003c/ul\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eTrummer, U. F., Mueller, U. O., Nowak, P., Stidl, T., \u0026amp; Pelikan, J. M. (2006). Does physician\u0026ndash;patient communication that aims at empowering patients improve clinical outcome? Patient Education and Counseling, 61(2), 299\u0026ndash;306. https://doi.org/10.1016/j.pec.2005.04.009\u003c/li\u003e\n\u003cli\u003eAlemu ME, Worku WZ, Berhie AY. Patient satisfaction and associated factors towards surgical service among patients undergoing surgery at referral hospitals in western Amhara Regional State, Ethiopia. Heliyon. 2023 Mar 4;9(3):e14266. doi: 10.1016/j.heliyon.2023.e14266. PMID: 36938460; PMCID: PMC10015238.\u003c/li\u003e\n\u003cli\u003eLevinson, W., Hudak, P., \u0026amp; Tricco, A. C. (2013). A systematic review of surgeon\u0026ndash;patient communication: Strengths and opportunities for improvement. Patient Education and Counseling, 93(1), 3\u0026ndash;17. https://doi.org/10.1016/j.pec.2013.03.023\u003c/li\u003e\n\u003cli\u003eWikipedia Contributors. (2024, August 26). Black Lion Hospital. Wikipedia; Wikimedia Foundation.\u003c/li\u003e\n\u003cli\u003eGebremedhn, E. G., \u0026amp; Lemma, G. F. (2017). Patient satisfaction with the perioperative surgical services and associated factors at a University Referral and Teaching Hospital, 2014: a cross-sectional study. Pan African Medical Journal, 27. https://doi.org/10.11604/pamj.2017.27.176.10671\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Perioperative findings, Patient communication, Patient-Physician Relationship, Patient satisfaction rate","lastPublishedDoi":"10.21203/rs.3.rs-6314087/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-6314087/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBACKGROUND\u003c/h2\u003e \u003cp\u003ePerioperative patient and physician communication skills are essential to provide high-quality care to patients. Tikur Anbessa hospital, being Ethiopia's tertiary referral hospital and a center of different surgical specialties, is an ideal place to study the relationship between patients' perioperative communication and its effect on satisfaction. The purpose of this study is to assess the trend of perioperative patient communication and its effect on patient satisfaction in Tikur Anbessa Hospital\u003c/p\u003e\u003ch2\u003eMETHODS\u003c/h2\u003e \u003cp\u003eThe study was conducted from May 01 to August 30, 2024 at Tikur Anbessa Specialized Hospital. A prospective cross-sectional study was conducted by collecting primary data from interviews. The sample size of 226 was estimated by using the Cochrane formula considering a previous level of satisfaction 84%. Convenience sampling was chosen. Data was entered into SPSS v25. Descriptive and regression analysis done and the outputs presented using tables, graphs, \u0026amp; figures accordingly.\u003c/p\u003e\u003ch2\u003eRESULTS\u003c/h2\u003e \u003cp\u003eThis study shows a mean overall surgical patient satisfaction rate of \u003cb\u003e67.3%\u003c/b\u003e. And among several possible factors contributing to the overall patient satisfaction, this study showed significant association with patients being informed about the diagnosis of illness preoperatively (AOR: 16.9, C.O.R: 0.017 [95% C.I: 0.002\u0026ndash;0.129]) Estimated cost and length of stay preoperatively (AOR: 8.65, C.O.R: 0.041 [95% C.I: 0.006\u0026ndash;0.305 ]) Intraoperative finding and Procedure done, (AOR 11.74, C.O.R: 0.033 [95% C.I: 0.010-.110]) Anticipated postop course, (AOR 7.67, C.O.R: 0.035 [95% C.I: 0.008\u0026ndash;0.147])\u003c/p\u003e\u003ch2\u003eCONCLUSION\u003c/h2\u003e \u003cp\u003eOverall patient satisfaction is fair in Tikur Anbessa Hospital but comparatively lower than the previously reported figures in the literature. Addressing gaps of information with an important focus on preoperative information of patients\u0026rsquo; diagnosis, the anticipated course and informing the intraoperative findings and procedures will significantly influence the satisfaction rate.\u003c/p\u003e","manuscriptTitle":"Trends of Communicating Perioperative Findings for Patients and Caregivers, and Its Effect on Patient Satisfaction in Tikur Anbessa Hospital, Addis Ababa, Ethiopia A Prospective Cross-sectional Study, 2024 ","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-04-17 17:45:16","doi":"10.21203/rs.3.rs-6314087/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"6b87e320-9daa-4280-8b1b-b19f975a50f8","owner":[],"postedDate":"April 17th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2025-11-26T09:09:29+00:00","versionOfRecord":[],"versionCreatedAt":"2025-04-17 17:45:16","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-6314087","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-6314087","identity":"rs-6314087","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}