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How Patient Decision Making Characteristics Affect Satisfaction in Facial Plastic Surgery: A Prospective Pilot Study

Oliver, Jeremie D BS, BA; Menapace, Deanna C MD; Staab, Jeffrey P MD; Recker, Chelsey PA-C; Friedman, Oren MD; Hamilton, Grant S MD

Plastic and Reconstructive Surgery – Global Open: July 2019 - Volume 7 - Issue 7S - p 2
doi: 10.1097/01.GOX.0000579792.56573.c0
Mountain West 2019 Abstract Supplement

Mayo Clinic, Rochester, MN

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

BACKGROUND: The main objective of this study was to prospectively analyze which personality traits, clinical psychiatric states, and patient decision-making characteristics predict who will be less-satisfied after facial plastic surgery.

METHODS: This prospective study enrolled 60 adult subjects into one of three groups: aesthetic, functional, and reconstructive facial plastic surgery procedures, n=20 in each group, from November 2011 to February 2016. Self-report surveys of personality traits (NEO-PI-R), psychiatric state (PHQ-9, GAD, HAI-S), and decision-making characteristics (Maximizer/Satisficer Survey) were given during the pre-operative clinic visits. In post-operative follow-up, satisfaction questionnaires at three, six and twelve months were administered. Data analysis examined associations between patient satisfaction, decision-making characteristics, and psychiatric variables.

RESULTS: Bivariate analyses showed that Max/Sat decision-making style was significantly related to patient satisfaction scores in the year following surgery. This difference reached statistical significance at 6 months and remained a strong trend at 12 months. Patients who were “less than extremely satisfied” at both post-operative time points were more likely to portray the Maximizer decision-making style. No other variables were associated with patient satisfaction at any time point. Max/Sat Survey scores were not associated with self-reports of depression, anxiety, or illness anxiety. Mean scores on the Max/Sat Survey did not differ between the aesthetic, functional and reconstructive groups.

CONCLUSIONS: The Max/Sat survey captures an aspect of patient care not traditionally measured by standard clinical psychometric screening tools to help predict satisfaction. A short questionnaire targeting consumer decision-making may be a helpful tool for preoperative counseling.

Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved.