Patient preference and recall of results of EUS-guided FNA

Background There are no clear guidelines regarding the best way, in terms of timing and setting, to deliver results to patients who undergo EUS-guided FNA (EUS-FNA) of suspected pancreatic masses. Objective We aimed to study (1) whether patients undergoing EUS-FNA prefer to receive preliminary resul...

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Bibliographic Details
Main Author: Azar, Riad (author)
Other Authors: Early, Dayna S. (author), Janec, Eileen (author), Ristvedt, Stephen (author), Gao, Feng (author), Edmundowicz, Steven A. (author)
Format: article
Published: 2006
Online Access:http://hdl.handle.net/10725/4124
http://dx.doi.org/10.1016/j.gie.2006.06.087
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
http://www.sciencedirect.com/science/article/pii/S0016510706024941
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Summary:Background There are no clear guidelines regarding the best way, in terms of timing and setting, to deliver results to patients who undergo EUS-guided FNA (EUS-FNA) of suspected pancreatic masses. Objective We aimed to study (1) whether patients undergoing EUS-FNA prefer to receive preliminary results immediately after the procedure or at a later date, after final results are known; and (2) to assess the accuracy of patients' recollection of information given to them regarding their FNA diagnosis. Design We enrolled patients presenting to our endoscopy center for EUS-FNA of suspected pancreatic masses and obtained data through 4 pilot surveys. Settings University-based endoscopy center. Patients Sixty patients who were referred for EUS-FNA of suspected pancreatic masses. Results A total of 57 of 59 patients (96.6%) wanted preliminary results the same day as the procedure. Twenty-eight of 60 (42.7%) knew they were having a biopsy, and 42 of 60 (70%) knew cancer was suspected. Of those who received preliminary results, 31 of 41 (75%) remembered the diagnosis correctly the next day, and 32 of 38 (84%) remembered the diagnosis correctly 1 week later. Limitations Single-center pilot study. Conclusions The majority of our patients wished to receive preliminary results the same day as the procedure. Although most patients remembered results correctly, 25% of patients did not remember the correct diagnosis the next day. Further work is needed to improve patient's understanding of the reasons for the EUS-FNA and recall of preliminary EUS-FNA results.