Patient preference and recall of results of EUS-guided FNA

Gastrointest Endosc. 2006 Nov;64(5):735-9. doi: 10.1016/j.gie.2006.06.087.

Abstract

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.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biopsy, Fine-Needle* / methods
  • Cholangiopancreatography, Endoscopic Retrograde
  • Endosonography*
  • Female
  • Follow-Up Studies
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Mental Recall*
  • Middle Aged
  • Pancreatic Neoplasms / diagnosis
  • Pancreatic Neoplasms / diagnostic imaging*
  • Pancreatic Neoplasms / pathology*
  • Patient Satisfaction*
  • Pilot Projects
  • Reproducibility of Results
  • Research Design
  • Sensitivity and Specificity
  • Surveys and Questionnaires
  • Tomography, X-Ray Computed