How do patients choose their surgeon? Example of anterior cruciate ligament reconstruction.

Orthop Traumatol Surg Res

Service de chirurgie orthopédique, HIA Sainte-Anne, 2, boulevard Sainte-Anne, 83000 Toulon, France.

Published: May 2022

Introduction: In this age of social media, with an ever-higher profile for surgery and rankings for the general public, patients' criteria for choosing a surgeon or team are not precisely known, especially in France. We therefore conducted a prospective study concerning anterior cruciate ligament reconstruction: (1) to determine how patients came to know their surgeon; (2) to identify factors affecting final choice.

Hypothesis: Patients' choice of surgeon is affected by scores found in social media and rankings found in the press.

Material And Method: A prospective continuous study included all patients operated on, without standardization of technique, in 3 hospitals (public and private sector). An anonymous questionnaire on surgeon selection criteria, scored 0 to 10, was distributed on a voluntary basis on the day of surgery scheduling.

Results: One hundred and five patients were included. They had come to know of their surgeon via family or friends or their personal physician in more than two-thirds of cases. The essential criterion of final choice was the clarity of the written and oral information provided in consultation (mean score, 8.09±1.83). Other factors included wait-time to surgery (7.39±2.25) and to first consultation (7.26±2.01) and the surgeon's reputation (7.42/10±2.43).

Conclusion: "Word of mouth" and the quality if information provided in consultation motivated final choice, more than any influence of social media or press hospital rankings.

Level Of Evidence: IV; prospective observational study without control group.

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http://dx.doi.org/10.1016/j.otsr.2021.103037DOI Listing

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