Chan Kai Siang, Kwan Jia Rui, Shelat Vishal G
MOH Holdings Private Limited, Singapore.
Department of General Surgery, Tan Tock Seng Hospital, Singapore.
J Clin Transl Res. 2022 May 25;8(3):224-233. eCollection 2022 Jun 29.
Robotic surgery is an advancing technology and patients may not be fully aware of these advancements. Social media and advertisements may falsely skew patients' understanding. This study aims to seek awareness, understanding. and attitude toward robotic surgery in Singapore.
A cross-sectional study of 472 patients and/or their relatives (response rate 94.4%) in a specialist outpatient clinic chosen through convenience sampling from May to July 2017 was performed. All healthcare workers or participants <21 years of age were excluded. A 19-point survey questionnaire including patient sociodemographics and awareness and attitudes toward robotic surgery was administered. Univariate and multivariate analysis was performed to assess participants' preference for robotic surgery.
Two hundred and sixty (55.1%) of the participants were female and the majority were aged 21-40 years old (55.5%). 250 participants (53.0%) reported having heard of robotic surgery; majority (=205, 82.0%) were from the media. Two hundred and six (43.6%) participants had the misconception that robotic surgery involved an automated robot. Multivariate analysis showed that perception that robotic surgery yielded better results was independently associated with preference for robotic surgery (prefers robotic surgery: =56/159 (35.2%), do not prefer robotic surgery: =81/313 (25.9%), odds ratio (OR) 1.61, 95% confidence interval (CI): 1.06-2.45, =0.026). Having concerns that wrong surgery may be performed by robotic surgery were also independently associated with disinclination toward robotic surgery (OR 0.51 [95% CI: 0.35-0.76], =0.001).
Understanding of robotic surgery was poor with several misconceptions. It is paramount to clarify these misconceptions to advocate for informed decision-making.
Measures need to be taken to ensure adequacy of pre-operative counseling in patients undergoing robotic surgery. Misconceptions on benefits and risks of robotic surgery should be cleared before decision on the surgical access and approach.
机器人手术是一项不断发展的技术，患者可能并未充分了解这些进展。社交媒体和广告可能会错误地扭曲患者的认知。本研究旨在了解新加坡患者对机器人手术的知晓情况、理解程度和态度。
2017年5月至7月，采用便利抽样法，对一家专科门诊诊所的472名患者和/或其亲属进行了横断面研究（应答率94.4%）。所有医护人员或年龄小于21岁的参与者均被排除。使用一份包含患者社会人口统计学信息以及对机器人手术的知晓情况和态度的19项调查问卷。进行单因素和多因素分析以评估参与者对机器人手术的偏好。
260名（55.1%）参与者为女性，大多数年龄在21 - 40岁之间（55.5%）。250名参与者（53.0%）表示听说过机器人手术；大多数（=205，82.0%）是从媒体了解到的。206名（43.6%）参与者错误地认为机器人手术涉及自动化机器人。多因素分析显示，认为机器人手术能产生更好效果的认知与对机器人手术的偏好独立相关（更喜欢机器人手术：=56/159（35.2%），不喜欢机器人手术：=81/313（25.9%），比值比（OR）1.61，95%置信区间（CI）：1.06 - 2.45，=0.026）。担心机器人手术可能会做错手术也与不倾向于机器人手术独立相关（OR 0.51 [95% CI：0.35 - 0.76]，=0.001）。
对机器人手术的理解较差，存在一些误解。澄清这些误解对于倡导明智的决策至关重要。
对于接受机器人手术的患者，需要采取措施确保术前咨询的充分性。在决定手术入路和方式之前，应消除对机器人手术益处和风险的误解。
