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

Orthop Traumatol Surg Res. 2022 May;108(3):103037. doi: 10.1016/j.otsr.2021.103037. Epub 2021 Aug 8.

Abstract

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.

Keywords: Doctor-patient relationship; Information; Reputation; Surgeon selection.

Publication types

  • Observational Study

MeSH terms

  • Anterior Cruciate Ligament Injuries* / surgery
  • Anterior Cruciate Ligament Reconstruction* / methods
  • France
  • Humans
  • Prospective Studies
  • Surgeons*
  • Surveys and Questionnaires