• Kiersten Pianosi, Ayala Y Gorodzinsky, Jill MacLaren Chorney, Gerard Corsten, Liane B Johnson, and Paul Hong.
• Division of Otolaryngology-Head and Neck Surgery, IWK Health Centre, Halifax, Canada.
• Otolaryngol Head Neck Surg. 2016 Aug 1; 155 (2): 332-9.

ObjectiveTo evaluate parental recall of surgical risks and benefits in pediatric otolaryngology and to assess for factors that may influence recall.Study DesignProspective cohort study.SettingAcademic pediatric otolaryngology clinic.Subjects And MethodsEighty-four parents of children <6 years of age who underwent consultation for adeno/tonsillectomy and/or tympanostomy tube insertion were prospectively enrolled. Consultation visits were video recorded and the benefits and risks of surgery documented. Two weeks following the consultation, parents were contacted for assessment of recall of information discussed during the consultation.ResultsOverall, parents recalled only one-third of the risks of surgery mentioned by the surgeons. Parents were significantly more likely to recall the benefits of surgery as opposed to the risks (P < .001). Nine parents (10.7%) reported that no benefits were discussed during the consultation, and 10 (11.9%) reported no mention of any risks. Inconsistencies were present in which risks and benefits were mentioned by the providers. Parents who decided to proceed with surgery (58.3%) were significantly less likely to recall the surgical risks than those who did not (P < .001). The specific surgeon involved, the number of caregivers present, parental education level, and prior surgical history did not influence recall.ConclusionParental recall of benefits and risks associated with common pediatric otolaryngology procedures was poor. This information is important because a low rate of recall may influence parents' perspectives of the procedure and could alter their decision-making processes or expectations. Methods to improve parental recall should be further studied.© American Academy of Otolaryngology—Head and Neck Surgery Foundation 2016.

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