ACCEPTANCE PATTERNS FOR EMERGENCY AND ELECTIVE OTOLARYNGOLOGICAL SURGERIES IN SOUTHERN PART OF INDIA: A POPULATION-BASED OBSERVATIONAL STUDY
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Keywords
ENT surgery, surgical acceptance, emergency surgery, elective surgery, Andhra Pradesh, Karnataka, patient compliance
Abstract
Background: Acceptance of recommended otolaryngological surgery is a key determinant of timely intervention, compliance, and outcomes. In Southern India, sociocultural factors, health-seeking behavior, and trust in healthcare systems vary widely, potentially influencing surgical acceptance. Comparative data between individual states remain limited.
Objectives: To evaluate acceptance patterns for emergency and elective otolaryngological surgeries in Andhra Pradesh and Karnataka and to identify demographic, psychosocial, and behavioral determinants influencing consent and postoperative compliance.
Design: Population-based observational study.
Setting: Tertiary care otolaryngology centers in Andhra Pradesh and Karnataka.
Participants: A total of 186 adult patients (≥18 years) advised ENT surgery, equally distributed
between Andhra Pradesh (n = 93) and Karnataka (n = 93).
Methods: Surgical acceptance was assessed using a structured ENT Surgical Acceptance Score (ENT-SAS; range 0–10). Variables included age, gender, and duration of disease, emergency versus elective presentation, fear complexes, medico-legal concerns, surgeon trust perception, and postoperative compliance. Inter-state comparisons were performed.
Results: Overall, 48.4% of patients demonstrated high acceptance, 33.9% moderate acceptance, and 17.7% low acceptance. Karnataka showed a higher proportion of high acceptance (48.4%) compared to Andhra Pradesh (40.9%). Emergency surgeries had significantly higher acceptance scores than elective procedures in both states (p < 0.05). Fear complexes and skepticism toward surgery were more common in Andhra Pradesh, while Karnataka patients demonstrated better postoperative compliance.
Conclusion: Acceptance of ENT surgery differs significantly between Andhra Pradesh and Karnataka and is influenced by sociocultural attitudes, fear perception, and trust in healthcare providers. State- specific counseling strategies are essential to improve surgical uptake and compliance.
References
2. Rao SV, Kumar S, Reddy LS. Pattern of otorhinolaryngological emergencies. Indian J Otolaryngol Head Neck Surg. 2020;72(3):389-395.
3. Joseph J, Varghese A, Mathew J. Spectrum of ENT emergencies in South India. Int J Otorhinolaryngol Head Neck Surg. 2021;7(9):1486-1492.
4. Bansal A, Gupta R, Sharma R. Changing patterns of ENT surgeries in tertiary hospitals. J Clin Diagn Res. 2020;14(10):MC01-MC05.
5. Garg S, Singh R, Grover M. Health-seeking behaviour in tertiary hospitals. Indian J Public Health. 2020;64(4):320-326.
6. Krishnan R, Balasubramanian T. Sociodemographic influence on ENT care utilization. Indian J Community Med. 2020;45(4):522-526.
7. Reddy VM, Prasad KC, Prakash B. Determinants of surgical decision-making in ENT patients. Indian J Otolaryngol Head Neck Surg. 2021;73(2):168-174.
8. Thomas R, George A, Mathew J. Fear complexes related to ENT surgery. Indian J Otol. 2021;27(4):221-226.
9. Bhat V, Shenoy VS, Rao R. Cultural factors influencing elective ENT surgery acceptance. J Laryngol Otol. 2020;134(9):789-795.
10. Patel N, Shah K, Mehta A. Acceptance of emergency ENT procedures. Indian J Otolaryngol Head Neck Surg. 2023;75(1):112-118.
11. Khan MM, Rehman A, Ali Z. Emergency ENT surgery consent patterns. J Laryngol Otol. 2021;135(6):508-513.
12. Srinivasan V, Raghavan U. Decision-making in emergency ENT surgery. Otolaryngol Clin North Am. 2022;55(4):721-734.
13. Verma P, Gupta S. Quality-of-life perception and elective ENT surgery. Indian J Otol. 2023;29(2):97-103.
14. Banerjee S, Ghosh A. Elective surgery refusal in Indian hospitals. J Clin Diagn Res. 2020;14(10): IC01-IC05.
15. Suresh A, Kiran C, Maheshwari P. Delay in acceptance of chronic ENT surgery. Int J Otorhinolaryngol Head Neck Surg. 2022;8(5):421-427.
16. Menon S, Nair A. Trust and medico-legal awareness in surgical consent. Natl Med J India. 2021;34(6):342-346.
17. Joseph B, Mathew A, Paulose KO. Impact of counselling on otologic surgery acceptance. Int J Otolaryngol Head Neck Surg. 2021;10(3):165-171.
18. Thomas D, Pillai S. Postoperative compliance after ENT surgery. J Clin Otolaryngol. 2023;15(1):45-51.
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Dr. Shashi Kiran S
Associate Professor of ENT, Department of ENT, Viswabharathi Medical College and General Hospital, Near Penchikalapadu, Kurnool, A.P
Dr. Suhas Y Choudhari
Associate Professor of ENT, Department of ENT, Navodaya Medical College, Raichur, Karnataka
Dr. Sirige Sreelatha
Assistant Professor of ENT, Department of ENT, Government Medical College, Anantapuramu, A.P
