Assessing patient's belief on HIV testing before elective surgery: room for improvements in Switzerland !


Ressource 1Download: BIB_3849995189F0.P001.pdf (270.35 [Ko])
State: Public
Version: author
Serval ID
Inproceedings: an article in a conference proceedings.
Publication sub-type
Abstract (Abstract): shot summary in a article that contain essentials elements presented during a scientific conference, lecture or from a poster.
Assessing patient's belief on HIV testing before elective surgery: room for improvements in Switzerland !
Title of the conference
Immunology and Cancer, CHUV Research Day, January 28, 2010
Cavassini Matthias L., Albrecht Eric, Frascarolo Philippe, Farron A., Gilliard Nicolas, Meystre-Agustoni Giovanna
University of Lausanne, Faculty of Biology and Medicine
Publication state
Issued date
69, IMI-46
Background: ln Switzerland no HIV test is performed without the patient's consent based on a Voluntary Counseling and Testing policy (VCT). We hypothesized that a substantial proportion of patients going through an elective surgery falsely believed that an HIV test was performed on a routine basis and that the lack of transmission of result was interpreted as being HIV negative.
Method: All patients with elective orthopedic surgery during 2007 were contacted by phone in 2008. A structured questionnaire assessed their belief about routine preoperative blood analysis (diabetes, coagulation function, HIV test and cholesterol level) as well as result awareness and interpretation. Variables included age and gender. Analysis were conducted using the software JMP 6.0.3.
Results: 1123 patients were included. 130 (12 %) were excluded (Le. unreachable, unable to communicate on the phone, not operated). 993 completed the survey (89 %). Median age was 51 (16-79). 50 % were female. 376 (38 %) patients thought they had an HIV test performed before surgery but none of them had one. 298 (79 %) interpreted the absence of result as a negative HIV test. A predictive factor to believe an HIV test had been done was an age below 50 years old (45 % vs 33 % for 16-49 years old and 50-79 years old respectively, p < 0.001). No difference was observed between genders.
Conclusion: ln Switzerland, nearly 40 % of the patients falsely thought an HIV test had been performed on a routine basis before surgery and were erroneously reassured about their HIV status. These results should either improve the information given to the patient regarding preoperative exams, or motivate public health policy to consider HIV opt-out screening instead of VCT strategy.
HIV Infections/diagnosis , Preoperative Care/standards , Surgical Procedures, Operative , Switzerland
Create date
16/03/2010 14:55
Last modification date
20/08/2019 14:27
Usage data