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Supplemental Figure 1: Study Survey

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08/02/2017 9:31am www.projectredcap.org

Patient Information

1) Medical Record Number: __________________________________

2) Name: __________________________________

3) Age: __________________________________

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Sample Test Questions

Please complete the survey below.

Thank you!

The following questions represent a sample of the types of questions included in this survey.

Please ask for clarification if needed.

4) Are you having surgery to remove cancer or suspected yes

cancer? no

5) If yes, what do you think the chances are that you Very unlikely

will be free of cancer in 1 year? Unlikely

About 50/50 Likely Very likely Not applicable

Estimate how likely (percentage 0-100) you think you are to have the following complication during your hospitalization. A scale is below for reference.

6) Blood clot: __________________________________

(0-100)

For the complication below, indicate the point at which the risk (percentage 0-100) would be so great that you would delay or cancel surgery. Use the same scale as above for reference.

7) __________________________________

Blood clot: (0-100)

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8) My doctor(s) should share my personal risk with me Strongly Agree

before I agree to surgery. Agree

Neither Agree nor Disagree Disagree

Strongly Disagree

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Initial Survey Questions

What do you think the chances are that surgery will Very unlikely

improve your health? Unlikely

About 50/50 Likely Very likely

Are you having surgery to remove cancer or suspected yes

cancer? no

If yes, what do you think the chances are that you Very unlikely

will be free of cancer in 1 year? Unlikely

About 50/50 Likely Very likely Not applicable If yes, what do you think the chances are that you Very unlikely

will be free of cancer in 5 years? Unlikely

About 50/50 Likely Very likely Not applicable

Are you having surgery mainly to reduce pain? yes no

If yes, what do you expect your pain level will be 1 Much worse

year after surgery? Worse

About the same Better

Much better Not applicable

How well do you feel that you understand the risks of Not at all

surgery and anesthesia? Poorly

Somewhat Well Very well

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Indicate how much you agree or disagree with the following statements:

I need more information about the risks and benefits Strongly disagree

of surgery and anesthesia. Disagree

Neither agree or disagree Agree

Strongly agree It is hard for me to decide if the benefits of Strongly disagree

surgery outweigh the risks. Disagree

Neither agree or disagree Agree

Strongly agree

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Risk Estimates

Please complete the survey below.

Thank you!

Estimate how likely (percentage 0-100) you think you are to have each of the following complications during your hospitalization. A scale is below for reference.

18) A SERIOUS complication: __________________________________

(Includes cardiac arrest, heart attack, pneumonia, (0-100%) kidney injury or failure, blood clot in legs or

lungs, unexpected return to operating room for further operation, infection, blood

infection/sepsis, unplanned need for a breathing tube, urinary tract infection, wound disruption)

19) ANY complication: __________________________________

(wound infection or disruption, pneumonia, unplanned (0-100%) need for a breathing tube, blood clot in legs or

lungs, unplanned need for a breathing machine > 48 hours, kidney injury or failure, urinary tract

infection, stroke, cardiac arrest, heart attack, unplanned return to the operating room for further operation, blood infection/sepsis)

20) Pneumonia: __________________________________

(0-100%)

21) A heart problem: __________________________________

(Includes heart attack or cardiac arrest) (0-100%)

22) Surgical wound infection: __________________________________

(0-100%)

23) Urinary tract infection: __________________________________

(0-100%)

24) Blood clot: __________________________________

(0-100%)

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25) Kidney failure: __________________________________

(0-100%)

26) Readmission to hospital: __________________________________

(Unplanned return to hospital after discharge because (0-100%) of complications)

27) Unplanned return to operating room for more surgery: __________________________________

(0-100%)

28) Death: __________________________________

(0-100%)

29) Discharge to a nursing or rehab facility: __________________________________

(0-100%) 30) How many days do you expect to stay in the hospital?

1 2 3 4 5 6 7 8 9 10 More than 10 days

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Survey Break

Please complete the survey below.

Thank you!

You will now be shown your calculated personal risk estimates. After you have reviewed your results, you will complete the final survey that follows.

Please wait to review your calculated risks with study personnel.

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Closing Questions

Before participating in this study, I had already yes seen the calculator's estimates of my personal risk no

Indicate how much you agree or disagree with the following statements:

Strongly Agree Agree Neither Agree nor Disagree

Disagree Strongly Disagree The calculator's estimates of my

personal risk were different than I expected based on what my doctors told me.

The calculator's estimates of my personal risk were easy to understand.

The calculator's estimates of my personal risk have helped me understand my risks better.

The calculator's estimates of my personal risk were useful to me.

My doctor(s) should share my personal risk with me before I agree to surgery.

Knowing my personal risk has made me less anxious about surgery.

Would you have wanted to know these risk estimates yes

prior to consenting for surgery? no

neutral How well do you feel that you understand the risks of Not at all

surgery and anesthesia? Poorly

Somewhat Well Very well

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Would you consider using medicine, diet, physical Yes therapy, or a similar program to lower your personal Maybe

risk for surgery? No

How long would you be willing to delay your surgery I would not delay surgery

to do this? 1 month

2 months 3 months 4 months

more than 6 months 6 months

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