The lived experiences of metal hypersensitivity

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dc.contributor.authorDordunoo, Dzifa
dc.contributor.authorDoane, Gweneth
dc.contributor.authorCarey, Jett
dc.contributor.authorLagura, J. A.
dc.contributor.authorMallidou, Anastasia
dc.contributor.authorvan der Merwe, Jans
dc.contributor.authorShroeder, Scott
dc.date.accessioned2025-02-18T22:52:25Z
dc.date.available2025-02-18T22:52:25Z
dc.date.issued2023
dc.description.abstractBackground: Immunological responses to metal ions can occur in people with metal implantable devices. Nevertheless, patients are not routinely asked about metal hypersensitivity nor tested for it prior to surgical procedures. Moreover, we have not identified any published literature on patients’ experiences with this condition. We undertook this study to better understand the experiences of patients with metal hypersensitivity and to determine what information would help them make an informed decision about implantable medical devices with metal compositions. Methods: This is a patient-oriented research using an interpretative phenomenological methodology. We enrolled 16 people from five countries (Canada, New Zealand, Spain, the UK, and the USA) who experienced metal hypersensitivity following implantable medical device. We collected data from in-depth, semi-structured interviews focused on pre-procedural patient education and postoperative experiences to elucidate the barriers and opportunities related to metal hypersensitivity. We analyzed the data using interpretative phenomenological analysis. Results: The majority were white biological women between the ages of 34 and 65. None of the participants were informed about immunological responses to metals in implants during the consenting process. They encountered many challenges when symptoms of metal hypersensitivity occurred. The outcomes for the few who had the implants removed were mixed. Conclusion: Hypersensitivity reactions to metal need to be discussed as part of the consenting process, and additional strategies are needed to mitigate this issue in the health system.
dc.description.reviewstatusReviewed
dc.description.scholarlevelFaculty
dc.description.sponsorshipThe author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Funding was provided by the BC SUPPORT Unit and University of Victoria.
dc.identifier.citationDordunoo, D., Doane, G., Carey, J., Lagura, J. A., Mallidou, A., Van Der Merwe, J., & Schroeder, S. (2023). The lived experiences of metal hypersensitivity. Journal of Patient Safety and Risk Management, 28(6), 275–285. https://doi.org/10.1177/25160435231190197
dc.identifier.urihttps://doi.org/10.1177/25160435231190197
dc.identifier.urihttps://hdl.handle.net/1828/21213
dc.language.isoen
dc.publisherJournal of Patient Safety and Risk Management
dc.rightsAttribution-NonCommercial 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subject.departmentSchool of Nursing
dc.titleThe lived experiences of metal hypersensitivity
dc.typeArticle

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