Table 3.

Summary of Recommendations to Improve Ratings With Appropriate Evidence From Free-Text Analysis of Patient Physician Rating Website (PRW) Comments

Recommendations	Evidence
• Surgeons should suggest patients with positive surgical outcomes to leave reviews on PRWs at an opportune time such as a postoperative visit	• Patients with good surgical outcomes and who perceived their surgeon as skilled were more likely to leave positive reviews (P < 0.001 for each)
• Surgeons should prioritize their bedside manner during every patient interaction by focusing on kindness, professionalism, and honesty	• Patients were more likely to comment negatively on surgeon bedside manner (P < 0.001) while being neutral about physician personality (P = 0.236)
• To avoid patients waiting for their visit, surgeons should stay within scheduled visit times and consider more focused patient visits that take up less time	• Patients were neutral about visit time (P = 0.251) while more likely to negatively comment on wait time for a visit (P < 0.001)
• Less invasive treatments should be considered before surgical intervention, except in the case when the patient clearly desires surgery	• Patients were more likely to comment negatively on treatment when they felt like they were rushed into surgery (P < 0.001).
• Patients who specifically request to see the surgeon instead of an advanced practice provider (APP) should be scheduled with the surgeon	• Patients were more likely to comment negatively when seeing an APP instead of a surgeon (P < 0.001).