Navigation Links
Risks of Kids' Surgeries May Not Stick With Parents
Date:3/17/2010

Despite giving 'informed consent,' many can't recall details, study finds

WEDNESDAY, March 17 (HealthDay News) -- Even detailed counseling by doctors doesn't seem to help parents of children having surgery understand or remember all the risks of the procedures, researchers have found.

Before a child can have surgery, a parent or legal guardian must give what's called informed consent. The process has four main elements: disclosure, comprehension, competence and voluntary choice.

"To meet these criteria, the physician must openly communicate to the patient a clear description of the procedure and the goals and benefits of that procedure as well as the risks of, and all alternatives to, surgery," wrote Dr. Daniel P. Nadeau and his colleagues at Walter Reed Army Medical Center. "In the case of pediatric patients, the parents or legal guardians must be counseled concerning their child's surgery."

To assess the process, the researchers focused on 34 parents whose children were having a tonsillectomy or having tubes placed in their ears. The standard informed consent procedure was followed for all of the parents, but 16 also were given detailed information aids. Immediately after counseling and again on the day of their child's surgery, the parents filled out questionnaires designed to assess their knowledge of the procedure and how well they remembered nine specific surgical risks.

On average, there were 6.3 days between the time parents were counseled about risk and their child's surgery. Overall, parents in both groups recalled about 58 percent of the nine surgical risks immediately after counseling and 57 percent on the day of the surgery. But parents who had also received detailed information aids did better at remembering the risks both before and on the day of surgery, recalling six (compared with 4.4, on average) before surgery and 6.25 (vs. 4.17) on the day of surgery.

In both groups, parents with lower education levels remembered more risks than better-educated parents. Mothers remembered more risks than fathers.

"Although formal counseling with detailed data sheets does improve patient surgical risk recall, no parent was able to recall 100 percent [nine of nine] of the intended surgical risks," the researchers wrote. "The overall risk recall rate for this study was 57.5 percent, which is largely disappointing given the effort that was put forth to improve recall."

"Clearly, more efforts need to be made by physicians to study this process to better understand the factors that may affect the informed consent process, with the goal of patients and parents being better informed of the basic risks before surgery," they concluded.

The study was published in the March issue of Archives of Otolaryngology -- Head & Neck Surgery.

More information

The Nemours Foundation has more about children's surgery.



-- Robert Preidt



SOURCE: JAMA/Archives journals, news release, March 15, 2010


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. New study shows promise in reducing surgical risks associated with surgical bleeding
2. Informational handout key to giving parents a better understanding of CT radiation risks
3. Stanford study highlights cost-effective method of lowering heart disease risks
4. Hispanic Teens Take More Skin Cancer Risks
5. Smoking increases risks for head and neck cancers for men and women
6. Case Management Cost-Effective Way to Cut Heart Risks
7. National Council of Negro Women (NCNW) Partners With Sherwin-Williams to Target Lead Risks in Neglected Housing
8. Diabetes Drug Avandia Boosts Heart Risks: Study
9. Federal research plan to determine nanotech risks fails to deliver
10. AHRQ and FDA to Collaborate in Largest Study Ever of Possible Heart Risks with ADHD Medications
11. Many U.S. Women Unaware of Birth Defect Risks
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/5/2016)... Tacoma, Washington (PRWEB) , ... December 05, 2016 ... ... grand opening of its latest transitional care facility – Avamere Transitional Care ... The 39,936 square foot short-term, post-acute health care center will provide patients recovering ...
(Date:12/5/2016)... ... December 05, 2016 , ... ... with leading global lifestyle design firm kathy ireland® Worldwide for five additional years, ... Worldwide entered into an exclusive licensing agreement three years ago to design and ...
(Date:12/5/2016)... Louis, Missouri (PRWEB) , ... December 05, 2016 ... ... across ethnic, gender, and geographic lines. The goal of Castlewood Treatment Centers has ... disorder treatment accessible to as many people as possible. In that spirit, ...
(Date:12/5/2016)... ... December 05, 2016 , ... Florida Hospital ... Hospital West Florida Region. McGuinness brings experience in executive leadership and clinical practice, ... and leaders. , In her new role, that officially begins December 12, 2016, ...
(Date:12/5/2016)... ... ... Sabah Shah MD, MBA has joined the Retina Group of New York (RGONY) ... James M. Maisel, MD and has been providing tertiary medical and surgical retinal care on ... surpassing expectations amongst her peers. Growing up in a family of doctors, Dr. Shah ...
Breaking Medicine News(10 mins):
(Date:12/5/2016)... Spain Glaucoma Surgery Devices Market Outlook to 2022 ... Market Outlook to 2022", provides key market data on ... value, in millions of US dollars, volume (in units) ... Micro Catheters and Glaucoma Drainage Devices. The report ... each of these market segements, and global corporate-level profiles ...
(Date:12/5/2016)... , Dec. 5, 2016 Special purpose needles ... samples such as fluid and cells from organs or lumps ... shapes, and sizes. The global market for special purpose needles ... population. In terms of revenue, the global special purpose needles ... during the forecast period (2016–2026) and is expected to be ...
(Date:12/5/2016)... RATON, Fla. , Dec. 5, 2016 /PRNewswire-USNewswire/ ... Public Research (the Florida Institute) announced today ... LLC, an Orlando -based company ... The Florida Institute supports new company creation based ... for companies spinning out of Florida-based universities and research ...
Breaking Medicine Technology: