Navigation Links
Study finds patients benefit from thorough discussion of recommended operations
Date:7/7/2010

CHICAGO (July 7, 2010) Surgical patients who participate in longer󈝻- to 30-minute discussions prior to having an operation (known as the informed consent process) better understand the proposed operation, according to new research published in the June issue of the Journal of the American College of Surgeons. In addition, researchers found that asking the patient to "repeat back" their understanding of the procedure was effective in enhancing patient comprehension of informed consent issues. This is the largest study ever conducted on the surgical informed consent process.

Informed consent for surgical procedures is a critical part of surgical patient care. When effective, the informed consent process enables the patient to make rational, independent decisions. Unfortunately, numerous studies demonstrate that the average patient has an inadequate comprehension of the issues related to surgical procedures including a recent literature survey of over 700 patients that found the average patient understood less than half of the relevant informed consent issues related to the recommended surgical procedure.

"In our study, we found that patients with potential cultural or language difficulties from factors such as race, education or age may limit informed consent comprehension," said Aaron S. Fink, MD, FACS, attending surgeon at the Atlanta Veterans Affairs Medical Center and chief surgical consultant for VA Network 7, and professor of surgery at Emory University School of Medicine, Atlanta. "But all patients benefitted from what we found was the strongest influence on patient comprehension extending the amount of time spent on informed consent discussions, as well as having the patient repeat back their understanding of the proposed procedure."

Researchers identified 575 patients in seven Department of Veterans Affairs (VA) medical centers from August 2006 to June 2008. Patients were enrolled in the study if they were scheduled for one of four elective surgical procedures: total hip arthroplasty (hip replacement), carotid endarterectomy (surgical correction of the narrowing of the carotid artery), laparoscopic cholecystectomy (gallbladder removal), or radical prostatectomy (removal of the prostate gland and some of the tissue around it). All informed consent discussions were performed using iMedConsent, the VA's computerized informed consent platform that standardizes risk information and provides a structured, computer-based interview to create an informed consent document. Within iMedConsent, researchers utilized a unique module to select a random sample of patients to participate in a "repeat back" discussion at the time the consent was sought. During the "repeat back," the provider would ask the patient to correctly reiterate procedure-specific facts and would provide additional information as needed.

The comprehension of all patient participants was tested after the informed consent discussion using procedure-specific questionnaires. Each patient's comprehension score was calculated as the percentage of questions that were answered correctly. Time spent completing the informed consent process was measured using time stamps within iMedConsent.

While time for consent (that is, the time spent explaining the consent process) had the strongest impact on patient comprehension (p< 0.0001), other independent factors associated with improved comprehension included race (p< 0.01), ethnicity (p< 0.05), age (p< 0.02), and type of surgical procedure (p< 0.01). Some of these independent factors might suggest language and education barriers, highlighting the need for modified approaches to consent. The "repeat back" method of discussion was associated with an improvement in comprehension (p< 0.05), but the impact was weaker in the analysis that included consent time.

Study limitations included the predominance of male patients in the study (93 percent), the predominance of Caucasians in the study (74 percent), and the focus on four specific surgical procedures. Further study is needed to extrapolate results to a larger population. Additional findings from this study will be published in an upcoming issue of Annals of Surgery.


'/>"/>

Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
Weber Shandwick Worldwide
Source:Eurekalert

Related medicine news :

1. Many Docs Deliver Cancer Diagnosis Badly: Study
2. Study: Higher-protein diets support weight loss, but may lower bone density in postmenopausal women
3. Legalizing marijuana in California would lower the price of the drug and increase use, study finds
4. Study shows race, not experience, impacts hiring in sports world
5. 1 in 4 Californian children have never seen a dentist, study finds
6. Understanding Back Pain May Improve Management, Study Suggests
7. SDI Reports: Novo Nordisk Takes Top Ranking Among Endocrinologists, According To Pharmaceutical Company Image Study
8. The Framingham Heart Study -- global impact, ongoing influence
9. Study links romantic rejection with reward and addiction centers in the brain
10. Don't Ignore Flat Feet Study links this condition to painful foot maladies
11. Tight Blood Pressure Control Doesnt Help All Diabetics: Study
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified personal trainer is helping ... fitness app. The fitness app plans to fix the two major problems leading the fitness ... size fits all type program , They don’t eliminate all the reasons people ...
(Date:6/25/2016)... , ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library on ... Observer , brings up a new, often overlooked aspect of head lice: the parasite’s ability ... fumigation is not a common occurrence, but a necessary one in the event that lice ...
(Date:6/25/2016)... ... June 25, 2016 , ... ... non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as a method ... —Johnson is one of the first doctors to perform the treatment. Orthobiologics are ...
(Date:6/24/2016)... ... ... Those who have experienced traumatic events may suffer from a complex set ... drug or alcohol abuse, as a coping mechanism. To avoid this pain and suffering, ... traumatic event. , Trauma sufferers tend to feel a range of emotions, from depression, ...
(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, ... Elite. The attorneys chosen by their peers for this recognition are considered among the ... Traurig Shareholders received special honors as members of this year’s Legal Elite Hall of ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... , June 27, 2016  VMS Rehab Systems, Inc. ... will take whatever measures required to build a strong ... which is currently listed on the OTC Markets-pink current ... Chairman and CEO, "We are seeing an anomaly in ... understand, not only by the Company, but shareholders and ...
(Date:6/24/2016)... 24, 2016   Bay Area Lyme Foundation ... Dean Center for Tick Borne Illness , Harvard ... MIT Hacking Medicine, University of California, Berkeley, and ... the five finalists of Lyme Innovation , ... than 100 scientists, clinicians, researchers, entrepreneurs, and investors ...
(Date:6/24/2016)... and SAN CLEMENTE, Calif. , June 24, 2016 ... mobile pulmonary function testing company, is now able to perform sophisticated ... by ndd Medical Technologies , Inc. Patients ... hospital-based labs.  Thanks to ndd,s EasyOne PRO ® , ARL patients ... get any needed testing done in the comfort of her own ...
Breaking Medicine Technology: