Consent and complications: risk disclosure varies widely between individual surgeons

McManus, Penny; Wheatley, Kevin

doi:10.1308/003588403321219812

Cited by 47 publications

(34 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…75 The correlation between surgeon and patient opinions of operative outcomes is poor. 36,65 Our results indicate that retrospective reviews underestimate the incidence of complications in spine surgery. Overall, prospective studies reported a higher incidence of complications (19.9%) than did retrospective studies (16.1%, p < 0.0001, OR 1.3).…”

Section: Relevance Of Study Designmentioning

confidence: 78%

Complications in spine surgery

Nasser

Yadla²,

Maltenfort³

et al. 2010

SPI

306

167

View full text Add to dashboard Cite

Object The overall incidence of complications or adverse events in spinal surgery is unknown. Both prospective and retrospective analyses have been performed, but the results have not been critically assessed. Procedures for different regions of the spine (cervical and thoracolumbar) and the incidence of complications for each have been reported but not compared. Authors of previous reports have concentrated on complications in terms of their incidence relevant to healthcare providers: medical versus surgical etiology and the relevance of perioperative complications to perioperative events. Few authors have assessed complication incidence from the patient's perspective. In this report the authors summarize the spine surgery complications literature and address the effect of study design on reported complication incidence. Methods A systematic evidence-based review was completed to identify within the published literature complication rates in spinal surgery. The MEDLINE database was queried using the key words “spine surgery” and “complications.” This initial search revealed more than 700 articles, which were further limited through an exclusion process. Each abstract was reviewed and papers were obtained. The authors gathered 105 relevant articles detailing 80 thoracolumbar and 25 cervical studies. Among the 105 articles were 84 retrospective studies and 21 prospective studies. The authors evaluated the study designs and compared cervical, thoracolumbar, prospective, and retrospective studies as well as the durations of follow-up for each study. Results In the 105 articles reviewed, there were 79,471 patients with 13,067 reported complications for an overall complication incidence of 16.4% per patient. Complications were more common in thoracolumbar (17.8%) than cervical procedures (8.9%; p < 0.0001, OR 2.23). Prospective studies yielded a higher incidence of complications (19.9%) than retrospective studies (16.1%; p < 0.0001, OR 1.3). The complication incidence for prospective thoracolumbar studies (20.4%) was greater than that for retrospective series (17.5%; p < 0.0001). This difference between prospective and retrospective reviews was not found in the cervical studies. The year of study publication did not correlate with the complication incidence, although the duration of follow-up did correlate with the complication incidence (p = 0.001). Conclusions Retrospective reviews significantly underestimate the overall incidence of complications in spine surgery. This analysis is the first to critically assess differing complication incidences reported in prospective and retrospective cervical and thoracolumbar spine surgery studies.

show abstract

Section: Relevance Of Study Designmentioning

confidence: 78%

Complications in spine surgery

Nasser

Yadla²,

Maltenfort³

et al. 2010

SPI

306

167

View full text Add to dashboard Cite

show abstract

“…Although focused on the context of specific operations as opposed to risks in general, the results of two recent papers broadly confirm that there is a great deal of variability with regard to the disclosure of risk during the process of obtaining informed consent 24,26 . Non-standardized practice has the potential to leave the healthcare professional in a legally vulnerable position 2,30 .…”

Section: Factors Affecting Discussion Of Riskmentioning

confidence: 91%

“…The findings of the few studies that have reported discussion of minor risks support the present data. McManus and Wheatley 24 found that among 207 surgeons who performed laparoscopic cholecystectomy at least 40 per cent of respondents never discussed the risk of wound infection. Finally, there are few studies that reflect actual practice by surveying the opinion of all grades of staff who might obtain consent.…”

Section: Factors Affecting Discussion Of Riskmentioning

confidence: 99%

Prospective survey of factors affecting risk discussion during consent in a surgical specialty

Pleat

Dunkin

Davies

et al. 2004

British Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…There is a lack of consensus among surgeons as to which risks are significant for each operation. 18 …”

Section: Prostate Treatmentmentioning

confidence: 99%

“…17 Conversely, claims have also been made for misdiagnosing patients with non-infective conditions such as dermatitis when in fact they had sexually transmitted diseases and subsequently went on to unknowingly infect others. 18 …”

Section: Sexually Transmitted Diseasesmentioning

confidence: 99%

Legal aspects of men's genitourinary health

Henning

Waxman

2009

Int J Impot Res

View full text Add to dashboard Cite

Men's health issues have increasingly gained attention not only in the mass media, but also among most health-care providers. The diagnosis and treatment of male-related health problems, unfortunately, can lead to complications and error-related injuries resulting in claims of medical malpractice. This review article will look at the most common claims relating to complications and injuries in the management of men's health issues. Reviews of the literature over the past three decades using multiple search engines including PubMed were utilized. The most pertinent articles were selected on the basis of their relevance to men's health issues, complications and medico-legal ramifications. An evaluation of the literature reveals that although the number of claims against urologists has not increased over the past several decades, indemnity payments have continued to rise significantly. Claims can be divided into those relating to diagnosis and those relating to treatment. Providers of men's health care may become involved in claims of medical malpractice at some time during their careers. Patients' care can result in complications and injuries, most of which do not lead to claims. Certain areas of men's health lead to more claims than others. The keys to prevention and management of those claims are good communication, informed consent and documentation.

show abstract

Consent and complications: risk disclosure varies widely between individual surgeons

Cited by 47 publications

References 2 publications

Complications in spine surgery

Complications in spine surgery

Prospective survey of factors affecting risk discussion during consent in a surgical specialty

Legal aspects of men's genitourinary health

Contact Info

Product

Resources

About