Consent for gynaecological procedure: what do women understand and remember?

Pathak, Sonu; Odumosu, Modupe; Peja, Syzana; Mcintyre, Katrina; Selo-Ojeme, Dan

doi:10.1007/s00404-012-2518-9

Cited by 12 publications

(11 citation statements)

References 13 publications

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“…This is particularly so within the ‘Affirmative’ group where higher level of formal education is associated with higher proportion of appropriate recall (Tables 2 , 3 , 4 ). Similar results were obtained by Pathak et al among women [ 28 ] and Dahl et al among parents of children scheduled for emergency procedures [ 29 ]. Appropriate recall of risks of planned surgeries is generally poor at 21.7% of obtained responses.…”

Section: Discussionsupporting

confidence: 89%

Informed consent for clinical treatment in low-income setting: evaluating the relationship between satisfying consent and extent of recall of consent information

et al. 2017

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BackgroundTreatment informed consent aims to preserve the autonomy of patients in the clinician – patient relationship so as to ensure valid consent. An acceptable method of evaluating understanding of consent information is by assessing the extent of recall by patients of the pieces information believed to have been passed across. When concerns are not satisfactorily addressed from the patients’ perspective, recall of consent information may be low.MethodsThis study is a questionnaire – based cross – sectional interview of consecutive adult surgical patients who could give their respective medical histories and who were booked for elective major surgical procedures over a period of 7 months in a tertiary health institution in southeastern Nigeria. Four to five days after a formal consent session, during ward admission, extent of recall of information on the nature of the disease condition or diagnosis, the nature of the planned procedure and the risks involved in the planned procedure were assessed and analyzed on the background of how satisfying the consent sessions were from individual patient’s perspective.ResultsGenerally, the recall of nature of disease condition and nature of planned procedure is better than recall of risks involved in the planned procedure. More specifically however, recall in these 3 domains is significantly better among the patients that affirmed that their concerns were satisfactorily addressed.ConclusionThe findings from this study support that no effort should be spared in ensuring that the consent information are satisfying to the patients from the patients’ viewpoint.Electronic supplementary materialThe online version of this article (10.1186/s12910-017-0227-4) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 89%

Informed consent for clinical treatment in low-income setting: evaluating the relationship between satisfying consent and extent of recall of consent information

et al. 2017

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“…It may also represent a challenge in the complicated consent process for pelvic reconstructive surgery. This is supported by recent studies showing deterioration of patient understanding of surgical counseling hours 6 or weeks after gynecologic and mid-urethral sling surgery 7 .…”

Section: Commentmentioning

confidence: 56%

Effectiveness of blinding: sham suprapubic incisions in a randomized trial of retropubic midurethral sling in women undergoing vaginal prolapse surgery

Brubaker

Nager

Richter

et al. 2014

American Journal of Obstetrics and Gynecology

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Objective This planned secondary analysis of the Outcomes Following Vaginal Prolapse Repairs and Midurethral Sling (OPUS) trial assessed whether treatment knowledge differed between randomized groups at 12 months and whether treatment success was affected by treatment perception. Study Design Sham suprapubic TVT incisions were made in masked OPUS participants randomized to no-TVT. Primary surgical outcomes and maintenance of blinding was assessed at 12 months. Knowledge of treatment assignment was compared between groups, and the relationship with treatment success rates assessed. Results Prior to the 12-month post-operative visit, only 4% (13/336) of treated participants formally reported unmasking. At 12 months, 94% (315/336) randomized participants provided treatment knowledge data. Sixteen (10%) TVT participants reported treatment knowledge; most (15, 94%) were correct; 17 (11%) of sham participants reported treatment knowledge; half (8, 47%) were correct (p=0.004). Similar proportions of unmasked participants who reported no treatment knowledge correctly guessed/perceived treatment assignment [sham 46 (33%) vs TVT 44 (33%)]. We did not detect significant differences in treatment success rates based on perception within and across received treatment groups [perceived sham vs. TVT overall (p=0.76)]. Of those receiving TVT, more participants perceiving TVT had treatment success compared to those that perceived sham (84% versus 74%; p=0.29). Among sham participants, more participants perceiving sham had success compared to those that perceived receiving TVT (65% vs. 56%; 0.42). Conclusion Sham surgical incisions effectively mask TVT randomization. These findings may help to inform future surgical trial designs.

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“…Studies have demonstrated poor comprehension after doctor visits; therefore, it would be interesting to see if the misperceptions regarding mesh were dispelled after a visit with one of our specialists or if they persisted and this is a potential for future research. [9][10][11] Also most participants included for analysis presented with UI. While the subsequent FDA public health notification focused on transvaginal mesh for POP, a limitation is that our study had a primary UI patient population base.…”

Section: Commentmentioning

confidence: 99%

Evaluation of Patients' Perceptions of Mesh Usage in Female Pelvic Medicine and Reconstructive Surgery

Tenggardjaja

Moore

Vasavada

et al. 2015

Urology

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Consent for gynaecological procedure: what do women understand and remember?

Abstract: A third of women who had planned gynaecology procedure do not recall any risk associated with the procedure. Provision of information leaflet did not make any consistent difference.

Cited by 12 publications

References 13 publications

Informed consent for clinical treatment in low-income setting: evaluating the relationship between satisfying consent and extent of recall of consent information

Informed consent for clinical treatment in low-income setting: evaluating the relationship between satisfying consent and extent of recall of consent information

Effectiveness of blinding: sham suprapubic incisions in a randomized trial of retropubic midurethral sling in women undergoing vaginal prolapse surgery

Evaluation of Patients' Perceptions of Mesh Usage in Female Pelvic Medicine and Reconstructive Surgery

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