Emotional Responses to Detailed Risk Disclosure for Anesthesia, a Prospective, Randomized Study

Lankton, James; Batchelder, Barron M.; Ominsky, Alan Jay

doi:10.1097/00132586-197806000-00036

Cited by 6 publications

(9 citation statements)

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“…For example, in contrast to the view that providing information might “overload patients with information they do not want,” a strong preference for detailed information related to potential treatment options has been demonstrated in cancer (4), neurology (5), and general medicine patients (6, 7). In addition, Myers and Calvert (8) and Howland et al (9) found that well informed patients do not experience an increased incidence of adverse effects after starting treatment, and others have failed to demonstrate an increased level of anxiety among well informed patients compared with control subjects (10, 11).…”

Section: Introductionmentioning

confidence: 99%

Preference for disclosure of information among patients with rheumatoid arthritis

Fraenkel¹,

Bogardus²,

Concato³

et al. 2001

Arthritis & Rheumatism

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Objective To quantify preference for disclosure of information among patients with rheumatoid arthritis (RA) and to examine sex‐specific correlates of information preference. Methods We interviewed patients with RA and assessed preference for disclosure of information using 4 questions from the previously validated “Information Preference Seeking Scale.” Three questions addressed preference for disclosure of side effects and 1 question addressed preference for disclosure of therapeutic options. Associations between preference for information and patient characteristics were examined using stepwise multiple linear regression. Results One hundred RA patients (mean age 68 ± 12 years; 73% female) were interviewed; 89 respondents agreed or strongly agreed with all 4 statements reflecting a preference for full disclosure, and an additional 8 respondents agreed or strongly agreed with 3 of the 4 statements. The mean score (± SD) for information preference was 86 ± 13, on a scale from 0 to 100 where 100 reflected a strong preference for full disclosure. In bivariate analyses, female sex and current employment were associated with stronger preferences for being informed (mean score for women 88 ± 11, for men 80 ± 15 [P= 0.02]; for employed 92 ± 11, for unemployed 84 ± 13 [P= 0.04]). Multivariate sex‐specific analyses demonstrated that current employment and higher education level were positively associated with preference for disclosure among women and men, respectively. Conclusion The results of our survey suggest that RA patients want to be fully informed about the risks associated with medications and about alternative options. The challenge remaining for rheumatologists is how to effectively communicate the risks and benefits related to the many options that are currently available for RA patients.

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Section: Introductionmentioning

confidence: 99%

Preference for disclosure of information among patients with rheumatoid arthritis

Fraenkel¹,

Bogardus²,

Concato³

et al. 2001

Arthritis & Rheumatism

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show abstract

“…and decreased trust. These results may explain why previous studies of IC and anxiety had mixed findings [11][12][13][14]. The impact of IC on anxiety may depend on the patient's decision-making style, suggesting that a one-size-fits-all approach to IC may not serve all patients equally well.…”

Section: Discussionmentioning

confidence: 82%

“…For example, patients do not remember much of the information disclosed during the IC process [4][5][6][7], and they often overestimate their level of comprehension [8][9][10]. Data also suggest that the IC process can inadvertently increase patient anxiety [11][12][13][14]. Finally, the impact of the IC process can be compromised when clinicians and administrators approach IC as merely a signature on a form [15].…”

Section: Introductionmentioning

confidence: 99%

The Impact of iMedConsent on Patient Decision-Making Regarding Cholecystectomy and Inguinal Herniorrhaphy

Hall¹,

Hanusa²,

Switzer³

et al. 2012

Journal of Surgical Research

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“…In our study, anxious patients asked more questions. However, more information is not always useful to more anxious people and may, in fact, provoke anxiety [14]. Anxiety assessment seems to be insufficient to encounter individual needs for information.…”

Section: Discussionmentioning

confidence: 99%

Informed consent and patient participation in the medical encounter: a list of questions for an informed choice about the type of anaesthesia

et al. 1999

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The present study was undertaken to evaluate the impact of a new procedure for eliciting informed consent by patients undergoing minor surgical procedures, in which the choice between general anaesthesia (GA) and regional anaesthesia (RA) was possible. In this prospective study, two randomly selected groups of patients were compared: study group (SG), 52 patients, received from the nurse before the preoperative interview, a list of seven questions, which they were invited to ask the anaesthetist; while the control group (CG), 73 patients, did not receive any suggested questions. There were two end points: the proportion that chose RA and the number of questions actually addressed to the doctor at the preanaesthetic interview. Psychological aspects were taken into account by collecting the Hospital Anxiety and Depression (HAD) scale before the preanaesthetic interview. Satisfaction with the interview was recorded using a telephone questionnaire 2 weeks after the operation. The results from the two groups were compared by calculating the odds ratio according to Mantel-Haenszel and by logistic analysis. Altogether, 71.2% of the patients chose RA without any difference between the groups. The average number of questions asked by each SG patient was higher than for the CG (1.67 vs. 0.96). The satisfaction level was similar in the two groups. Our list of questions was designed to facilitate patient autonomy. It offered an aid to those requesting more information and assisted communication. The method did not change the proportion who chose a specific kind of anaesthesia, but does seem to improve patient participation in the decision-making process.

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Emotional Responses to Detailed Risk Disclosure for Anesthesia, a Prospective, Randomized Study

Cited by 6 publications

References 0 publications

Preference for disclosure of information among patients with rheumatoid arthritis

Preference for disclosure of information among patients with rheumatoid arthritis

The Impact of iMedConsent on Patient Decision-Making Regarding Cholecystectomy and Inguinal Herniorrhaphy

Informed consent and patient participation in the medical encounter: a list of questions for an informed choice about the type of anaesthesia

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