Information Required to Provide Informed Consent for Endoscopy: an Observational Study of Patients’ Expectations

Brooks, Alenka J; Hurlstone, David P.; Fotheringham, John B.; Gane, Jennie; Sanders, DS; McAlindon, ME

doi:10.1055/s-2005-870196

Cited by 23 publications

(18 citation statements)

References 10 publications

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“…Thus, the crucial unresolved issue is the amount of information about the complication and mortality rates of endoscopic procedures with which the endoscopist should provide the patient [6] . The results of several published surveys brought up different observations, ranging from the fact that most patients wish to be informed of a risk greater than 1: 1,000 to the fact that 19% of gastroscopy patients wanted to know all possible complications [16,17] .…”

Section: Discussionmentioning

confidence: 99%

Informed Consent for Gastrointestinal Endoscopy: A View of Endoscopists in Croatia

Banić¹,

Kardum²,

Pleško³

et al. 2008

Dig Dis

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Background/Aim: There are many differences and deficiencies in the process of informed consent. The aim of this study was to get the view of gastrointestinal endoscopists in Croatia on obtaining patients’ consent before endoscopic procedures. Methods: During the 2004 annual meeting of the Croatian Society of Gastroenterology, endoscopists were asked to answer a questionnaire according to common clinical practice in affiliated institutions. It included questions on endoscopists’ experience and education in medical ethics, as well as on the nature and quality of information given to patients and their opinion on proposed measures for improvement of the informed consent process. Results: The questionnaire was distributed to 96 endoscopists attending the meeting and the response rate was 54% (52/96). In only 50% of institutions was the obtained consent written and potential complications of endoscopic procedures are occasionally given to the patient. In the minority of cases the patient is provided with information about alternative diagnostic tests and/or treatment options, and the information about mortality rate was almost never discussed. Conclusions: In Croatia, the process of informed consent for endoscopy needs improvement and should be regarded against the background of education in medical ethics, regional burden in endoscopic practice and appropriateness of by-laws and local guidelines.

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Section: Discussionmentioning

confidence: 99%

Informed Consent for Gastrointestinal Endoscopy: A View of Endoscopists in Croatia

Banić¹,

Kardum²,

Pleško³

et al. 2008

Dig Dis

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“…This is especially true for patients participating in studies where new techniques or drugs are used, since potential complications or side effects are not known. Many problems remain unsolved regarding informed consent [10][11][12][13][14] . However, none of these problems was addressed at the 1998-2006 DDW and UEGW congresses.…”

Section: Discussionmentioning

confidence: 99%

Do We Present Abstracts on Ethical, Legal, Cost-Effectiveness and Patient Care Issues at Major Gastroenterology Congresses?

Archavlis¹,

Triantafyllou²,

Adamopoulos³

et al. 2007

Dig Dis

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Introduction: In the era of the new millennium, a lot of preclinical and clinical research is published. However, ethico-legal, cost-effectiveness and patient care issues are not addressed equally. Aim: To investigate whether abstracts presented at major international gastroenterology congresses refer to issues relevant to doctor-patient relationship, cost-effectiveness and care. Methods: We reviewed the abstracts on disk CD-ROMs of the United European Gastroenterology Week (UEGW) and the Digestive Disease Week (DDW), for the years 1998–2006. We used the following keywords: ethical/ethically, legal, consent, cost-effective/effectiveness, care, quality and tolerable/tolerability. Results: Over the study period, 1,612/20,018 (8.05%) and 764/45,628 (1.67%) abstracts including the above keywords were presented at UEGW and DDW congresses (p = 0.013), respectively. Statistically significant more abstracts containing separately any of the key words (apart from ‘legal’) were presented at the UEGW than at the DDW congress. There was a significant trend of increased referring to these key words over the study period for UEGW (p < 0.041) but not for DDW congresses (p = 0.70). Conclusion: The abstracts presented at the UEGW refer to ethico-legal, cost-effectiveness and patient care issues more frequently than those presented at the DDW. There is a trend of increased referring to these subjects at the UEGW but not at the DDW.

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“…Trente pour cent des patients souhaitaient connaître la totalité des risques dont l'incidence était supérieure à 1 pour 1 000. Plus récemment, Brooks et al réalisaient une étude quantitative risque par risque sur une population de 300 Britanniques devant bénéficier d'une coloscopie ou d'une gastroscopie [6]. Avant coloscopie, 43 % d'entre eux souhaitaient être informés d'au moins une complication spécifique quel que soit le niveau de risque.…”

Section: Quelles Informations Donner ?unclassified

“…De nombreux patients ont déjà entendu parler de l'examen qui va leur être proposé soit par l'intermédiaire de proches, soit par les médias, soit de plus en plus fréquemment par internet (sites de vulgarisation, Tableau 1. Complications de la coloscopie : niveau de risque (en pourcentage) à partir duquel les patients souhaitaient recevoir une information spécifique (d'après Brooks et al[6])…”

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Pratique de soins: information avant coloscopie

Bulois¹

2008

Colon Rectum

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L'information au patient est une nécessité éthique dont le défaut peut être lourd de conséquences médicolégales. La coloscopie, comme toute procédure invasive, repose sur une prise de décision partagée entre médecin et malade. Le patient a droit à une information claire et loyale concernant les modalités pratiques, la nature, les risques, les bénéfices et les alternatives de l'exploration ou du traitement qui lui sont proposés. La quantité d'information requise pour obtenir un consentement réellement éclairé est parfois difficile à apprécier et souvent sous-estimée par le praticien. Cette information est habituellement délivrée oralement et complétée par la distribution de brochures spécifiques. Seules quelques études ont évalué la compréhension de cette information et son impact sur l'anxiété du patient.Abstract: Informed consent is an ethical and legal issue. Invasive procedures such as colonoscopy require shared information, shared decision making and shared responsibilities between physicians and patients. Complete and unbiased information about the nature of the procedure and the indication for it, as well as the risks, benefits and alternatives must be provided. The amount of information patients require in order to provide informed consent is sometimes difficult to assess and is often underestimated by doctors. Traditionally this information has been provided verbally. Additional information is often provided in the form of leaflets.Only a few studies have tested the effects of providing information on precolonoscopy anxiety and knowledge.

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Information Required to Provide Informed Consent for Endoscopy: an Observational Study of Patients’ Expectations

Cited by 23 publications

References 10 publications

Informed Consent for Gastrointestinal Endoscopy: A View of Endoscopists in Croatia

Informed Consent for Gastrointestinal Endoscopy: A View of Endoscopists in Croatia

Do We Present Abstracts on Ethical, Legal, Cost-Effectiveness and Patient Care Issues at Major Gastroenterology Congresses?

Pratique de soins: information avant coloscopie

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