Informed consent for total hip arthroplasty: does a written information sheet improve recall by patients?

Langdon, Ilana; Hardin, Russell; Learmonth, Ian D.

doi:10.1308/003588402760978201

Cited by 117 publications

(93 citation statements)

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“…Small amounts of information are being retained for longer than large amounts [15]. The sheets also help the patient to focus on the more important (medico-legal) features (risks) of the operation since many patients would know someone who has had a successful operation and may, therefore, discount the risks unless fully understood [17]. One paper did relate that the patient would tend to recall a greater number of benefits over complications [14].…”

Section: Discussionmentioning

confidence: 99%

“…We assess the influence of written information provided to the patients during the consenting process on their recall of operative risks. There have been previous studies looking at the potential of various other modalities (coaching [14], structured interviews [7] and written) for minor [1,2,18] and major operations [17]; however, to our knowledge there have been no randomised prospective studies comparing written information to verbal information for complex procedures such as elective lumbar spine surgery.…”

Section: Introductionmentioning

confidence: 99%

“…

Abstract In a recent article, Leigh (J Bone Joint Surg [Br] 88-B: [16][17][18] 2006) notes that patients do not lay down memory when being counselled as to the risks involved in prospective surgery. In our article we focused on the patients' recall of risk factors involved in elective spinal surgery.

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confidence: 99%

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The influence of written information during the consenting process on patients’ recall of operative risks. A prospective randomised study

Mauffrey

Prempeh

John

et al. 2007

International Orthopaedics (SICO

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In a recent article, Leigh (J Bone Joint Surg [Br] 88-B: [16][17][18] 2006) notes that patients do not lay down memory when being counselled as to the risks involved in prospective surgery. In our article we focused on the patients' recall of risk factors involved in elective spinal surgery. We assessed the influence of written information provided to the patients during the consenting process on their recall of operative risks. The study was a prospective randomised study. All patients having elective spinal surgery were included in our study from February 2006 to November 2006 as a consecutive series. Patients were randomised into two groups, one of which received routine consent with verbal explanations (group 1), the other received the same information supplemented by a written sheet explaining the risks of the surgery (group 2). Two weeks later we assessed patients' recall of the risk involved in the surgery with a questionnaire and compared both groups with a Student t-test. Fifty-three patients (twenty in group 1 and twenty three in group 2) were involved. We noted a significant difference between the two groups in terms of mean number of risks recalled and number of patients recalling each risk (p<0.001 and p<0.005, respectively). The addition of a written sheet given to patients during the consenting process makes a significant difference in terms of their recall of the surgical risks in elective lumbar spine surgery. We advocate the routine use of written booklets during the consenting process.Résumé Rappel: dans un article récent, Leigh montre que les patients ne se souviennent pas très bien des indicationsqui leur ont été données en ce qui concerne l'information sur les risques avant une intervention chirurgicale. Nous avons souhaité, dans notre étude mettre l'accent sur les risques pouvant survenir dans la chirurgie rachidienne. Nous avons essayé d'évaluer l'importance de l'information écrite lors de la mise en place du consentement éclairé de ces patients. Méthode : cette étude est une étude prospective randomisée. Tous les patients devant bénéficier d'une chirurgie rachidienne ont été inclus dans notre étude sur une période s'étalant de février 2006 à novembre 2006. Tous les patients consécutifs ont été randomisés en deux groupes. Le premier groupe n'ayant que des explications par voie orale, (groupe 1) et le deuxième groupe avec un complément d'informations écrites, (groupe 2). Deux semaines après, ces patients ont été évalués avec un questionnaire et les deux groupes ont été comparés. Résultats : 53 patients dans le groupe 1 et 23 dans le groupe 2 ont été pris en compte dans cette étude. Nous avons noté une différence significative entre les deux groupes soit sur le nombre d'informations retenues par le patient ou le nombre de patients ayant pris en compte ces informations. En conclusion : outre l'information orale, une information écrite remise au patient durant le processus de consentement éclairé en chirurgie du rachis lombaire, est nécessaire avec une différence signif-

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The influence of written information during the consenting process on patients’ recall of operative risks. A prospective randomised study

Mauffrey

Prempeh

John

et al. 2007

International Orthopaedics (SICO

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“…It reads: 'the patient must be given sufficient information, in a way that they can understand, in order to enable them to exercise their right to make informed decisions about their care'. It may be that the doctor has legal and ethical responsibility to the patient to provide sufficient information which would enhance patient-doctor relationship [5]. The use of the informed consent in varied areas of medical practice and research has been the practice [6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of consenting in Otorhinolaryngology

Okpala

John

et al. 2012

Open Medicine

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AbstractInformed consent in today’s medical practice has become a cornerstone and a routine ethical component playing a major role in forming a therapeutic alliance with the patient. The present study sought to analyse the effectiveness of the consent forms and the consenting process in Otorhinolaryngology. This three month questionnaire-based study covered varying operations which ranged from tonsillectomies, grommet insertions to pharyngeal pouch stapling. Twenty-nine percent of consent forms were signed on the day of the operation. Of the patients who received leaflets (51%) during the process of informed consent, a majority (88%) found it useful. The respondents were satisfied with the explanation of the procedure, benefits and complications (70–74%). Majority kept their consent forms at home (60%) and did not bother engaging in further search with regards to the information in the consent form (81%). Majority of the patients agreed that they had enough time to make an informed consent. Patients were satisfied with the consent process but more can be done to improve the consenting process.

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“…4,5 How can information about the nature, risks, outcomes and alternatives of a procedure be communicated efficiently and effectively while minimizing anxiety? Many studies 6,7 suggest that structured consent interviews and written consent information sheets enhance understanding and improve recall, in some cases substantially so. Written information must be readable by patients with a range of educational backgrounds.…”

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confidence: 99%