Informed Consent in Surgery

Caínzos, Miguel; González-Vinagre, S.

doi:10.1007/s00268-014-2585-0

Cited by 15 publications

(10 citation statements)

References 41 publications

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“…This absence of impact on the long-term outcomes compensates for the short term, poor prognostic value of AKI and should be considered during the decision process to achieve the patient's informed consent for high risk surgery. 45,46 The shortcomings of the current study include its retrospective nature; the long period covered, and a probable patient selection bias inherent to a tertiary liver center. In addition, one third of the AKI detected over the study period were impacted on by preexisting chronic kidney injury (prevalence in the previous series: 1%-19%), 14,[16][17][18][19][20] which may reduce the number of AKI patients (approximately two third) that had their renal function impaired by the liver resection.…”

Section: Discussionmentioning

confidence: 99%

Acute kidney injury following hepatectomy for hepatocellular carcinoma: incidence, risk factors and prognostic value

Lim

Audureau

Salloum

et al. 2016

HPB

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Section: Discussionmentioning

confidence: 99%

Acute kidney injury following hepatectomy for hepatocellular carcinoma: incidence, risk factors and prognostic value

Lim

Audureau

Salloum

et al. 2016

HPB

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“…In conclusion, informed consent in surgery is a rapidly developing area in medicine [ 8 ]. The role of surgeons in SIC is truly important and determines its quality.…”

Section: Discussionmentioning

confidence: 99%

“…The SIC process is, however, complex. Transmitting correct and adequate information to make the patient well-informed is crucial [ 8 ]. There are many tools to aid patients: Not solely to inform of surgical complication rates, but also to aid the patient in the decision making process and to reinforce the bond between surgeon and patient [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

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Challenging the knowledge base and skillset for providing surgical consent by orthopedic and plastic surgeons in the Netherlands: an identified area of improvement in patient safety

et al. 2016

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BackgroundSuccessfully completing a surgical informed consent process is an important element of the preoperative consult. A previous study of Dutch general surgeons demonstrated that the implementation of SIC did not meet acceptable standards. However, the quality of the SIC process in the orthopedic surgical or plastic surgical arena is unknown.MethodsFollowing ethical approval, an online survey investigating specifics of surgical informed consent was performed among members of the Dutch Scientific Association of Orthopedic Surgeons and the Dutch Society for Plastic Surgery.ResultsA total of 335 responses from a majority of departments of orthopedic (86 %) and plastic surgery (78 %) were eligible for analysis. Scores on knowledge were poor as only 50 % recognized the three basic elements of surgical informed consent (competence, exchange of information and consent). The orthopedic group used more tools in the surgical informed consent process, such as instruction movies and websites or specialized nursing staff, compared to plastic surgery (orthopedic: 31-50 % vs. plastic: 6-30 %, p = 0.05- < 0.001). In contrast, surgical informed consent forms were used more frequently by the plastic surgical group (orthopedic 21 % vs. plastic:42 % p < 0.001). Control of the efficacy of the surgical informed consent process was low, 36 % in both groups. One in every seven orthopedic or plastic surgeons was faced with an official surgical informed consent-related complaint in the previous five years.ConclusionsSimilar to general surgeons, Dutch orthopedic and plastic surgeons demonstrate poor knowledge and skills regarding surgical informed consent. Increased awareness, better training and use of modern tools including standard forms and online software programs will improve the SIC process and will optimize patient care.Electronic supplementary materialThe online version of this article (doi:10.1186/s13037-016-0110-0) contains supplementary material, which is available to authorized users.

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“…Only five, or 14.3%, of the articles we analyzed discussed having obtained informed consent for surgery. Although obtaining informed consent in a foreign language, with patients who may not be literate, and in a different cultural context presents a variety of complexities, it is still a peremptory aspect of performing surgery [55,56]. If we extend the idea of 'preoperative time' to include time leading up to the trip it covers an even wider range of applications.…”

Section: Selection Preoperative Evaluation and Preparationmentioning

confidence: 99%

Designing a set of safety standards for surgical short term medical missions

Wagner¹,

Schwaitzberg²,

Shah³

et al. 2017

Glob Surg

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The global burden of surgical disease is on the rise. In underserved areas this need is being increasingly met by surgical short-term medical missions (STMMs). However, access to safe surgical care is still of great concern to global health advocates. We sought to evaluate the current safety practices and outcomes of surgical care being provided by STMMs. We looked at 35 primary research papers from surgical STMMs between 1991-2016 and analyzed their documentation of safety standards and follow up procedures. This led us to two important conclusions: 1 -surgical STMM practices and outcomes are not well documented and 2 -there is a need for standardized safety guidelines when participating in surgical STMMs. Here we introduce an actionable set of international surgical safety standards that we invite all short-term surgeons and groups to utilize as a means of setting a foundation for the practice of safe surgery on mission trips.

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Informed Consent in Surgery

Cited by 15 publications

References 41 publications

Acute kidney injury following hepatectomy for hepatocellular carcinoma: incidence, risk factors and prognostic value

Acute kidney injury following hepatectomy for hepatocellular carcinoma: incidence, risk factors and prognostic value

Challenging the knowledge base and skillset for providing surgical consent by orthopedic and plastic surgeons in the Netherlands: an identified area of improvement in patient safety

Designing a set of safety standards for surgical short term medical missions

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