Informed consent in minor and intermediate pediatric elective surgery: results of an in-house questionnaire.
activity questionnaire
elective surgery
informed consent
pediatrics
quality improvement
Journal
Frontiers in surgery
ISSN: 2296-875X
Titre abrégé: Front Surg
Pays: Switzerland
ID NLM: 101645127
Informations de publication
Date de publication:
2023
2023
Historique:
received:
27
03
2023
accepted:
21
04
2023
medline:
22
5
2023
pubmed:
22
5
2023
entrez:
22
5
2023
Statut:
epublish
Résumé
The aim of this study was to evaluate the quality of our surgical informed consent and parents'/guardians' late recall of surgical procedures and risks of elective day surgery after pre-operative interview with surgeons. All parents/guardians of patients <18 years of age undergoing minor and intermediate elective procedures from January 15th to September 1st, 2022, were prospectively enrolled in the study. Before discharge, parents/guardians were asked to complete an in-house questionnaire regarding the duration of the consent procedure, duration of the interview, quality of the informative handouts, and their ability to recall the type of disease, type of surgical procedure, and surgical risks. One hundred and two questionnaires were returned. In all cases, informed consent was obtained between 24 and 72 h prior to surgery. The following responses were collected: 98/102 (96%) parents/guardians reported that the duration of the consent process was adequate; 95/102 (93%) reported that the handouts were fully informative, and 7/102 (7%) reported that they were partially informative regarding explanation of the disease and surgical procedure; regarding complications, 93/102 (91%) perceived the handouts to be fully/partially informative, while 4/102 (4%) perceived the handouts to be poorly/non-informative, and 5/102 (5%) did not provide a response; 94/102 (92%) stated that they remembered the pathology, but only 87/94 (93%) recalled it correctly; 90/102 (88%) stated that they remembered the type of procedure, but only 76/90 (84%) recalled it correctly; and 53/102 (52%) stated that they remembered the surgical risks, but only 20/53 (38%) could recall more than one complication. Late recall of surgical complications by parents was poor despite the high perceived quality of the surgical risk handouts and medical interview. Implementation of expedient methods may improve overall comprehension and satisfaction of parents/guardians regarding the IC process. Further, more efforts should be made to develop standardized guidelines for an optimal IC process.
Sections du résumé
Background
UNASSIGNED
The aim of this study was to evaluate the quality of our surgical informed consent and parents'/guardians' late recall of surgical procedures and risks of elective day surgery after pre-operative interview with surgeons.
Methods
UNASSIGNED
All parents/guardians of patients <18 years of age undergoing minor and intermediate elective procedures from January 15th to September 1st, 2022, were prospectively enrolled in the study. Before discharge, parents/guardians were asked to complete an in-house questionnaire regarding the duration of the consent procedure, duration of the interview, quality of the informative handouts, and their ability to recall the type of disease, type of surgical procedure, and surgical risks.
Results
UNASSIGNED
One hundred and two questionnaires were returned. In all cases, informed consent was obtained between 24 and 72 h prior to surgery. The following responses were collected: 98/102 (96%) parents/guardians reported that the duration of the consent process was adequate; 95/102 (93%) reported that the handouts were fully informative, and 7/102 (7%) reported that they were partially informative regarding explanation of the disease and surgical procedure; regarding complications, 93/102 (91%) perceived the handouts to be fully/partially informative, while 4/102 (4%) perceived the handouts to be poorly/non-informative, and 5/102 (5%) did not provide a response; 94/102 (92%) stated that they remembered the pathology, but only 87/94 (93%) recalled it correctly; 90/102 (88%) stated that they remembered the type of procedure, but only 76/90 (84%) recalled it correctly; and 53/102 (52%) stated that they remembered the surgical risks, but only 20/53 (38%) could recall more than one complication.
Conclusions
UNASSIGNED
Late recall of surgical complications by parents was poor despite the high perceived quality of the surgical risk handouts and medical interview. Implementation of expedient methods may improve overall comprehension and satisfaction of parents/guardians regarding the IC process. Further, more efforts should be made to develop standardized guidelines for an optimal IC process.
Identifiants
pubmed: 37215351
doi: 10.3389/fsurg.2023.1194657
pmc: PMC10196251
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1194657Informations de copyright
© 2023 Stefani, Codrich, Caputo, Guida, Scarpa, Boscarelli and Schleef.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
J Pediatr Surg. 2014 May;49(5):795-7
pubmed: 24851773
Bioethics Forum. 1995 Spring;11(1):35-41
pubmed: 11653278
J R Soc Med. 2007 Feb;100(2):97-100
pubmed: 17277283
J Surg Res. 2017 Jun 1;213:191-198
pubmed: 28601314
J Pediatr Surg. 2023 May;58(5):902-907
pubmed: 36828674
Med Decis Making. 2020 Feb;40(2):119-143
pubmed: 31948345
Health Serv Res. 2007 Apr;42(2):727-54
pubmed: 17362215
World J Surg. 2010 Jul;34(7):1406-15
pubmed: 20372902
Pediatrics. 2016 Aug;138(2):
pubmed: 27456510
Acad Med. 2014 Sep;89(9):1245-51
pubmed: 24979285
J Pers Soc Psychol. 2001 Apr;80(4):557-71
pubmed: 11316221
J Pediatr Surg. 2017 May;52(5):859-863
pubmed: 28216078
Am Surg. 2002 Jan;68(1):45-8
pubmed: 12467316
Arch Otolaryngol Head Neck Surg. 2010 Mar;136(3):265-9
pubmed: 20231645
Pediatrics. 2003 Jan;111(1):6-14
pubmed: 12509547