Egg Donor Informed Consent Tool (EDICT): development and validation of a new informed consent tool for oocyte donors

Skillern, A.; Cedars, Marcelle I.; Huddleston, Heather G.

doi:10.1016/j.fertnstert.2013.01.096

Cited by 16 publications

(22 citation statements)

References 11 publications

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“…First, egg donors should be informed of the nature and objectives of treatment 14 15. The donor should be informed of the purpose of the treatment, what will be involved in each stage of the egg donation process and the purposes each stage serves (ie, menstrual cycle coordination, ovarian stimulation, egg retrieval).…”

Section: Resultsmentioning

confidence: 99%

“…In some cases, severe OHSS is fatal. Risks disclosed should also include risks associated with any medications prescribed, ovarian stimulation and the retrieval process, as well as the elevated risk of pregnancy associated with intercourse during the stimulation protocol (given the number of eggs being produced) 4 10 15 20. Donors should also be informed of the limited data available regarding the effects of multiple donation and egg donation more broadly.…”

Section: Resultsmentioning

confidence: 99%

“…Third, the consent process should address concerns related to the privacy of donors and their anonymity (where applicable) 4 14 15 17 20. Consent forms should specify how donors’ personal health information will be protected, in keeping with federal and/or provincial privacy legislation.…”

Section: Resultsmentioning

confidence: 99%

“…It is also important that consent forms include information about the period in which it is possible (and no longer possible) for egg donors to withdraw from the donation (ie, once the eggs are fertilised, once relevant embryos have been implanted, etc) 15 17. This usually appears at the end of the consent forms.…”

Section: Resultsmentioning

confidence: 99%

“…Sixth, because egg donation is a costly medical intervention, there are important financial considerations for donors 14 15. How the egg donation will be paid for, how payment for relevant medications will occur and who will cover the costs of travel, if travel is involved 17.…”

Section: Resultsmentioning

confidence: 99%

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Good eggs? Evaluating consent forms for egg donation

Cattapan

2016

J Med Ethics

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Beyond gaps in the provision of information, the informed consent process for egg donation is complicated by conflicts of interest, payment and a lack of longitudinal data about physiological and psychological risks. Recent scholarship has suggested that egg donation programmes could improve the informed consent process by revising consent documents. At a minimum, these documents should include information about eight key criteria: the nature and objectives of treatment; the benefits, risks and inconveniences of egg donation; the privacy of donors and their anonymity (where applicable); disclosure that participation is voluntary (withdrawal); the availability of counselling; financial considerations; the possibility of an unsuccessful cycle and potential uses of the eggs retrieved. This study evaluates the incorporation of these minimum criteria in consent forms for egg donation, obtained through requests to Canadian fertility clinics. Even when clinics were considered to have met criteria simply by mentioning them, among the eight consent forms assessed, none met the minimum standards. Only half of clinics addressed privacy/anonymity concerns, financial issues and the possibility of a future cycle. Improving the quality of consent documentation to meet the minimum standards established by this study may not be an onerous task. For some, this will include re-evaluating how they include one or two elements of disclosure, and for others, this will require a substantial overhaul. Using the criteria provided by this study as the minimum standard for consent could ensure that donors have the basic information they need to make informed decisions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations