Is Informed Consent in Cardiac Surgery and Percutaneous Coronary Intervention Achievable?

Larobina, Marco; Merry, Christopher; Negri, Justin; Pick, Adrian

doi:10.1111/j.1445-2197.2007.04143.x

Cited by 49 publications

(42 citation statements)

References 6 publications

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“…This supports previous studies of informed consent understanding for adults consenting to participate in research studies. [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] However, our study is the first to measure actual and perceived understanding of informed consent for parents who gave permission for their children to participate in a biobanking study. More than half of the parents were uncertain or responded incorrectly to the main questions of the study, including those regarding the use and storage of samples and the handling of results from the study.…”

Section: Discussionmentioning

confidence: 99%

Understanding of informed consent by parents of children enrolled in a genetic biobank

Klima

Fitzgerald-Butt

Kelleher

et al. 2014

Genetics in Medicine

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Section: Discussionmentioning

confidence: 99%

Understanding of informed consent by parents of children enrolled in a genetic biobank

Klima

Fitzgerald-Butt

Kelleher

et al. 2014

Genetics in Medicine

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“…A possible confusion among patients arises especially because of the reports that patients do not have sufficient understanding of the intervention procedure and the po-tentially related risks and complications (19,20). This may be especially important when medical interventions are a part of clinical research (20).…”

Section: Discussionmentioning

confidence: 99%

“…It is important how a physician formulates the information presented to the patient, as it has been shown that patients often do not recollect all information provided by a physician (8), and the physicians often estimate that patients do not understand the obtained information on the health condition and possibilities of treatment (19). Nevertheless, the majority of physicians respect patients' autonomy and their decisions and requires the consent of relatives when the patient is not capable of reaching a decision (27).…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Practices of Obtaining Informed Consent for Medical Procedures among Specialist Physicians: Questionnaire Study in 6 Croatian Hospitals

et al. 2009

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Aim To assess physicians' knowledge and practices for obtaining patients' informed consent to medical procedures.Methods An anonymous and voluntary survey of knowledge and practices for obtaining informed consent was conducted among 470 physicians (63% response rate) working in 6 hospitals: 93 specialists in anesthesiology, 166 in internal medicine, and 211 in surgery.Results Only 54% physicians were acquainted with the fact that the procedure for obtaining consent was regulated by the law. Internists and surgeons were better informed than anesthesiologists (P = 0.024). More than a half of respondents (66%) were familiar with the fact that a law on patient rights was passed in Croatia; there were no differences among different specialties (P = 0.638). Only 38% of the physicians were fully informed about the procedure of obtaining consent. Internists and surgeons provided detailed information to the patient in 33% of the cases and anesthesiologists in 16% of the cases (P < 0.050). Internists reported spending more time on informing the patient than anesthesiologists and surgeons (P < 0.001). There were no differences in knowledge and practices for obtaining informed consent between physicians working in university and those working in community hospitals (P ≥ 0.05 for all questions). ConclusionPhysicians in Croatia have no formal education on informed consent and implement the informed consent process in a rather formal manner, regardless of the type of hospital or medical specialty. Systemic approach at education and training at the national level is needed to improve the informed consent process. PUBLIC HEALTH doi: 10.3325/cmj.2009.50.567 PUBLIC HEALTH 568 Croat Med J. 2009 50: 567-74 www.cmj.hrInformed consent is a professional ethics issue emanating from the fiduciary responsibility of the physician to the patient. It is an integral component of the physician's fiduciary responsibility. In many countries informed consent for medical procedures is a standard procedure (1-9) for providing the patients with the information on diagnostic and treatment procedures, risks, complications, and alternative treatment options in non-emergency cases (5,9,10), thereby considerably improving the communication between physician and patient. A signed form is the evidence that their conversation led to a mutual understanding. However, the implementation of the informed consent process differs among countries because informing the patient and requiring the consent are still not regarded as a legal obligation of the physician (6).In the clinical setting, the term "informed consent" was developed in the USA in 1957. It was further developed in the Declaration of Helsinki in 1964, which established worldwide ethical principles for medical research involving human participants. In its current, 2008 version (11), the article 24 states: "In medical research involving competent human subjects, each potential subject must be adequately informed of the aims, methods, sources of funding, any possible conflicts of interest, insti...

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“…The amount of information to be given to the patient is also variable and many studies had shown that the patient prefers to be informed about all the risk and befits of the procedure [8][9][10], while other group of patients complained that the information is an overload on their ability for decision making and prefer to be waived from the informed consent process especially in the setting of acute unexpected illness like the myocardial infarction [11].…”

Section: Amount Of the Information To Be Givenmentioning

confidence: 99%

“…While in elective coronary intervention fewer than 50% of such patients understand the causes or consequences of an AMI or stroke in the same way, it has been argued that patients may be excessively optimistic about the benefits of elective angioplasty (Table 1) [9,[15][16][17][18][19][20][21][22][23][24][25][26][27].…”

Section: Proper Patient Comprehensionmentioning

confidence: 99%

Improving informed consent in cardiology practice: How much we need to do

Khafaji¹,

Al-Gerrah²,

Cheema³

2018

Clin Res Trial

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Cardiology interventions remain to be complex and difficult to understand by the general people. Consent requirements have become gradually challenging in parallel to the rise of autonomy as a dominant principle in biomedical ethics in addition to the complexity of cardiology intervention. Studies showed that patients have suboptimal understanding of the procedural risks and benefits.Many novel elucidations have been offered to enhance informed consent, many of which have narrowed, although not eradicated, the gap in attaining proper informed consent goals and objectives. The current review will discuss the up to date available studies that have investigated this important subject in cardiology.

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Is Informed Consent in Cardiac Surgery and Percutaneous Coronary Intervention Achievable?

Cited by 49 publications

References 6 publications

Understanding of informed consent by parents of children enrolled in a genetic biobank

Understanding of informed consent by parents of children enrolled in a genetic biobank

Knowledge and Practices of Obtaining Informed Consent for Medical Procedures among Specialist Physicians: Questionnaire Study in 6 Croatian Hospitals

Improving informed consent in cardiology practice: How much we need to do

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