Suboptimal Awareness of Radiologic Dose Among Patients Undergoing Cardiac Stress Scintigraphy

Bedetti, Gigliola; Pizzi, Carmine; Gavaruzzi, Gilberto; Lugaresi, Federica; Cicognani, A; Picaño, Eugenio

doi:10.1016/j.jacr.2007.07.020

Cited by 40 publications

(21 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Guidelines also recommend the use of plain language in written leaflets and informed consent forms to enhance comprehension and facilitate shared decision making (6 -10). Unfortunately, for common diagnostic (11) and therapeutic cardiological procedures (12), patients believe that the risk will be lower and the benefits will be greater than studies have shown. The aim of the present study was to assess and improve the quality and readability of current informed consent forms used in cardiology.…”

mentioning

confidence: 99%

Low Quality and Lack of Clarity of Current Informed Consent Forms in Cardiology

Terranova

Ferro

Carpeggiani

et al. 2012

JACC: Cardiovascular Imaging

Self Cite

View full text Add to dashboard Cite

Guidelines on informed consent for clinical practice exhort physicians to use standard plain language to enhance patient comprehension and facilitate shared decision making. The aim of this study was to assess and improve quality and readability of current informed consent forms used in cardiology. We evaluated the currently used informed consent forms, previously written in Italian and English, of 7 common imaging examinations, according to the recommendations of scientific societies. For each text, we also developed a revised informed consent form according to reference standards, including Federal Plain Language guidelines. Regarding readability scores, we analyzed each text (standard and revised) with Flesch-Kincaid (F-K) grade level (higher numbers indicating harder-to-read text) and the Italian language-tailored Gulpease level (from 0 [difficult] to 100 [easy]). Overall quality and readability was poor for both the original English and Italian versions, and readability was improved with the revised form, with higher readability evidenced by changes in both F-K grade level (standard 10.2 ± 2.37% vs. revised 6.5 ± 0.41%; p < 0.001) for English and Gulpease (standard 45.7 ± 2% vs. revised 84.09 ± 2.98%; p < 0.0001) for Italian. In conclusion, current informed consent forms are complex, incomplete, and unreadable for the average patient. Substantial quality improvement and higher readability scores can be achieved with revised forms that explicitly discuss risks and are prepared following standard recommendations of plain writing.

show abstract

mentioning

confidence: 99%

Low Quality and Lack of Clarity of Current Informed Consent Forms in Cardiology

Terranova

Ferro

Carpeggiani

et al. 2012

JACC: Cardiovascular Imaging

Self Cite

View full text Add to dashboard Cite

show abstract

“…The ICRP identifies justification as one of the cornerstones of radiation protection in medicine [5,6,16,28,29]. In medicine, justification has well-accepted differences from other situations where it is also important (e.g.…”

Section: Justification and The Icrp Definitionmentioning

confidence: 99%

“…For example, a number of publications have identified that few practitioners from these areas are familiar with the units used to specify the amount of radiation (and risk) received [4,[13][14][15]. In these circumstances, it is hardly surprising that patients frequently do not know, or are confused about, the risks involved [10,16]. This is unlikely to continue to be acceptable, where imaging patients can routinely receive doses that are large compared with occupational exposures, and the focus of much radiation protection has shifted from workers to patients [14,15].…”

mentioning

confidence: 99%

Justification of diagnostic medical exposures: some practical issues. Report of an International Atomic Energy Agency Consultation

Malone

Guleria²,

Craven³

et al. 2012

BJR

166

137

View full text Add to dashboard Cite

“…[6][7][8] When considering why patients might be poorly informed, several possibilities exist. Many health care providers have little knowledge about radiation and thus are poorly equipped educators.…”

Section: Commentmentioning

confidence: 99%

Patient Knowledge and Understanding of Radiation From Diagnostic Imaging

et al. 2013

View full text Add to dashboard Cite

ested in increasing the use of generic drugs may consider banning physicians from accepting food and beverages in the workplace. Any potential interventions should be targeted toward older physicians, internists, and those in solo or 2-person practices.Our study has several limitations. First, because of social desirability bias, our results likely represent a lowerbound estimate of the actual frequency of physicians prescribing brand-name drugs at the patients' requests. Second, we were unable to adjust the result for the frequency with which physicians were asked by patients for a specific brand-name drug. Finally, our study was not able to examine whether a brand-name drug was actually dispensed at the pharmacy, given that some states have laws that allow pharmacists to substitute a generic for a brand-name prescription.

show abstract

Suboptimal Awareness of Radiologic Dose Among Patients Undergoing Cardiac Stress Scintigraphy

Cited by 40 publications

References 18 publications

Low Quality and Lack of Clarity of Current Informed Consent Forms in Cardiology

Low Quality and Lack of Clarity of Current Informed Consent Forms in Cardiology

Justification of diagnostic medical exposures: some practical issues. Report of an International Atomic Energy Agency Consultation

Patient Knowledge and Understanding of Radiation From Diagnostic Imaging

Contact Info

Product

Resources

About