The changing face of informed consent

Main, Barry; Adair, S. R. L.

doi:10.1038/sj.bdj.2015.754

Cited by 29 publications

(26 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…34,[65][66][67][68][69][70][71] In addition, there were changes in the law on informed consent in the UK. 72 In July 2016, a change in the wording of the NICE guidelines was announced 64 meaning that in individual cases, antibiotic prophylaxis may be appropriate. As discussed elsewhere 73 , the current situation still leaves considerable challenges for dentists when faced with implementing the guidelines.…”

Section: Discussionmentioning

confidence: 99%

Oral hygiene as a risk factor in infective endocarditis

et al. 2017

View full text Add to dashboard Cite

There are many known associations between oral and systemic diseases. This review paper summarizes the proposed mechanisms underlying the links between dental disease and cardiovascular disease before introducing recent research regarding bacteria-platelet interactions. New protein factors have been identified on dental plaque bacteria. One of these, PadA, triggers blood to clot. This research provides new information about how Streptococcus bacteria and platelets interact and could lead to the development of new ways to control the formation of blood clots caused by micro-organisms that access the bloodstream. CPD/Clinical Relevance: This article aims to provide the whole dental team with an overview of bacteria-platelet interactions. This is of particular relevance to infective endocarditis and the recent change in wording to the NICE antibiotic prophylaxis guidelines in the UK.

show abstract

Section: Discussionmentioning

confidence: 99%

Oral hygiene as a risk factor in infective endocarditis

et al. 2017

View full text Add to dashboard Cite

show abstract

“…18 Recent changes in the law on informed consent in the UK are particularly relevant. Following a Supreme Court judgment in the case Montgomery v Lanarkshire Health Board, [19][20][21][22] doctors and dentists must now ensure that patients are aware of any "material risks" involved in a proposed treatment, and of reasonable alternatives. This is a marked change to the previous "Bolam test", 23 which asks whether a doctor or dentist's conduct would be supported by a responsible body of medical opinion.…”

Section: O N F I D E N T I a Lmentioning

confidence: 99%

Guidelines on prophylaxis to prevent infective endocarditis

et al. 2016

View full text Add to dashboard Cite

Abstract:Infective endocarditis is a devastating disease with high morbidity and mortality. The link to oral bacteria has been known for many decades and has caused on going concern for dentists, patients and cardiologists. Since 2008, the UK has been out of step with the rest of the world where antibiotic prophylaxis is recommended for high-risk patients undergoing invasive dental procedures. Recent evidence that identified an increase in endocarditis incidence prompted a guideline review by NICE and the European Society for Cardiology -which produces guidance for the whole of Europe. Despite reviewing the same evidence they reached completely opposing conclusions. The resulting conflict of opinions and guidance is confusing and poses difficulties for dentists, cardiologists and their patients. Recent changes in the law on consent, however, may provide a solution to these difficulties and a more patient centred and pragmatic solution to the problems. This opinion piece examines the evidence and opposing guidance on antibiotic prophylaxis in the context of the recent changes in the law on consent and provides a framework for how patients at risk of endocarditis might be managed in practice C o n f i d e n t i a l Opinion Piece: Guidelines on Prophylaxis to Prevent Infective EndocarditisBackground:

show abstract

“…[6][7][8] This change places an onus on clinicians to identify patients at increased risk of infective endocarditis, explain the risks and ways in which it can be reduced (including antibiotic prophylaxis), and then allow them to decide for themselves if they want antibiotic prophylaxis or not. 4 In addition, two widows whose husbands died from infective endocarditis following hygienist visits for dental scaling have been petitioning NICE with the support of Chris Philp, MP for Croydon South.…”

Section: Introductionmentioning

confidence: 99%