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. 2012 Nov;204(5):619-25.
doi: 10.1016/j.amjsurg.2012.07.020. Epub 2012 Sep 1.

Informed consent for inguinal herniorrhaphy and cholecystectomy: describing how patients make decisions to have surgery

Daniel E Hall  1 , Penelope Morrison, Cara Nikolajski, Michael Fine, Robert Arnold, Susan L Zickmund
Affiliations

Informed consent for inguinal herniorrhaphy and cholecystectomy: describing how patients make decisions to have surgery

Daniel E Hall et al. Am J Surg. 2012 Nov.

Abstract

Background: We describe how patients perceive the process of informed consent and its influence on decision making for elective surgery.

Methods: A cohort of 38 patients documented consent for cholecystectomy or inguinal herniorrhaphy using the Veterans Affair's computer-based tool for documenting informed consent for clinical treatment. Participants completed semistructured telephone interviews exploring their attitudes about informed consent, iMed, and the decision-making process. We used qualitative methods to code and analyze the data.

Results: Sixty-nine percent of patients decided to have surgery before meeting their surgeon, and 47% stated that the surgeon did not influence their decision. Although the surgeon was an important source of information for most patients (81%), patients frequently described using information gathered before meeting the surgeon, such as other health care providers (81%) or family members (58%). Most (68%) patients perceived iMed as a legal formality with little influence on decision making.

Conclusions: Future research should examine whether patient decision making regarding elective surgery becomes better informed if nonsurgeon clinicians connect patients to educational resources such as iMed closer to the time of initial diagnosis and before meeting the surgeon.

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Figures

Figure 1:
Figure 1:
Recruitment of study sample. Legend: H=inguinal herniorrhaphy; C=cholecystectomy; U=unknown
See this image and copyright information in PMC

References

    1. This paper was presented at the Annual Meeting of the Association of VA Surgeons on April 3, 2012 in Miami, Florida.
    1. Hall DE, Prochazka AV, Fink AS. Informed consent for clinical treatment. CMAJ. March 5 2012;184(5):533–540. - PMC - PubMed
    1. Berg JW, Appelbaum P, Lidz C, Parker L. Informed Consent: Legal Theory and Clinical Practice. Second ed. New York: Oxford University Press; 2001.
    1. Meisel A From tragedy to catastrophe: Lawyers and the bureaucratization of informed consent. Yale Journal of Health Policy, Law and Ethics. 2006;6(2):479–483.
    1. Meisel A, Kuczewski M. Legal and ethical myths about informed consent. Arch Intern Med. Dec 9–23 1996;156(22):2521–2526. - PubMed

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