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PubMed · 17002856

Variations in consenting practice for laparoscopic cholecystectomy.

A M Chen·D R Leff·J Simpson·S J D Chadwick·P J McDonald
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Abstract

INTRODUCTION: To compare the variations in consenting practice amongst trainees and consultant surgeons for laparoscopic cholecystectomy with specific reference to the documentation of significant risks of surgery. PATIENTS AND METHODS: A proforma was devised which included significant and/or commonly recognised complications of laparoscopic cholecystectomy. This was then cross-referenced with the consent forms for the 80 patients included in the study and the documented risks explained in each case were noted. RESULTS: The results showed that there is considerable variation between the three grades of clinicians involved in obtaining a patient's consent for laparoscopic cholecystectomy. There was a clear difference in emphasis of the significant complications depending on the seniority of the consenter. Over 80% of the consents in this study were still being obtained by junior staff. CONCLUSIONS: More often than not, patients are not provided with consistent information to make an informed choice. We suggest that a preprinted consent form will provide a more uniform approach to consenting practice for laparoscopic cholecystectomy.

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Cholecystectomy, LaparoscopicConsent FormsConsultantsHumansInformed ConsentIntraoperative ComplicationsLondonMedical Staff, HospitalPatient Education as TopicPhysician-Patient RelationsProfessional PracticeRetrospective StudiesJournal Article

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A M Chen, D R Leff, J Simpson, S J D Chadwick, P J McDonald. 2006. Variations in consenting practice for laparoscopic cholecystectomy.. https://doi.org/10.1308/003588406x114857

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