Insight in Information Provision Prior to Obtaining Surgical Informed Consent-by Audiotaping Outpatient Consultations.


BACKGROUND:Literature suggests that patient-informing process prior to obtaining surgical informed consent (SIC) does not function well. This study aimed to provide insight into the current practice of SIC in the Netherlands. METHODS:This is a prospective, observational, and multicenter study, conducted in one academic and two non-academic teaching hospitals in the Netherlands. Audio recordings were made during outpatient consultations with patients presenting with Dupuytren Disease. The recorded informing process was scored according to a checklist. Written documentation of the SIC process in the patient's chart was compared to these scored checklists. Time spent on SIC during the consultations was also recorded. RESULTS:A total of 41 outpatient consultations were included in the study. Consultations were conducted by 25 plastic surgeons and their residents. Average time spent on SIC was 55.6% of the total consultation time. Considerable variation was observed concerning the amount and type of information given and discussed. In 59% of the consultations, discrepancies were observed between written documentation of consultations and audio recordings. Information on treatment risks, the postoperative period, and the operating surgeon was addressed the least. CONCLUSION:Despite a relatively large part of the consultation time being spent on SIC, patients received scarce information concerning treatment risks, postoperative period, and who their operating surgeon would be. Discrepancies were observed between the written documentation of SIC and information recorded on the audio recordings. This occurred predominantly in one hospital that used a pre-made list of 'discussed information' in its digital patient chart.


World J Surg


World journal of surgery


Burger BB,Veerman MM,Tellier MA,Leclercq WKG,Mouës-Vink CM,Werker PMN




Has Abstract


2019-02-01 00:00:00














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    journal_title:World journal of surgery

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    authors: Farlow DC,Chapman PR,Gruenewald SM,Antico VF,Farrell GC,Little JM

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  • Partial Thyroidectomy for Papillary Thyroid Microcarcinoma: Is Completion Total Thyroidectomy Indicated?

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    journal_title:World journal of surgery

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    authors: Donatini G,Castagnet M,Desurmont T,Rudolph N,Othman D,Kraimps JL

    更新日期:2016-03-01 00:00:00

  • Indications for early postoperative intraperitoneal chemotherapy of advanced gastric cancer: results of a prospective randomized trial.

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    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Yu W,Whang I,Chung HY,Averbach A,Sugarbaker PH

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  • Enhanced Recovery Pathway for Right and Left Colectomy: Comparison of Functional Recovery.

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Kummer A,Slieker J,Grass F,Hahnloser D,Demartines N,Hübner M

    更新日期:2016-10-01 00:00:00

  • Developing Metrics to Define Progress in Children's Surgery.

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    pub_type: 杂志文章,评审


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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Gullmo A

    更新日期:1989-09-01 00:00:00

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    authors: Botet X,Surinyach S,Molinas J

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    authors: Manterola C,Vial M,Sanhueza A,Contreras J

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Foucher G,Boulas HJ,Braga Da Silva J

    更新日期:1991-07-01 00:00:00

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    abstract:BACKGROUND:The impact of postoperative complications (POCs) on long-term survival outcomes following hepatic resection for colorectal liver metastasis (CRLM) is in controversy. The aim of the present meta-analysis was to systematically evaluate the POC effect on overall survival (OS) and disease-free survival (DFS) in ...

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    pub_type: 杂志文章,meta分析,评审


    authors: Yin Z,Huang X,Ma T,Jin H,Lin Y,Yu M,Jian Z

    更新日期:2015-07-01 00:00:00

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    authors: Suri M,McKneally M,Devon K

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    authors: Okamura Y,Sugiura T,Ito T,Yamamoto Y,Ashida R,Aramaki T,Uesaka K

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    authors: Orozco H,Takahashi T,Mercado MA,Prado E,Chan C

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    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Mora RJ

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Alyami M,Passot G,Voiglio E,Lundberg PW,Valette PJ,Muller A,Caillot JL

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Ruark DS,Schlehaider UK,Shah JP

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    pub_type: 杂志文章


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  • Outcomes After Urgent Thyroidectomy Following Rapid Control of Thyrotoxicosis in Graves' Disease are Similar to Those After Elective Surgery in Well-Controlled Disease.

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    pub_type: 杂志文章


    authors: Ali A,Debono M,Balasubramanian SP

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    pub_type: 杂志文章


    authors: Neuvonen P,Sand J,Matikainen M,Rantanen T

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Kobayashi D,Kodera Y,Fujiwara M,Koike M,Nakayama G,Nakao A

    更新日期:2011-02-01 00:00:00

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    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Bachellier P,Nakano H,Weber JC,Lemarque P,Oussoultzoglou E,Candau C,Wolf P,Jaeck D

    更新日期:2001-10-01 00:00:00