OBJECTIVE: This study was conducted to evaluate the effectiveness of informed consent in head and neck surgery by testing patient recall of potential complications from thyroidectomy, parathyroidectomy, and parotidectomy. DESIGN: A prospective design was used. SETTING: The setting was an academic tertiary care centre. METHODS: Fifty-four patients undergoing thyroidectomy, parathyroidectomy, or parotidectomy were consented by verbal contact by the operating surgeon with a specific preoperative checklist of complication and side effects. One week to 2 months after consent, the patients were surveyed for recall of potential complications. MAIN OUTCOME MEASURES: Rate of recall was related to various parameters including patient age, sex, level of education, occupation, and length of time from the consent interview to the recall interview. RESULTS: The overall recall rate for all procedures was 48%. Those patients who recalled over 50% of the complications were younger (p = .04) and better educated (p = .04). The gender of the patients did not appear to influence recall success (p = 1.00), even when facial scar or paralysis was considered. CONCLUSION: A significant relationship exists between education level and patient age and the rate of patient recall of potential complications of surgery.
OBJECTIVE: This study was conducted to evaluate the effectiveness of informed consent in head and neck surgery by testing patient recall of potential complications from thyroidectomy, parathyroidectomy, and parotidectomy. DESIGN: A prospective design was used. SETTING: The setting was an academic tertiary care centre. METHODS: Fifty-four patients undergoing thyroidectomy, parathyroidectomy, or parotidectomy were consented by verbal contact by the operating surgeon with a specific preoperative checklist of complication and side effects. One week to 2 months after consent, the patients were surveyed for recall of potential complications. MAIN OUTCOME MEASURES: Rate of recall was related to various parameters including patient age, sex, level of education, occupation, and length of time from the consent interview to the recall interview. RESULTS: The overall recall rate for all procedures was 48%. Those patients who recalled over 50% of the complications were younger (p = .04) and better educated (p = .04). The gender of the patients did not appear to influence recall success (p = 1.00), even when facial scar or paralysis was considered. CONCLUSION: A significant relationship exists between education level and patient age and the rate of patient recall of potential complications of surgery.
Entities:
Keywords:
Empirical Approach; Professional Patient Relationship
Authors: Brittany N Krekeler; Elizabeth Wendt; Cameron Macdonald; Jason Orne; David O Francis; Rebecca Sippel; Nadine P Connor Journal: JAMA Otolaryngol Head Neck Surg Date: 2018-04-01 Impact factor: 6.223
Authors: Kui Dong Kang; Aman Shah B Abdul Majid; Jee Hyun Kwag; Yeon Deok Kim; Hye Bin Yim Journal: Graefes Arch Clin Exp Ophthalmol Date: 2009-10-15 Impact factor: 3.117
Authors: D Wilhelm; S Gillen; H Wirnhier; M Kranzfelder; A Schneider; A Schmidt; H Friess; H Feussner Journal: Langenbecks Arch Surg Date: 2009-01-17 Impact factor: 3.445