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Related Experiment Videos

Informed consent in functional endoscopic sinus surgery.

Jeffrey S Wolf1, Sonya Malekzadeh, Julie A Berry

  • 1Division of Otolaryngology-Head and Neck Surgery, University of Maryland Medical System, Baltimore 21201, USA. jwolf@smail.umaryland.edu

The Laryngoscope
|August 2, 2002
PubMed
Summary
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Informed patient consent for Functional Endoscopic Sinus Surgery (FESS) varies significantly among otolaryngologists. Current practices do not always align risk discussion with complication incidence or severity, suggesting a need for improved FESS consent guidelines.

Area of Science:

  • Otolaryngology
  • Medical Ethics
  • Patient Safety

Background:

  • Functional endoscopic sinus surgery (FESS) is a common otolaryngology procedure.
  • Informed patient consent is a mandatory ethical and legal requirement before FESS.
  • Understanding current informed consent practices is crucial for improving patient safety and adherence to ethical standards.

Purpose of the Study:

  • To identify current informed consent practices for FESS among otolaryngologists in the United States.
  • To analyze the variability in discussing specific risks associated with FESS.
  • To formulate evidence-based guidelines for informed consent in FESS.

Main Methods:

  • A survey was distributed to 1000 members of the American Academy of Otolaryngology-Head and Neck Surgery.
Keywords:
Empirical ApproachLegal ApproachProfessional Patient Relationship

Related Experiment Videos

  • The survey collected data on the current practices of informed consent for FESS.
  • 346 surveys were returned and analyzed.

    • Main Results:

    • Nearly 60% of respondents believe a 1% complication incidence warrants discussion.
    • High discussion rates for bleeding (96.7%), infection (84.8%), CSF leak (99.1%), and orbital injury (96.7%).
    • Lower discussion rates for smell changes (40.2%), stroke (17.9%), myocardial infarction (81%), and death (28.0%).

    Conclusions:

    • There is considerable variability in informed consent practices for FESS among otolaryngologists.
    • The decision to discuss risks does not consistently correlate with their incidence or severity.
    • Findings can guide otolaryngologists in refining their informed consent procedures for FESS.