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Related Experiment Videos

Informed consent for gastrointestinal endoscopy: a 2002 ESGE survey.

K Triantafyllou1, C Stanciu, A Kruse

  • 1Endoscopy Unit, 2nd Department of Internal Medicine, Athens University, Evangelismos Hospital, Athens, Greece.

Digestive Diseases (Basel, Switzerland)
|February 13, 2003
PubMed
Summary

Informed consent for endoscopic procedures varies greatly across European countries. Key information, like risks and alternatives, is often inadequately provided, necessitating a review of current practices.

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Area of Science:

  • Gastroenterology
  • Medical Ethics
  • Patient Safety

Background:

  • Informed consent is mandatory for endoscopic examinations.
  • Existing data suggest significant deficiencies in the informed consent process for these procedures.
  • The European Society of Gastrointestinal Endoscopy (ESGE) oversees endoscopic practices in member nations.

Purpose of the Study:

  • To assess the quality of information provided to patients before endoscopic procedures.
  • To evaluate informed consent practices within European Society of Gastrointestinal Endoscopy member countries.

Main Methods:

  • A survey was distributed to representatives of national endoscopic societies.
  • The survey utilized a structured questionnaire focusing on informed consent quality.

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  • Data were collected from member countries of the European Society of Gastrointestinal Endoscopy.
  • Main Results:

    • A 59% response rate was achieved from 26 out of 44 surveyed countries.
    • Endoscopists are responsible for informed consent in only 23.1% of responding countries.
    • While 96% provide procedural information, only 77% allow adequate time for patient questions. Diagnostic/therapeutic alternatives and complication rates are discussed in only 85% and 77% of countries respectively. Procedure-related mortality is disclosed in just 23% of countries.

    Conclusions:

    • Significant variability exists in the informed consent process for endoscopic procedures across Europe.
    • Current practices for obtaining informed consent for endoscopy may require reevaluation and standardization.