Informed consent for gastrointestinal endoscopy: a 2002 ESGE survey

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.
• 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.