Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Consent for tonsillectomy.

D Mistry1, G Kelly

  • 1Department of Otolaryngology, The Leeds Teaching Hospitals NHS Trust, UK. dipanmistry@hotmail.com

Clinical Otolaryngology and Allied Sciences
|July 24, 2004
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

HLA-E and NKG2A Mediate Resistance to BCG Immunotherapy in Non-Muscle-Invasive Bladder Cancer.

bioRxiv : the preprint server for biology·2024
Same author

Comparison of the efficacy of macrocyclic lactone anthelmintics, either singly or in combination with other anthelmintic(s), in nine beef herds in southern NSW.

Australian veterinary journal·2023
Same author

Modelling the impact of reopening schools in the UK in early 2021 in the presence of the alpha variant and with roll-out of vaccination against SARS-CoV-2.

Journal of mathematical analysis and applications·2022
Same author

Soft elasticity optimises dissipation in 3D-printed liquid crystal elastomers.

Nature communications·2021
Same author

Modelling the potential impact of mask use in schools and society on COVID-19 control in the UK.

Scientific reports·2021
Same author

The migratory pathways of the cells that form the endocardium, dorsal aortae, and head vasculature in the mouse embryo.

BMC developmental biology·2021
Same journal

Correspondence.

Clinical otolaryngology and allied sciences·2017
Same journal

Erratum.

Clinical otolaryngology and allied sciences·2013
Same journal

Compact training course in ear surgery erlangen, Germany, 26-28 february 1998.

Clinical otolaryngology and allied sciences·2013
Same journal

How we do it: a practical approach to Foley catheter posterior nasal packing.

Clinical otolaryngology and allied sciences·2004
Same journal

How we do it: management of tracheobronchial foreign bodies in children.

Clinical otolaryngology and allied sciences·2004
Same journal

Is cochlear outer hair cell function affected by mobile telephone radiation?

Clinical otolaryngology and allied sciences·2004
See all related articles

Surgeons often fail to disclose all serious risks of tonsillectomy that patients expect. Patients prioritize potentially fatal bleeding and re-operation, while surgeons focus on less severe complications.

Area of Science:

  • Medical Law
  • Patient Safety
  • Surgical Consent

Background:

  • Recent legal decisions emphasize the 'reasonable patient' standard for informed consent.
  • This standard shifts focus from medical opinion to patient expectations regarding risk disclosure.

Purpose of the Study:

  • To compare surgeon practices with 'reasonable patient' expectations for tonsillectomy risk disclosure.
  • To assess agreement between the 'reasonable patient' and 'responsible body of medical opinion' on critical risks.

Main Methods:

  • A survey using questionnaires distributed to surgeons and patients undergoing tonsillectomy.
  • Surgeons reported routinely discussed complications; patients rated the seriousness of potential risks.
  • Statistical comparison using the Test of Proportions to analyze discrepancies.
Keywords:
Empirical ApproachProfessional Patient Relationship

Related Experiment Videos

Main Results:

  • Surgeons commonly discussed otalgia, odynophagia, throat infection, and re-operation.
  • Patients considered fatal bleeding, pneumonia, and transfusion highly serious risks.
  • A significant discrepancy exists, with surgeons under-reporting risks patients deem critical (P < 0.001).

Conclusions:

  • Surgeons' routine disclosure for tonsillectomy does not align with 'reasonable patient' expectations.
  • Patients expect discussion of severe risks like re-operation, transfusion, pneumonia, and fatal bleeding.
  • Informed consent for tonsillectomy requires addressing risks prioritized by patients.