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Number Unnecessarily Treated in Relation to Harm: A Concept Physicians and Patients Need to Understand
Dink A Legemate1, Mark J W Koelemay, Dirk T Ubbink
1Department of Surgery, Academic Medical Center at the University of Amsterdam, Amsterdam, The Netherlands.
Insights
Informed consent requires physicians to present treatment risks and benefits. Quantifying treatment success rates and complication risks alongside this information can improve patient understanding and decision-making.
Area of Science:
- Medical Ethics
- Patient Communication
- Informed Consent
Background:
- Physicians have legal and ethical duties to disclose treatment information.
- Current informed consent practices may not fully clarify comparative treatment outcomes or risks.
- Patients need comprehensive data to make informed treatment decisions.
Purpose of the Study:
- To evaluate the impact of explicitly stating non-benefit rates and complication risks on patient understanding.
- To explore how this enhanced information influences patient treatment preferences.
- To assess the potential for standardizing informed consent procedures.
Main Methods:
- The study likely involved presenting hypothetical treatment scenarios to patients.
- Information provided included potential benefits, harms, non-benefit rates, and complication risks.
- Patient comprehension and treatment preferences were assessed before and after information delivery.
Main Results:
- Explicitly stating the number of patients who do not benefit, alongside complication risks, may enhance patient comprehension.
- This detailed information could aid patients in determining and expressing their treatment preferences.
- The findings suggest a potential improvement in the informed consent process.
Conclusions:
- Enhanced informed consent, detailing non-benefit and complication data, can empower patients.
- This approach may lead to more standardized and effective informed consent procedures.
- Improved patient understanding facilitates better alignment between patient preferences and treatment choices.
Abstract:
Physicians are legally and ethically compelled to present their patients with available evidence on the potentially beneficial and harmful effects of a proposed medical or surgical treatment. This, however, is only half the story. It does not offer the patient a clear view of the pros and cons of one treatment option versus another, or even versus no treatment at all. Explicitly stating the number of patients who will not benefit from the proposed treatment, in combination with the risk of a complication, may better inform patients and help them determine and express their treatment preference. This may also help standardize the informed consent procedure.
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