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.

Annals of Surgery
|December 26, 2015
PubMed

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.

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