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Informed consent for tonsillectomy: Do parents comprehend the information we provide?

Oshri Wasserzug1, Gadi Fishman1, Dan Sternbach1

  • 1Pediatric ENT Unit, "Dana" Children's Hospital, Tel Aviv, Israel; Department of Otolaryngology, Head & Neck and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

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Parents often do not fully understand information provided during the informed consent process for pediatric tonsillectomy. Improving how surgeons communicate essential surgical details is crucial for better parental comprehension and patient safety.

Keywords:
ComprehensionEssential informationInformed consentTonsillectomy

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Area of Science:

  • Pediatric Surgery
  • Medical Communication
  • Informed Consent

Background:

  • Informed consent is a critical component of surgical procedures.
  • The effectiveness of the conventional consent process for pediatric tonsillectomy is not well-established.

Purpose of the Study:

  • To evaluate parental comprehension of information provided during the informed consent process for pediatric tonsillectomy.
  • To identify factors influencing parental understanding of surgical details.

Main Methods:

  • A prospective study enrolled 97 parents of children undergoing tonsillectomy.
  • Parents completed a questionnaire within one hour of the consent process to assess information recall.
  • The questionnaire included demographic data and questions evaluating comprehension of essential surgical information.

Main Results:

  • The average score on the comprehension questionnaire was 76.3%.
  • Native Hebrew speakers and healthcare workers demonstrated higher comprehension scores.
  • Over 50% of parents incorrectly answered at least one essential question regarding post-operative care or complications.

Conclusions:

  • The conventional method of obtaining informed consent for tonsillectomy is inadequate.
  • Parental comprehension of essential information is suboptimal, highlighting a need for improved communication strategies.
  • Further research is warranted to develop and evaluate enhanced methods for the surgical informed consent process.