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Surgical informed consent in children: a systematic review
Pranit N Chotai1, Richard Nollan2, Eunice Y Huang3
1Division of Pediatric Surgery, Department of Surgery, University of Tennessee Health Sciences Center, Memphis, Tennessee.
The Journal of Surgical Research
|June 12, 2017
Summary
Literature on informed consent for pediatric surgery is limited. More research is needed on surgeon and parent understanding of information content, delivery, and satisfaction to improve the process.
Area of Science:
- Pediatric Surgery
- Informed Consent
- Medical Ethics
Background:
- The informed consent process for pediatric surgery is critical for ethical and effective patient care.
- Understanding the perspectives of both surgeons and parents is essential for optimizing this process.
- Current literature on this topic is notably scarce.
Purpose of the Study:
- To systematically analyze existing literature on surgeon and parent understanding within the pediatric surgical informed consent process.
- To identify key themes and gaps in current research regarding informed consent for children undergoing surgery.
Main Methods:
- Conducted a systematic database search across MEDLINE, EMBASE, PsycINFO, and EBM Reviews.
- Included articles focused on surgical informed consent for pediatric invasive procedures.
- Excluded non-English articles, reviews, case reports, commentaries, and dentistry/nursing-related studies.
Main Results:
- Analysis of 12 included articles revealed five key themes: Content, Delivery, Interchange, Comprehension, and Satisfaction.
- Comprehension (surgeon/parent understanding) was the most frequently studied theme (50%).
- No single study comprehensively addressed all five identified themes.
Conclusions:
- The body of research on surgical informed consent for children is insufficient.
- Prospective studies are required to evaluate surgeon and parent perceptions of information Content, Delivery, Interchange, Comprehension, and Satisfaction.
- Further research is crucial to identify barriers and enhance the informed consent process in pediatric surgery.
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