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Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery

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Liability for providing a prognosis in surgical practice.

Alex de Costa¹, Amy Tam²

¹1 St Thomas' Hospital, Westminster, London, UK.

The Medico-Legal Journal

|August 30, 2017

Summary

Surgeons must inform patients about surgical options and prognosis for informed consent. A recent court decision examines whether a precise prognosis is always required in surgical duty of care.

Keywords:

Informed consent evidence information outcome prognosis

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Area of Science:

Medical Law
Surgical Ethics
Patient Rights

Background:

The doctrine of informed consent mandates surgeons disclose treatment options and alternatives.
Accurate prognosis is essential for patients to make informed decisions regarding surgical procedures.
Legal obligations on surgeons have expanded concerning patient information disclosure.

Observation:

The core issue is whether a surgeon's duty of care necessitates providing a precise prognosis in every instance.
A recent Court of Appeal decision addresses this specific legal question regarding surgical informed consent.
The case explores the boundaries of required information disclosure in the context of surgical interventions.

Findings:

The court's decision clarifies the extent to which precise prognoses must be disclosed.
This ruling impacts the interpretation of informed consent in surgical practice.
The judgment provides guidance on the surgeon's duty of care concerning prognostic information.

Implications:

Potential changes in legal standards for informed consent in surgery.
Increased clarity for surgeons regarding their disclosure obligations.
Enhanced patient understanding and autonomy in medical decision-making.