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[Informed consents readability in vascular surgery and its progress over time].

E García Rivera¹, E M San Norberto¹, L Fidalgo Domingos¹

¹Hospital Clínico Universitario de Valladolid, Valladolid, España.

Journal of Healthcare Quality Research

|October 30, 2020

Summary

This summary is machine-generated.

Informed consents (IC) from the Spanish Society of Angiology and Vascular Surgery (SEACV) show decreased readability over time. Reviewing the length and content of ICs, particularly for supra-aortic trunks (SAT) and miscellaneous conditions, is recommended.

Keywords:

Alfabetización en salud Consentimiento informado Endovascular procedures Health literacy Informed consent Legibilidad Patologías vasculares Procedimientos endovasculares Readability Vascular diseases

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Area of Science:

Medical Information and Patient Communication
Vascular Surgery Patient Education

Background:

Informed consent (IC) readability is crucial for quality patient care.
The Chapter of Endovascular Surgery (CCEV) of the SEACV published ICs in 2019.
Previous SEACV ICs were published in 2007.

Purpose of the Study:

To analyze the readability of 2019 CCEV informed consents.
To assess the evolution of IC readability compared to 2007 SEACV consents.

Main Methods:

Readability analysis using Flesch, Flesch-Szigriszt, Fernández-Huerta, and Gunning-Fog indexes.
Evaluation of IC length, word count, and sentence structure.
Comparison of readability metrics between 2019 CCEV and 2007 SEACV ICs.

Main Results:

Flesch and Gunning-Fog indexes indicated "very difficult" and university-level readability for CCEV consents.
Flesch-Szigriszt, Fernández-Huerta, and Inflesz scales classified CCEV consents as "normal".
ICs for supra-aortic trunks (SAT) and miscellaneous conditions had lower readability; venous pathology ICs showed better readability.
CCEV consents were longer than SEACV consents, with a significant decrease in readability indexes over time.

Conclusions:

CCEV informed consents exhibit normal readability but have declined since 2007.
The length and content of ICs, especially for SAT and miscellaneous conditions, require revision.
Improving IC readability is essential for enhanced patient understanding and informed decision-making.