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How readable are orthognathic surgery consent forms?

Maurice J Meade1, Craig W Dreyer1

  • 1Orthodontic Unit, Adelaide Dental School, Level 10, Adelaide Health and Medical Sciences Building Corner of North Terrace and, George Street, 5000 Adelaide SA, Australia.

International Orthodontics
|September 18, 2022
PubMed
Summary
This summary is machine-generated.

Informed consent forms for orthognathic surgery are largely difficult to understand, hindering patient comprehension. This impacts the validity of consent, especially for patients with lower literacy skills.

Keywords:
Accuracy of dataComprehensionHealth literacyInformed consentInternetLiteracyOrthodonticsOrthognathic surgeryReadability

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Area of Science:

  • Medical Education
  • Patient Communication
  • Surgical Consent

Background:

  • Valid medical consent requires easily understandable information.
  • Orthognathic surgery informed consent forms (OSICFs) are crucial for patient understanding.
  • Assessing the readability of OSICFs is essential for ethical medical practice.

Purpose of the Study:

  • To evaluate the readability of orthognathic surgery informed consent forms (OSICFs).
  • To determine if current OSICFs meet recommended understandability standards for patients.
  • To identify potential barriers to informed consent in orthognathic surgery.

Main Methods:

  • Conducted an online search to identify OSICFs for analysis.
  • Evaluated 26 OSICFs using standardized inclusion/exclusion criteria.
  • Assessed content readability using Simple Measure of Gobbledegook (SMOG), Flesch-Kincaid Grade-Level (FKGL), and Flesch Reading Ease (FRE) scores.

Main Results:

  • Most evaluated OSICFs (84.6%–92.3%) were found to be "difficult" to read.
  • The mean SMOG score was 12.31, indicating a high school reading level.
  • SMOG and FKGL scores were highly correlated (r=0.99, P < 0.0001).

Conclusions:

  • OSICFs frequently fail to meet recommended readability levels, impeding patient understanding.
  • A significant portion of patients may not comprehend the information provided in consent forms.
  • Orthodontists should consider patient literacy when obtaining consent for orthognathic surgery.