Informed consent for image-guided procedures: a nationwide survey of perceptions and current practices
T Forsman1, S Silberstein2, E D Cyphers3
1Warren Alpert Medical School of Brown University, Providence, RI, USA.
Clinical Radiology
|July 27, 2023
Summary
Interventional radiologists are confident discussing procedure risks and benefits but less so for alternatives outside radiology. Formal informed consent education is uncommon, and decision aid use varies by institution type.
Area of Science:
- Medical Imaging
- Interventional Radiology
- Patient Safety
Background:
- Informed consent is crucial for patient autonomy and safety in medical procedures.
- Image-guided procedures require clear communication of complex risks, benefits, and alternatives.
Purpose of the Study:
- To assess current informed consent practices among interventional radiologists.
- To evaluate the availability of guidelines and use of decision aids for image-guided procedures.
Main Methods:
- A survey of 159 interventional radiologists was conducted between April and June 2022.
- The survey assessed demographics, consent procedures, discussion of benefits/risks/alternatives, and decision aid utilization.
Main Results:
- Most radiologists (93.7%) were comfortable discussing procedure benefits and risks.
- Fewer were confident discussing alternatives outside radiology (46.5%).
- Formal consent education was lacking (66.7%), and decision aid use varied by institution type (p=0.02).
Conclusions:
- Interventional radiologists are confident in discussing procedure-related information but less so for broader treatment alternatives.
- There is a need for enhanced formal education and standardized guidance on informed consent practices.
- Decision aid utility may differ between academic and non-academic settings, warranting further investigation.
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