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Enhancing informed consent through multimedia tools in pediatric spinal surgery: a comprehensive review
Marina Rosa Filezio1,2, Nishan Sharma1, Jennifer Thull-Freedman3,4
1Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Frontiers in Pediatrics
|August 5, 2024
Summary
Obtaining informed consent (IC) for pediatric spine surgery is complex. Multimedia tools and shared decision-making (SDM) can improve patient understanding and reduce pre-operative anxiety.
Area of Science:
- Pediatric Surgery
- Informed Consent
- Medical Ethics
Background:
- Pediatric spine surgery involves significant risks, including pain, neurological damage, and mortality.
- Obtaining valid informed consent (IC) is crucial but challenging in pediatric cases.
- Patients and guardians often struggle with comprehension during stressful medical situations.
Purpose of the Study:
- To review best practices for obtaining informed consent in pediatric spine surgery.
- To evaluate patient/guardian understanding of surgical IC.
- To explore the role of multimedia tools in facilitating comprehension.
Main Methods:
- Comprehensive mini-review of existing literature.
- Evaluation of legal and ethical perspectives on informed consent.
- Analysis of challenges in achieving patient understanding.
Main Results:
- Patients and guardians face comprehension challenges, especially under stress.
- Multimedia tools can enhance understanding and reduce pre-operative uncertainty.
- A tailored approach to IC is necessary for pediatric patients.
Conclusions:
- Multimedia tools offer a patient-centered strategy to improve IC.
- Shared decision-making (SDM) can play a vital role in surgical discussions.
- Effective IC requires addressing patient comprehension and reducing anxiety.
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