Consent and risk disclosure of COVID in the post-pandemic era
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View abstract on PubMed
Summary
This summary is machine-generated.Informed consent discussions rarely document COVID-19 risks in UK surgical settings. This oversight raises ethical and legal concerns regarding patient safety and transparency in post-pandemic care.
Area Of Science
- Medical Ethics
- Public Health
- Surgical Practice
Background
- Informed consent is crucial for ethical and legal medical practice in the UK.
- The transition of COVID-19 to an endemic phase necessitates clear communication of ongoing risks.
- Existing guidance mandates risk communication during surgical consent, yet its consistent application is unclear.
Purpose Of The Study
- To evaluate the documentation of COVID-19 risk in surgical consent forms.
- To assess the consistency of communicating ongoing COVID-19 risks during the surgical consent process.
- To explore the association between documented COVID-19 risk communication and patient outcomes.
Main Methods
- Prospective review of 147 surgical consent forms from a UK tertiary centre over two months in 2024.
- Assessment of explicit COVID-19 risk documentation in consent forms.
- Analysis of postoperative infection rates and 30-day mortality.
Main Results
- COVID-19 risk was documented in only 5.4% of reviewed consent forms.
- No significant variation in documentation was observed across different clinician grades (p=0.840).
- A statistically significant association was found between postoperative COVID-19 and 30-day mortality (p=0.020), with three infections and one death.
Conclusions
- The communication of COVID-19 risk during surgical consent is infrequent, contravening ethical and legal standards.
- There is a need for institutional measures to ensure transparent, patient-centred consent processes.
- Improved documentation of pandemic-related risks is essential for medico-legal compliance and patient safety in evolving healthcare landscapes.
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