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Related Experiment Videos

Who's afraid of informed consent?

D D Kerrigan1, R S Thevasagayam, T O Woods

  • 1Royal Hallamshire Hospital, Sheffield.

BMJ (Clinical Research Ed.)
|January 30, 1993
PubMed
Summary

Providing detailed surgical risk information does not increase patient anxiety. This approach allows for fully informed consent, potentially reducing future litigation risks for elective inguinal hernia repair patients.

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Area of Science:

  • Medical research
  • Surgical patient care
  • Informed consent

Background:

  • Patients' anxiety levels are often a concern when providing detailed surgical risk information.
  • The assumption that detailed information increases patient anxiety may hinder the process of obtaining fully informed consent.

Purpose of the Study:

  • To investigate whether detailed preoperative information about surgical risks increases patient anxiety.
  • To assess the impact of detailed versus simple risk information on anxiety levels in patients undergoing elective inguinal hernia repair.

Main Methods:

  • A randomized controlled trial was conducted with 96 male patients undergoing elective inguinal hernia repair.
  • Patients received either simple or detailed information sheets about potential postoperative complications.
Keywords:
Empirical ApproachProfessional Patient Relationship

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  • Preoperative anxiety levels were measured before and after information delivery using the Spielberger scale.

    • Main Results:

    • Detailed information did not significantly increase patient anxiety levels (p=0.20).
    • A simple explanation provided a statistically significant degree of reassurance (p=0.012).
    • The reassuring effect of simple information was clinically significant only in patients with high baseline anxiety (r=0.27, p=0.05).

    Conclusions:

    • Detailed surgical risk information does not significantly increase anxiety in patients undergoing elective inguinal hernia repair.
    • Providing comprehensive details empowers patients to make fully informed choices.
    • This practice can potentially reduce the likelihood of subsequent litigation by ensuring informed consent.