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What do orthopaedic surgeons tell patients?

W G Kernohan1, R A Mollan, R Geary

  • 1Department of Orthopaedic Surgery, Queen's University of Belfast, UK.

Journal of the Royal College of Surgeons of Edinburgh
|April 1, 1993
PubMed
Summary

Orthopaedic surgeons largely agree on essential pre-operative patient information. This consensus ensures clear communication about total hip replacement risks, benefits, and success likelihood for surgical patients.

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Area of Science:

  • Medical Ethics
  • Surgical Communication
  • Patient Rights

Background:

  • Patients undergoing surgery have a right to comprehensive information.
  • Informed consent requires clear communication of diagnosis, treatment, prognosis, risks, and success rates.
  • Understanding surgeon consensus on pre-operative disclosure is crucial for ethical practice.

Purpose of the Study:

  • To determine the level of agreement among orthopaedic surgeons regarding patient information disclosure prior to surgery.
  • To establish a benchmark for communication standards in orthopaedic procedures.

Main Methods:

  • A questionnaire was developed with a fictitious total hip replacement case.
  • The questionnaire listed sample statements for pre-operative patient disclosure.

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  • All orthopaedic surgeons in Northern Ireland received the questionnaire, achieving an 86% response rate.

    • Main Results:

    • A high degree of consensus was observed among responding surgeons.
    • Surgeons generally agreed on the information that should and should not be disclosed to patients before surgery.
    • The findings indicate a shared understanding of essential pre-operative communication.

    Conclusions:

    • There is substantial agreement among orthopaedic surgeons on what constitutes adequate pre-operative patient information.
    • This consensus supports standardized communication protocols for surgical procedures.
    • The methodology can be adapted to assess consensus for other surgical interventions.