PMID: 11930192Apr 4, 2002Paper

Are patients informed when they consent to ERCP?

Canadian Journal of Gastroenterology = Journal Canadien De Gastroenterologie
Sinead O'SullivanTerry Ponich

Abstract

Only the British Society of Gastroenterology has published consent guidelines that are inclusive for endoscopic retrograde cholangiopancreatography (ERCP). Previous research has shown that there are variations in the information discussed with patients who are undergoing ERCP. To examine the informed consent practices for ERCP in Ontario. A self-report questionnaire was sent to ERCP endoscopists in Ontario, who were identified through a pre-existing database. The 14-item questionnaire included questions pertaining to the risks, benefits and alternatives discussed, how consent was obtained and whether the consent process was modified for patients older than 75 years. Of the 82 surveys sent, 36 responses were received, with three respondents indicating that they no longer performed ERCP; the total response rate was 40%. Ninety-four per cent of those who responded noted that they obtained written consent, and 6% obtained verbal consent. When discussing risks with their patients, 91% of respondents always mentioned pancreatitis, 88% always mentioned bleeding, 73% always mentioned perforation and 30% always mentioned the risk of infection; only 24% always mentioned the possibility of being allergic to the contrast agent, and 73% rar...Continue Reading

Citations

Jun 22, 2012·World Journal of Gastrointestinal Endoscopy·Marcela Kopacova, Jan Bures
Aug 18, 2004·International Journal of Clinical Practice·J S HuntleyI Findlay
Jun 16, 2009·European Journal of Gastroenterology & Hepatology·Earl J WilliamsMartin Lombard
Jan 28, 2004·Academic Medicine : Journal of the Association of American Medical Colleges·Karen L McClean, Sharon E Card

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