Surgical Consent of Children and Guardians for the Treatment of Adolescent Idiopathic Scoliosis is Incompletely Informed

Spine
Alexander A TheologisMohammad Diab

Abstract

Prospective, multicenter cohort analysis. Assess children and guardian's comprehension of surgical consent for adolescent idiopathic scoliosis (AIS) surgery and factors associated with their comprehension. Informed consent is essential to the ethical practice of surgery. Little is known about how informed are children and guardians when consenting to operation for AIS. Guardians and their children (10-18 yr) undergoing spinal fusion for AIS were prospectively evaluated at 4 institutions. Each child and guardian was asked to complete a questionnaire of the risks, benefits and expected results of operative treatment and a self-assessment of overall comprehension. A site-survey questionnaire regarding teaching methods, timing between teaching and consent, and healthcare provider involved in the consent process was also used. Significance was assessed using logistic regression examining factors associated with good (≥6 scores correct) and poor (<6 scores correct) comprehension. One hundred seventy six pairs of patient/guardian were enrolled. Fifty-seven patient/guardian questionnaires were discarded due to incompleteness. A greater percentage of guardians had good overall comprehension of the surgical consent (patients: 59.7%; guar...Continue Reading

References

Feb 1, 1994·The British Journal of Oral & Maxillofacial Surgery·S Layton, J Korsen
Apr 3, 1993·BMJ : British Medical Journal·C Lavelle-JonesA Cuschieri
Apr 29, 1998·Journal of the American Geriatrics Society·J SugarmanR C Hubal
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Jan 22, 2004·Foot & Ankle International·Paul S Shurnas, Michael J Coughlin
Jul 11, 2009·Foot & Ankle International·Ben M BeamondHamish Leslie

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