The leap to trust: perspective of cholecystectomy patients on informed decision making and consent

Journal of the American College of Surgeons
Martin F McKneallyJason D'Cruz

Abstract

Although experts in ethics and law prescribe autonomous decision making as an essential component of informed consent to operative treatment, patients with esophageal cancer told us in a previous study that they preferred to entrust decision making to their caregivers in the context of life-threatening illness. The purpose of this study was to describe the patients' perspective on the process of informed decision making and consent to operative treatment in the context of a less frightening illness and intervention. Face-to-face interviews with 33 patients recovering from elective cholecystectomy for cholelithiasis were conducted at Toronto General Hospital in Ontario, Canada. The views of patients were analyzed using a qualitative approach. Patients described a spectrum of initial attitudes toward operative treatment ranging from profound distrust to unquestioning faith. Important factors influencing the decision to accept cholecystectomy included increasingly intolerable symptoms and fear of complications of the disease. Patients managed their doubts and fear by various means, without fully resolving them. In the context of symptomatic chronic cholelithiasis, pathways to consent for operative treatment originated at diverse, ...Continue Reading

References

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Citations

Oct 16, 2009·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Kui Dong KangHye Bin Yim
Mar 7, 2012·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Daniel E HallAaron S Fink
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May 30, 2009·Journal of the American College of Surgeons·Ryan ChildersTimothy M Pawlik
Dec 15, 2017·Annals of Surgery·Justin T ClappLee A Fleisher
Apr 22, 2009·World Journal of Surgery·Martin F McKneallyJason D'Cruz
Jun 6, 2014·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Alan R TaitTerri Voepel-Lewis
Jul 16, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mina MesriRaimundas Lunevicius
Apr 4, 2020·Acta neurochirurgica·Alessandro PerinFrancesco DiMeco
Jun 13, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Abhishek D ParmarTaylor S Riall
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Nov 4, 2017·The Journal of Nursing Research : JNR·Mei-Ling Lin, Ching-Huey Chen
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May 12, 2021·JCO Oncology Practice·Subha PerniRyan D Nipp
Jul 8, 2021·Cardiovascular and Interventional Radiology·Sara SilbersteinMina S Makary

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