Abstract
A questionnaire was given to 37 members of staff of the Department of Surgery, Addenbrooke's Hospital, Cambridge, in order to determine whether their knowledge was adequate to give accurate information to patients regarding operations and thus to obtain properly informed consent for that operation. Each participant was asked to estimate the 24-h and 30-day mortality for five common elective operations. A wide range of answers was given for operations by all groups. Estimates of 24-h mortality after unilateral inguinal herniorrhaphy differed between staff grades by a factor of 3, but estimates of 24-h mortality after thyroidectomy differed by a factor of 100 between consultant surgeons and staff nurses. Our findings suggest that some members of the surgical team have insufficient knowledge about common operations to obtain properly informed consent from patients.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Acinapura A. J., Jacobowitz I. J., Kramer M. D., Adkins M. S., Zisbrod Z., Cunningham J. N., Jr Demographic changes in coronary artery bypass surgery and its effect on mortality and morbidity. Eur J Cardiothorac Surg. 1990;4(4):175–181. doi: 10.1016/1010-7940(90)90001-g. [DOI] [PubMed] [Google Scholar]
- Brooks J. R., Starnes H. F., Brooks D. C., Pelkey J. N. Surgical therapy for thyroid carcinoma: a review of 1249 solitary thyroid nodules. Surgery. 1988 Dec;104(6):940–946. [PubMed] [Google Scholar]
- Bunker T. D. An information leaflet for surgical patients. Ann R Coll Surg Engl. 1983 Jul;65(4):242–243. [PMC free article] [PubMed] [Google Scholar]
- Cameron E. W., Walker W. S. Coronary artery bypass surgery. BMJ. 1990 May 12;300(6734):1219–1220. doi: 10.1136/bmj.300.6734.1219. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Carditello A., Bartolotta M., Sturniolo G., Cavallaro G., Sobbrio G. A., Lentini B., Gagliano E. Patologia nodulare tiroidea solitaria e multipla (risultati di 1.300 interventi chirurgici). Chir Ital. 1989 Apr-Jun;41(2-3):137–144. [PubMed] [Google Scholar]
- Cubertafond P., Gainant A. Traitement des hernies de l'aine par kélorraphie type Shouldice. Analyse d'une série de 403 opérés. Chirurgie. 1989;115(2):133–136. [PubMed] [Google Scholar]
- Gilliland T. M., Traverso L. W. Modern standards for comparison of cholecystectomy with alternative treatments for symptomatic cholelithiasis with emphasis on long-term relief of symptoms. Surg Gynecol Obstet. 1990 Jan;170(1):39–44. [PubMed] [Google Scholar]
- Ivers C. R., Bourke B. M. Elective aneurysm repair and the incidence of aortic rupture in an ageing population. Aust N Z J Surg. 1990 Mar;60(3):203–207. [PubMed] [Google Scholar]
- Leguerrier A., Langanay T., Fasquel J. L., Delambre J. F., Le Couls H., Rioux C., Logeais Y. Risque opératoire actuel en chirurgie coronarienne d'urgence. Expérience des cinq dernières années. Ann Chir. 1990;44(2):77–83. [PubMed] [Google Scholar]
- Lewis D. C., Moran C. G., Vellacott K. D. Inguinal hernia repair in the elderly. J R Coll Surg Edinb. 1989 Apr;34(2):101–103. [PubMed] [Google Scholar]
- McSherry C. K. Advantages of elective surgical treatment of gallstones. Hepatogastroenterology. 1989 Oct;36(5):330–332. [PubMed] [Google Scholar]
- Mutirangura P., Stonebridge P. A., Clason A. E., McClure J. H., Wildsmith J. A., Nolan B., Ruckley C. V., Jenkins A. M. Ten-year review of non-ruptured aortic aneurysms. Br J Surg. 1989 Dec;76(12):1251–1254. doi: 10.1002/bjs.1800761208. [DOI] [PubMed] [Google Scholar]
- Poulias G. E., Skoutas B., Doundolakis N., Prombonas E., Papaioannou K., Hadad H., Kourtis K. Twenty years experience with abdominal aneurysmectomy. Surgical considerations and analysis of late results. Int Angiol. 1989 Jul-Sep;8(3):111–119. [PubMed] [Google Scholar]
- Ransohoff D. F., Gracie W. A. Management of patients with symptomatic gallstones: a quantitative analysis. Am J Med. 1990 Feb;88(2):154–160. doi: 10.1016/0002-9343(90)90466-q. [DOI] [PubMed] [Google Scholar]
- Reynolds M. No news is bad news: patients' views about communication in hospital. Br Med J. 1978 Jun 24;1(6128):1673–1676. doi: 10.1136/bmj.1.6128.1673. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Richards J., McDonald P. Doctor-patient communication in surgery. J R Soc Med. 1985 Nov;78(11):922–924. doi: 10.1177/014107688507801109. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sedwitz M. M., Hye R. J., Freischlag J. A., Stabile B. E. Zero operative mortality rate in 109 consecutive elective aortic operations performed by residents. Surg Gynecol Obstet. 1990 May;170(5):385–389. [PubMed] [Google Scholar]
- Sullivan C. A., Rohrer M. J., Cutler B. S. Clinical management of the symptomatic but unruptured abdominal aortic aneurysm. J Vasc Surg. 1990 Jun;11(6):799–803. [PubMed] [Google Scholar]