Skip to main content
British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1988 Mar 19;296(6625):839–840. doi: 10.1136/bmj.296.6625.839

How informed is signed consent?

D J Byrne, A Napier, A Cuschieri
PMCID: PMC2545118  PMID: 3130937

Abstract

The assurance that patients fully understand the information given to them before they sign the consent form for operation has never been validated in this country. One hundred patients were interviewed by an independent medical observer in one surgical unit in a teaching hospital between two and five days after their operation. Although all the patients interviewed were fully aware that they had had an operation, 27 did not know which organ was operated on and 44 were unaware of the exact nature of the surgical procedure. A significantly higher age group was observed in the group of patients who were unaware of the basic facts relating to their operation, and the problem was encountered most commonly in patients over the age of 60. Because of the medical and legal importance the findings of this pilot study warrant further large scale investigations.

Full text

PDF
839

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baum M. Do we need informed consent? Lancet. 1986 Oct 18;2(8512):911–912. doi: 10.1016/s0140-6736(86)90425-3. [DOI] [PubMed] [Google Scholar]
  2. Cassileth B. R., Zupkis R. V., Sutton-Smith K., March V. Informed consent -- why are its goals imperfectly realized? N Engl J Med. 1980 Apr 17;302(16):896–900. doi: 10.1056/NEJM198004173021605. [DOI] [PubMed] [Google Scholar]
  3. Muss H. B., White D. R., Michielutte R., Richards F., 2nd, Cooper M. R., Williams S., Stuart J. J., Spurr C. L. Written informed consent in patients with breast cancer. Cancer. 1979 Apr;43(4):1549–1556. doi: 10.1002/1097-0142(197904)43:4<1549::aid-cncr2820430449>3.0.co;2-r. [DOI] [PubMed] [Google Scholar]
  4. Robinson G., Merav A. Informed consent: recall by patients tested postoperatively. Ann Thorac Surg. 1976 Sep;22(3):209–212. doi: 10.1016/s0003-4975(10)64904-1. [DOI] [PubMed] [Google Scholar]
  5. Taylor K. M., Kelner M. Informed consent: the physicians' perspective. Soc Sci Med. 1987;24(2):135–143. doi: 10.1016/0277-9536(87)90246-2. [DOI] [PubMed] [Google Scholar]
  6. Thomas E. Informed consent. Lancet. 1986 Nov 29;2(8518):1280–1280. doi: 10.1016/s0140-6736(86)92705-4. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal (Clinical research ed.) are provided here courtesy of BMJ Publishing Group

RESOURCES