Abstract
The desirability of obtaining written informed consent for low-risk radiologic procedures has been the subject of controversy. A group of 80 patients was studied to evaluate the effect of informed consent for excretory urograms on: (1) incidence of contrast reactions; (2) discomfort during the procedure; (3) level of patients’ anxiety before and after the procedure; (4) patients’ perception of the procedure; and (5) desirability of informed consent from the patients’ viewpoint.
Results revealed no statistically significant difference between the 2 groups in the incidence of reactions, discomfort, perception of the examination, or anxiety level prior to the procedure. The informed consent group had a statistically greater factual knowledge of the procedure evaluated objectively (P < 0.01). Of the patients who received the written consent form, 83% regarded it as helpful and none viewed it as harmful or refused the examination. In the control group, 32% desired more information.
References
Reuter SR: Use of detailed consent forms. American College of Radiology, 1983
James AE, Johnson BA, Hall DJ: Informed consent: some newer aspects and their relation to the specialty of radiology.Radiology 123:809–813, 1977
Johnson BA, James AE: The radiologist and informed consent: a review, comment and proposals.Curr Probl Diagn Radiol 8:3–19, 1979
Krause GP: Legal forum. A primer on informed consent.Radiol Management 4:12–15, 1982
Webber MM: Informed consent in research and practice.Radiology 144:939–941, 1982
Lalli AF: Urographic contrast media reactions and anxiety.Radiology 112:267–271, 1974
Alfidi RJ: Controversies, alternatives and decisions in complying with the legal doctrine of informed consent.Radiology 114:231–234, 1975
Patten BM, Stump W: Death related to informed consent.Texas Med 74:49–55, 1978
Brock D, Lawson RK, Bennett WM: Preoperative workshops with patient waiting for kidney transplant.Transplant Proc 5:1059–1063, 1973
Bergler JH, Pennington AC, Metcalfe M, Freis ED: Informed consent: how much does the patient understand.Clin Pharmacol Ther 27:435–440, 1980
Mahler DM, Veatch RM, Sidel VW: Ethical issues in informed consent.JAMA 247:481–485, 1982
Salgo vs Leland Stanford Board of Trustees: 317 P 2d 170, Calif 1957
Bang vs Charles T. Miller Hospital: 251 Minn 427, 88 NW 2d 186, 1958
Lankston JW, Batchelder BM, Ominsky AJ: Emotional response to detailed risk disclosure for anaesthesia: a prospective randomized study.Anesthesiology 46:294–296, 1977
Witten DM, Hirsch FD, Hartman GW: Acute reactions to urographic contrast medium. Incidence, clinical characteristics, and relationships to history of hypersensitivity status.Am J Roentgenol 119:832–840, 1973
Shehadi WH, Toniolo G: Report of committee of safety of contrast media of the International Society of Radiology.Radiology 137:299–302, 1980
Spring DB, Akin JR, Margulis AR: Informed consent for intravenous contrast-enhanced radiography: a national survey of practice and opinion.Radiology 152:609–613, 1984
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Winfield, A.C., Ford, C.V., James, A.E. et al. Response of patients to informed consent for excretory urography. Urol Radiol 8, 35–38 (1986). https://doi.org/10.1007/BF02924069
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DOI: https://doi.org/10.1007/BF02924069