Informed consent: a shared decision-making process that creates a new professional obligation for care

Abstract

This statement on informed consent, developed by the SAGES Ethics Committee, has been reviewed and approved by the Board of Governors of SAGES. This statement is provided to offer guidance about the purpose and process of obtaining informed consent, and it is intended for practicing surgeons as well as patients seeking surgical intervention. It is an expression of well-established principles and extensive literature. Excluded from this document are discussions of informed consent for research and informed consent for introduction of new technology, as that has been addressed in previous publications (Strong in Surg Endosc 28:2272, 2014; Stefanidis in Surg Endosc 28:2257, 2014; as reported by Sillin (in: Stain (ed) The SAGES Manual Ethics of Surgical Innovation, Springer, Switzerland, 2016)).

This is a preview of subscription content, access via your institution.

References

  1. 1.

    Strong VE, Forde KA, MacFadyen BV et al (2014) Ethical considerations regarding the implementation of new technologies and techniques in surgery. Surg Endosc 28:2272

    Article  Google Scholar 

  2. 2.

    Stefanidis D, Fanelli RD, Price R et al (2014) SAGES guidelines for the introduction of new technology and techniques. Surg Endosc 28:2257

    Article  Google Scholar 

  3. 3.

    Sillin LF, Rawlings AL, Shadduck PP (2016) Informed consent and surgical innovation. In: Stain SC, Pryor AD, Shadduck PP (eds) The SAGES manual ethics of surgical innovation. Springer, Switzerland

    Google Scholar 

  4. 4.

    Faden R, Beauchamp T (1986) A history and theory of informed consent. Oxford University Press, New York

    Google Scholar 

  5. 5.

    Berg J, Appelbaum P, Lidz C, Parker L (2001) Informed consent: legal theory and clinical practice, 2nd edn. Oxford University Press, New York

    Google Scholar 

  6. 6.

    Maclean A (2009) Autonomy, informed consent and medical law. Cambridge University Press, New York, pp 9–47

    Book  Google Scholar 

  7. 7.

    Faden R, Beauchamp T (1986) A history and theory of informed consent. Oxford University Press, New York, p 27

    Google Scholar 

  8. 8.

    (2006) Legal authorities for isolation and quarantine–information from CDC. J Environ Health 68(8):52

  9. 9.

    Jones JW, McCullough LB, Richman BM (2007) A comprehensive primer of surgical informed consent. Surg Clin North Am 87(4):903–918

    Article  Google Scholar 

  10. 10.

    Cocanour C (2017) Informed consent—it’s more than a signature on a piece of paper. Am J Surg 214(6):993–997

    Article  Google Scholar 

  11. 11.

    Moulton B, Collins PA, Burns-Cox N, Coulter A (2013) From informed consent to informed request: do we need a new gold standard? J R Soc Med 106(10):391–394

    Article  Google Scholar 

  12. 12.

    Fields LM, Calvert JD (2015) Informed consent procedures with cognitively impaired patients: a review of ethics and best practices. Psychiatry Clin Neurosci 69(8):462–471

    Article  Google Scholar 

  13. 13.

    AAP Committee on Bioethics (2016) Informed consent in decision-making in pediatric practice. Pediatrics 138(2):e20161484

    Article  Google Scholar 

Download references

Acknowledgements

This document was prepared by the SAGES Ethics Committee: Arthur Rawlings (Chair), Limaris Barrios (Co-Chair), R. Ivan Beretvas, Charles Cheng, Jerry Cheriyan, Peter Crookes, Alberto Ferreres, Duke Jaspal, Robert Josloff, Jason Keune, Thom Lobe, Bruce MacFadyen, Paresh Mane, Marian McDonald, R. K. Mishra, Dana Portenier, Tameka Scott, Paul Severson, Phillip Shadduck, Lelan Sillin, Vivian Strong, David Tichansky, Vimalraj Velayutham.

Funding

No financial support was received for this work.

Author information

Affiliations

Authors

Consortia

Corresponding author

Correspondence to Arthur Rawlings.

Ethics declarations

Disclosures

A. Rawlings, L. Sillin, M. McDonald, P. Crookes, B. MacFadyen, and J. Mellinger have no financial relationships with industry or conflicts of interest to disclose. Dr Shadduck discloses consulting fees from TransEnterix (Research & Development) and Heron Therapeutics (Research and Advisory Board).

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Rawlings, A., Sillin, L., Shadduck, P. et al. Informed consent: a shared decision-making process that creates a new professional obligation for care. Surg Endosc 34, 4713–4716 (2020). https://doi.org/10.1007/s00464-020-07970-1

Download citation

Keywords

  • Informed Consent
  • Autonomy
  • Patient-physician relationship
  • Shared decision making