Skip to main content
Log in

Effectiveness of consenting in Otorhinolaryngology

  • Research Article
  • Published:
Central European Journal of Medicine

Abstract

Informed consent in today’s medical practice has become a cornerstone and a routine ethical component playing a major role in forming a therapeutic alliance with the patient. The present study sought to analyse the effectiveness of the consent forms and the consenting process in Otorhinolaryngology. This three month questionnaire-based study covered varying operations which ranged from tonsillectomies, grommet insertions to pharyngeal pouch stapling. Twenty-nine percent of consent forms were signed on the day of the operation. Of the patients who received leaflets (51%) during the process of informed consent, a majority (88%) found it useful. The respondents were satisfied with the explanation of the procedure, benefits and complications (70–74%). Majority kept their consent forms at home (60%) and did not bother engaging in further search with regards to the information in the consent form (81%). Majority of the patients agreed that they had enough time to make an informed consent. Patients were satisfied with the consent process but more can be done to improve the consenting process.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hoehner PJ. Ethical aspects of informed consent in obstetric anesthesia — new challenges and solutions. Journal of Clinical Anesthesia 2003;15(8): 58–600

    Article  Google Scholar 

  2. Jones JW, McCullough LW, Richman BW. Informed Consent: Its Not Just Signing a Form. Thoracic Surgery Clinics 2005;15(4): 451–460

    Article  PubMed  Google Scholar 

  3. General Medical Council (1998). Seeking Patients’ Consent: The Ethical Considerations. London: GMC

    Google Scholar 

  4. Hopper KD, TenHave TR, Tully DA, Hall TE. The readability of currently used surgical / procedure consent forms in the United States. Surgery. 1998 May; 123(5):496–503

    Article  PubMed  CAS  Google Scholar 

  5. Langdon IJ, Hardin R, Learmonth ID. Informed consent for total hip arthroplasty: does a written information sheet improve recall by patients? Ann R Coll Surg Engl 2002; 84: 404–408

    Article  PubMed  CAS  Google Scholar 

  6. Adachi H. Informed consent in cardiovascular surgery. Kyobu Geka 2008 Mar; 61(3): 231–237

    PubMed  Google Scholar 

  7. Glock RS, Goldim JR. Informed consent in gerontology. Eubios J Asian Int Bioeth. 2003 Jan;13(1):6–8

    PubMed  Google Scholar 

  8. Nichols CM, Pendlebury LC, Jennell J. Chart documentation of informed consent for operative vaginal delivery: Is it adequate? South Med J. 2006; 99(12):133–9

    Article  Google Scholar 

  9. Chappell D, Taylor C. A survey of the consent practices of specialist orthodontics practitioners in the North-West of England. J Orthod. 2007 Mar; 34(1): 36–45

    Article  PubMed  Google Scholar 

  10. Wiseman OJ, Wijewardena M, Calleary J, Masood J, Hill JT. ’Will you be doing my operation doctor?’ Patient attitudes to informed consent. Ann R Coll Surg Engl 2004; 86: 462–464

    Article  PubMed  CAS  Google Scholar 

  11. Philipson SJ, Doyle MA, Gabram SG, Nightingale C, Philipson EH. Informed consent for research: a study to evaluate readability and processability to effect change. J Investig Med. 1995 Oct;43(5):459–67

    PubMed  CAS  Google Scholar 

  12. Mallardi V. The origin of informed consent. Acta Otorhinolaryngol Ital. 2005 Oct;25(5):312–27

    PubMed  CAS  Google Scholar 

  13. Ibrahim T, Ong SM, Taylor GJS-C. The new consent form: is it any better. Ann R Coll Surg Engl 2004; 86:206–209

    Article  PubMed  Google Scholar 

  14. Goodyear PW, Anderson AR, Kelly G. How informed is consent in a modern ENT department. Eur Arch Otorhinolaryngol. 2008 Aug; 265(8):95–61

    Article  Google Scholar 

  15. Falagas ME, Korbila IP, Giannopoulou KP, Kondilis BK, Peppas G. Informed consent: how much and what do patients understand? The American Journal of Surgery. 2009; 198(3): 420–435

    Article  Google Scholar 

  16. Jefford M, Moore R. Improvement of informed consent and the quality of consent documents. Lancet Oncol. 2009 May; 9(5):485–93

    Article  Google Scholar 

  17. Campbell B. New consent forms issued by the Department of Health. Ann R Coll Surg Engl. 2004 Nov; 86(6): 457–458

    Article  PubMed  Google Scholar 

  18. Berry NH, Phillips JS, Salam MA. Written Consent — A Prospective Audit of Practices for ENT Patients. Ann R Coll Surg Engl. 2008 March; 90(2): 150–152

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nnaemeka C. E. Okpala.

About this article

Cite this article

Okpala, N.C.E., Okpala, A.M.J., John, G. et al. Effectiveness of consenting in Otorhinolaryngology. cent.eur.j.med 7, 198–202 (2012). https://doi.org/10.2478/s11536-011-0131-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2478/s11536-011-0131-0

Keywords

Navigation