Hepatitis B Virus (HBV)

Category: Gastroenterology

Endoscopic retrograde cholangiopancreatography

Are patients informed when they consent to ERCP? Part 2

Patients undergoing ERCP are often older than 75 years and present a high level of morbidity. Previous research has shown that healthy patients retain more information about risks and side effects than severely ill patients. Consent documents have also been shown to be less useful for patients with severe disease. Gostout recommended that ERCP endoscopists […]

CONCLUSIONS

Are patients informed when they consent to ERCP? CONCLUSIONS

It is evident that a high degree of variability exists in the information that is disclosed to patients undergoing ERCP. Our results indicate that, in Ontario, many patients do not receive a complete description of the benefits and complications of, and alternatives to, ERCP. There are no practice guidelines specific to ERCP in the United […]

DISCUSSION

Are patients informed when they consent to ERCP? DISCUSSION Part 3

In addition to the issue of what information should be disclosed, the question of when the information should be disclosed has also been a topic of interest in the literature. We did not examine this issue in our study; however, it has been agreed that requesting consent hastily only moments before a procedure is unsatisfactory. […]

DISCUSSION

Are patients informed when they consent to ERCP? DISCUSSION Part 2

One important finding of the present study was that only 18% of physicians always mentioned the chance of death to patients undergoing ERCP and 67% of respondents never mentioned it. It is understood among physicians that ERCP is usually the best of the available options for most patients. Percutaneous and operative common bile duct exploration […]

DISCUSSION

Are patients informed when they consent to ERCP? DISCUSSION Part 1

ERCP endoscopists perform a procedure with a relatively high complication rate involving patients who are often elderly and/or severely ill. Procedures with severe complications increase the likelihood of litigation.We speculate that the low response rate to our questionnaire may be an indication of physicians’ discomfort with this topic. Therefore, ERCP endoscopists must implement thorough informed […]

Respondents’ disclosure of risk severity

Are patients informed when they consent to ERCP? RESULTS

Of the 82 surveys sent, 36 responses were received, with three respondents indicating that they no longer performed ERCP. Therefore, the total response rate was 40% (n=33). The mean number of years in practice for respondents was 13.58 (SD 4.97), and the mean number of ERCPs performed per year was 160.25 (SD 166.32). Eighty-eight per […]

Endoscopic retrograde cholangiopancreatography

Are patients informed when they consent to ERCP? METHODS

A self-report questionnaire was sent to ERCP endoscopists practising in Ontario. These physicians were identified through a pre-existing database. Physicians in the database included all ERCP endoscopists practising at an Ontario hospital with 100 or more beds. The survey was sent out only once and comprised 14 items pertaining to the risks, benefits and alternatives […]

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