Table 2 Daily practice on surgical informed consent
Q-Nr | Question | Answer | Total (n=453) | Surgeons (n=296) | Residents (n=157) | p-value |
|---|---|---|---|---|---|---|
5 | For which type of surgical procedure a SIC is required? | All (Y/N %) | 49/51% | 46/54% | 54/46% | 0.19 |
Elective (Y/N %) | 28/72% | 29/71% | 27/73% | |||
Depending on the surgeon (Y/N %) | 23/77% | 25/75% | 19/81% | |||
7 | Is there a check on patient competence? | Own clinical judgement (Y/N %) | 98/2% | 97/3% | 100/0% | 0.17 |
Questionnaire (Y/N %) | 1/99% | 1/99% | 0/100% | |||
No control (Y/N %) | 1/99% | 2/98% | 0/100% | |||
8 | Is there an institutional standard on which information is provided? | Yes | 61/% | 62% | 58% | 0.44 |
No | 39% | 38% | 42% | |||
10 | Do you inform a patient on: | The diagnosis and operation indication (Y/N %) | 99/1% | 99/1% | 99/1% | 0.61 |
The surgical procedure (Y/N %) | 97/3% | 97/3% | 96/3% | 0.32 | ||
Complications (Y/N %) | 99/1% | 99/1% | 98/2% | 0.70 | ||
Alternative treatment options (Y/N %) | 86/14% | 89/11% | 80/20% | 0.017 | ||
11 | How do you check if the patient understood the information? | Repeat Back (Y/N %) | 14/86% | 15/85% | 13/87% | 0.67 |
12 | Is there an institutional standard on complication rates to be used? | Yes | 52% | 58% | 40% | <0.001 |
No | 48% | 42% | 59% | |||
13 | Which complication percentage do you use to inform your patient? | Rates from literature (Y/N %) | 67/33% | 73/27% | 56/44% | <0.001 |
Rates from own department (Y/N %) | 29/71% | 35/65% | 17/83% | <0.001 | ||
Personal rates (Y/N %) | 16/84% | 23/77% | 3/97% | <0.001 | ||
17 | Is there a check prior to the surgical procedure whether the SIC process is correctly completed? | Yes | 46%* | 48%* | 44%* | 0.39* |
No | 54%* | 52%* | 56%* |