Variations in consenting practice for laparoscopic cholecystectomy

Author: Chen AM   Leff DR   Simpson J   Chadwick SJD   McDonald PJ  

Publisher: The Royal College of Surgeons of England

ISSN: 1478-7083

Source: Annals of The Royal College of Surgeons of England, Vol.88, Iss.5, 2006-09, pp. : 482-485

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Abstract

INTRODUCTION: To compare the variations in consenting practice amongst trainees and consultant surgeons for laparoscopic cholecystectomy with specific reference to the documentation of significant risks of surgery.PATIENTS AND METHODS: A proforma was devised which included significant and/or commonly recognised complications of laparoscopic cholecystectomy. This was then cross-referenced with the consent forms for the 80 patients included in the study and the documented risks explained in each case were noted.RESULTS: The results showed that there is considerable variation between the three grades of clinicians involved in obtaining a patient's consent for laparoscopic cholecystectomy. There was a clear difference in emphasis of the significant complications depending on the seniority of the consenter. Over 80% of the consents in this study were still being obtained by junior staff.CONCLUSIONS: More often than not, patients are not provided with consistent information to make an informed choice. We suggest that a preprinted consent form will provide a more uniform approach to consenting practice for laparoscopic cholecystectomy.