Surgical informed consent in children: a systematic review

被引：21
作者：
Chotai, Pranit N. [1 ]
Nollan, Richard [2 ]
Huang, Eunice Y. [1 ,3 ]
Gosain, Ankush [1 ,3 ]
机构：
[1] Univ Tennessee, Hlth Sci Ctr, Div Pediat Surg, Dept Surg, Memphis, TN USA
[2] Texas Tech Univ, Hlth Sci Ctr, Preston Smith Lib Hlth Sci, Lubbock, TX 79430 USA
[3] Le Bonheur Childrens Hosp, Childrens Fdn, Res Inst, 50 N Dunlap St,Room 320, Memphis, TN 38105 USA
来源：
JOURNAL OF SURGICAL RESEARCH | 2017年 / 213卷
关键词：
Informed consent; Consent; Surgery; Pediatric; Patient centered; Communication; Shared decision-making; Decisional conflict; Parental; Surrogate; DECISION-MAKING; SURGERY; COMMUNICATION;
D O I：
10.1016/j.jss.2017.02.047
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background: The purpose of the article was to analyze current literature on surgeon and parents' understanding and role in the informed consent process for children undergoing surgery. Methods: A systematic database search (MEDLINE, EMBASE, PsycINFO, and EBM Reviews) was performed to identify articles concerning any aspect of the surgical informed consent for children undergoing an invasive procedure. Articles analyzing informed consent in research studies, non-English-language articles, review articles, case reports and/or series, letters commentaries, and dentistry and/or nursing-related articles were excluded. Articles meeting inclusion criteria were analyzed to identify common themes related to the process of informed consent. Results: One hundred seventy-eight articleswere identified on primary search, after removing duplicates and screeningtitles for relevance, 83 abstracts were reviewed. Thirty-two additional abstracts were identified by secondary search. Twelve of 115 articles met inclusion criteria. Analysis identified five different study themes. Information delivered during consent (Content) was studied in five articles (42%), three (25%) studied the mechanics or delivery of the information (Delivery), three (25%) studied parent participation and discussion (Interchange), six articles (50%) discussed surgeons'perceptions or the parents' ability tounderstand or recall the information (Comprehension), and five articles (42%) evaluated surgeon or parent satisfaction or anxiety (Satisfaction). None of the articles studied all five categories. Conclusions: Studies of the surgical informed consent process in children are scarce. Prospective studies evaluating surgeon and parent perception regarding the Content, Delivery, and Interchange of information as well as Comprehension and Satisfaction are needed to understand barriers to the surgeon-patient relationship and to optimize the informed consent process in children undergoing surgery. (C) 2017 Elsevier Inc. All rights reserved.
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收藏
页码：191 / 198
页数：8
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