A Comparative Study on Comprehension of Informed Consent Before Emergency and Elective Surgical Operative Procedures

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dc.contributor.authorMondal, Soumitraen_US
dc.contributor.authorBhattacharya, Saikaten_US
dc.contributor.authorJana, Pulak Kumaren_US
dc.contributor.authorMitra, Kaushiken_US
dc.date.accessioned2023-07-14T07:59:04Z
dc.date.available2023-07-14T07:59:04Z
dc.date.issued2022-12
dc.description.abstractIntroduction: Ahealth‑care beneficiary should comprehend different aspects of medical and surgical interventions before giving consent to perform those. There is no defined way to find out adequate patient comprehension as part of the decision‑making procedure to give consent. This study was conducted to find out the disparity of comprehensiveness between emergency and elective surgical operative procedures both in terms of knowledge dissemination and knowledge comprehension. MaterialsandMethods: Across‑sectional comparative study was conducted at the General Surgery Department of Medical College, Kolkata, during September and October 2021. An interviewer‑administered questionnaire was used on patients undergoing emergency and elective surgical procedures. The comprehension level of informed consent (IC) form was scored as 1, 2, and 3 and compared between two groups using an unpaired t‑test and Mann–Whitney U‑test. Result: Data collection was done from 39 patients for emergency operative procedures and 52 for elective surgical procedures. A composite comprehension score was calculated after adjusting for questions not asked while taking IC. The mean comprehension score for emergency procedures was 18.86 and for planned surgery, it was 20.14. Unpaired t‑test showed significantly high mean comprehension for planned procedures than the emergency procedures (P = 0.007). Comprehension is significantly poorer in emergency conditions even after controlling for age and literacy denoting difficulty in decision‑making in emergency scenarios. Conclusion: It is suggested that the procedure of consent taking should be more structured and interactive so that even in stressful conditions participant understand better about the procedures and take their own decision instead of relying blindly on doctors.en_US
dc.identifier.affiliationsDepartment of Biochemistry, Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtraen_US
dc.identifier.affiliationsDepartment of Community Medicine, NRS Medical College, Kolkataen_US
dc.identifier.affiliationsDepartment of Community Medicine, Tamralipto Medical College, Tamluken_US
dc.identifier.affiliationsDepartment of Community Medicine, Burdwan Medical College, Burdwan, West Bengal, Indiaen_US
dc.identifier.citationMondal Soumitra, Bhattacharya Saikat, Jana Pulak Kumar, Mitra Kaushik. A Comparative Study on Comprehension of Informed Consent Before Emergency and Elective Surgical Operative Procedures. Acta Medica International. 2022 Dec; 9(2): 153-158en_US
dc.identifier.issn2349-0896
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/219157
dc.languageenen_US
dc.publisherWolters Kluwer - Medknowen_US
dc.relation.issuenumber2en_US
dc.relation.volume9en_US
dc.source.urihttps://doi.org/10.4103/amit.amit_90_22en_US
dc.subjectElective surgeryen_US
dc.subjectemergency procedureen_US
dc.subjectinformed consenten_US
dc.titleA Comparative Study on Comprehension of Informed Consent Before Emergency and Elective Surgical Operative Proceduresen_US
dc.typeJournal Articleen_US
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