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REVIEW OF THE DATA GATHERED DURING INFORMED CONSENT BEFORE SURGERY

Dr Umar Hayat

Objective: The aim of this research work is to determine the practice of the informed consent before surgery in tertiary health care center. Methodology: This research work carried out in Services Hospital, Lahore. This was a prospective research work based on observations. The duration of this research work was from March 2017 to June 2017. The patients who were undergoing elective operation interviewed randomly in the complete duration of the research work under normal conditions. We also asked same standard question from every patient after the surgery linked with the data, we provided them before surgery as a part of standard practice of the informed consent. The question about knowledge of patient about the disease, surgery risks, anesthesia type with its impacts, substitute option of treatment, outcome without treatment, the satisfaction of the patient about the provided data & whether signatures were present on the consent forms. Results: A sum of total 100 patients were the part of this research work in which 65 were males & 35 were females. In 10 patients (6.0%), surgeons involved themselves in obtaining consent. We told only 43.0% patients about the purpose & nature of the method and 42.48% patients were aware about the probable complications of operation. We told 70 (69.48%) patients about the anesthesia type needed but 13.0% got awareness about the dangers of anesthesia. We allowed 18.0% patients to ask question while obtaining consent. Amazingly, majority of the patients as 76.0% showed their satisfaction for data provided to them in the duration of obtaining consent. Conclusion: This research work put emphasis on the adverse quality of knowledge among patients about the procedures of surgery and short data provided. The recent practice of informed consent is below from the standards of international level as well as their ethical acceptability is not up to the mark. Yet, majority of the patients showed their satisfaction by the data provided to them during the procedure of the informed consent. Keywords: Consent, methodology, complications, standard, patient, anesthesia, outcome.

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