The concept of a waiting period for preoperative patient consent: Prospective study of 51 shoulder arthroscopy cases - 18/08/17
, M. Mangin a, c, Y. Karam b, V. Seivert a, c, D. Mainard a, J.L. Danan c, d, B. Py e, J. Lighezzolo-Alnot f
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Abstract |
Introduction |
The French Code of Public Health (CSP) does not explicitly require that patients should be given a certain amount of time to think about a procedure, except for cosmetic surgery, where 15 days is required (Art. L 6322-2 CSP). We hypothesized that patients require a waiting period during their decision-making process for scheduled shoulder arthroscopy procedure.
Materials and methods |
This prospective observational study of 51 patients analysed the concept of a waiting period based on a 10-item questionnaire. A comparative statistical approach was used and the P values were calculated using a paired Wilcoxon rank-sum test.
Results |
Of the 51 patients, 42 (82%) rejected the concept of a waiting period before the procedure and 37 patients (73%) did not want a mandatory waiting period imposed by law.
Discussion |
This study looked at the decision-making process during scheduled orthopaedic surgery and differentiated between the conscious and unconscious approach corresponding to an active and passive waiting period. A waiting period does not allow patients to make a conceptually deliberative decision that conforms to the criteria defined by the French Health Authority. This study rejects the need for a mandatory waiting period imposed on surgeons and patients as it does not integrate itself into the informative model of ethical decision-making for scheduled shoulder arthroscopy.
Type of study |
Prospective, observational; level of evidence IV.
Le texte complet de cet article est disponible en PDF.Keywords : Waiting period, Consent of patient, Patient information, Shoulder arthroscopy
Abbreviations : Art, CC, CSP, HAS, INSEE, MRI, PCS, L, R
Plan
Vol 103 - N° 5
P. 791-794 - septembre 2017 Retour au numéro
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