Informed Consent in Pediatric Otolaryngology
Objective To evaluate parental recall of surgical risks and benefits in pediatric otolaryngology and to assess for factors that may influence recall. Study Design Prospective cohort study. Setting Academic pediatric otolaryngology clinic. Subjects and Methods Eighty‐four parents of children
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 2016-08, Vol.155 (2), p.332-339 |
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| container_title | Otolaryngology-head and neck surgery |
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| creator | Pianosi, Kiersten Gorodzinsky, Ayala Y. Chorney, Jill MacLaren Corsten, Gerard Johnson, Liane B. Hong, Paul |
| description | Objective
To evaluate parental recall of surgical risks and benefits in pediatric otolaryngology and to assess for factors that may influence recall.
Study Design
Prospective cohort study.
Setting
Academic pediatric otolaryngology clinic.
Subjects and Methods
Eighty‐four parents of children |
| doi_str_mv | 10.1177/0194599816641910 |
| format | Article |
| fullrecord | <record><control><sourceid>wiley</sourceid><recordid>TN_cdi_wiley_primary_10_1177_0194599816641910_OHNBF07850</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>OHNBF07850</sourcerecordid><originalsourceid>FETCH-LOGICAL-c960-729378eaa35f1d6c7f10f5d57533735c87ba866a4b5144233becd1a9289c05743</originalsourceid><addsrcrecordid>eNpdj81Kw0AURgexYGzdu8wDGL0383NnlhqsLRTjovswmUxKJJ2RJCB5ew266upbHPg4h7F7hEdEoidAI6QxGpUSaBCuWIJgKFMa6ZolC84WfsNux_ETAJQiStjDPrRxOPsmLWIYfZjSLqQfvunsNHQuLafY22EOp9jH07xhq9b2o7_73zU7bl-PxS47lG_74vmQOaMgo9xw0t5aLltslKMWoZWNJMk5cek01VYrZUUtUYic89q7Bq3JtXEgSfA103-3313v5-pr6M6_DhVCtZRWl6VVuXt_2QJpCfwHiMtHIw</addsrcrecordid><sourcetype>Publisher</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Informed Consent in Pediatric Otolaryngology</title><source>Access via SAGE</source><source>Wiley Online Library - AutoHoldings Journals</source><creator>Pianosi, Kiersten ; Gorodzinsky, Ayala Y. ; Chorney, Jill MacLaren ; Corsten, Gerard ; Johnson, Liane B. ; Hong, Paul</creator><creatorcontrib>Pianosi, Kiersten ; Gorodzinsky, Ayala Y. ; Chorney, Jill MacLaren ; Corsten, Gerard ; Johnson, Liane B. ; Hong, Paul</creatorcontrib><description>Objective
To evaluate parental recall of surgical risks and benefits in pediatric otolaryngology and to assess for factors that may influence recall.
Study Design
Prospective cohort study.
Setting
Academic pediatric otolaryngology clinic.
Subjects and Methods
Eighty‐four parents of children <6 years of age who underwent consultation for adeno/tonsillectomy and/or tympanostomy tube insertion were prospectively enrolled. Consultation visits were video recorded and the benefits and risks of surgery documented. Two weeks following the consultation, parents were contacted for assessment of recall of information discussed during the consultation.
Results
Overall, parents recalled only one‐third of the risks of surgery mentioned by the surgeons. Parents were significantly more likely to recall the benefits of surgery as opposed to the risks (P <. 001). Nine parents (10.7%) reported that no benefits were discussed during the consultation, and 10 (11.9%) reported no mention of any risks. Inconsistencies were present in which risks and benefits were mentioned by the providers. Parents who decided to proceed with surgery (58.3%) were significantly less likely to recall the surgical risks than those who did not (P <. 001). The specific surgeon involved, the number of caregivers present, parental education level, and prior surgical history did not influence recall.
Conclusion
Parental recall of benefits and risks associated with common pediatric otolaryngology procedures was poor. This information is important because a low rate of recall may influence parents’ perspectives of the procedure and could alter their decision‐making processes or expectations. Methods to improve parental recall should be further studied.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1177/0194599816641910</identifier><language>eng</language><publisher>Sage CA: Los Angeles, CA: SAGE Publications</publisher><subject>adenotonsillectomy ; complications ; informed consent ; risks ; tympanostomy tube insertion</subject><ispartof>Otolaryngology-head and neck surgery, 2016-08, Vol.155 (2), p.332-339</ispartof><rights>2016 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c960-729378eaa35f1d6c7f10f5d57533735c87ba866a4b5144233becd1a9289c05743</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1177%2F0194599816641910$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1177%2F0194599816641910$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids></links><search><creatorcontrib>Pianosi, Kiersten</creatorcontrib><creatorcontrib>Gorodzinsky, Ayala Y.</creatorcontrib><creatorcontrib>Chorney, Jill MacLaren</creatorcontrib><creatorcontrib>Corsten, Gerard</creatorcontrib><creatorcontrib>Johnson, Liane B.</creatorcontrib><creatorcontrib>Hong, Paul</creatorcontrib><title>Informed Consent in Pediatric Otolaryngology</title><title>Otolaryngology-head and neck surgery</title><description>Objective
To evaluate parental recall of surgical risks and benefits in pediatric otolaryngology and to assess for factors that may influence recall.
Study Design
Prospective cohort study.
Setting
Academic pediatric otolaryngology clinic.
Subjects and Methods
Eighty‐four parents of children <6 years of age who underwent consultation for adeno/tonsillectomy and/or tympanostomy tube insertion were prospectively enrolled. Consultation visits were video recorded and the benefits and risks of surgery documented. Two weeks following the consultation, parents were contacted for assessment of recall of information discussed during the consultation.
Results
Overall, parents recalled only one‐third of the risks of surgery mentioned by the surgeons. Parents were significantly more likely to recall the benefits of surgery as opposed to the risks (P <. 001). Nine parents (10.7%) reported that no benefits were discussed during the consultation, and 10 (11.9%) reported no mention of any risks. Inconsistencies were present in which risks and benefits were mentioned by the providers. Parents who decided to proceed with surgery (58.3%) were significantly less likely to recall the surgical risks than those who did not (P <. 001). The specific surgeon involved, the number of caregivers present, parental education level, and prior surgical history did not influence recall.
Conclusion
Parental recall of benefits and risks associated with common pediatric otolaryngology procedures was poor. This information is important because a low rate of recall may influence parents’ perspectives of the procedure and could alter their decision‐making processes or expectations. Methods to improve parental recall should be further studied.</description><subject>adenotonsillectomy</subject><subject>complications</subject><subject>informed consent</subject><subject>risks</subject><subject>tympanostomy tube insertion</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNpdj81Kw0AURgexYGzdu8wDGL0383NnlhqsLRTjovswmUxKJJ2RJCB5ew266upbHPg4h7F7hEdEoidAI6QxGpUSaBCuWIJgKFMa6ZolC84WfsNux_ETAJQiStjDPrRxOPsmLWIYfZjSLqQfvunsNHQuLafY22EOp9jH07xhq9b2o7_73zU7bl-PxS47lG_74vmQOaMgo9xw0t5aLltslKMWoZWNJMk5cek01VYrZUUtUYic89q7Bq3JtXEgSfA103-3313v5-pr6M6_DhVCtZRWl6VVuXt_2QJpCfwHiMtHIw</recordid><startdate>201608</startdate><enddate>201608</enddate><creator>Pianosi, Kiersten</creator><creator>Gorodzinsky, Ayala Y.</creator><creator>Chorney, Jill MacLaren</creator><creator>Corsten, Gerard</creator><creator>Johnson, Liane B.</creator><creator>Hong, Paul</creator><general>SAGE Publications</general><scope/></search><sort><creationdate>201608</creationdate><title>Informed Consent in Pediatric Otolaryngology</title><author>Pianosi, Kiersten ; Gorodzinsky, Ayala Y. ; Chorney, Jill MacLaren ; Corsten, Gerard ; Johnson, Liane B. ; Hong, Paul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c960-729378eaa35f1d6c7f10f5d57533735c87ba866a4b5144233becd1a9289c05743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>adenotonsillectomy</topic><topic>complications</topic><topic>informed consent</topic><topic>risks</topic><topic>tympanostomy tube insertion</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pianosi, Kiersten</creatorcontrib><creatorcontrib>Gorodzinsky, Ayala Y.</creatorcontrib><creatorcontrib>Chorney, Jill MacLaren</creatorcontrib><creatorcontrib>Corsten, Gerard</creatorcontrib><creatorcontrib>Johnson, Liane B.</creatorcontrib><creatorcontrib>Hong, Paul</creatorcontrib><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pianosi, Kiersten</au><au>Gorodzinsky, Ayala Y.</au><au>Chorney, Jill MacLaren</au><au>Corsten, Gerard</au><au>Johnson, Liane B.</au><au>Hong, Paul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Informed Consent in Pediatric Otolaryngology</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><date>2016-08</date><risdate>2016</risdate><volume>155</volume><issue>2</issue><spage>332</spage><epage>339</epage><pages>332-339</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>Objective
To evaluate parental recall of surgical risks and benefits in pediatric otolaryngology and to assess for factors that may influence recall.
Study Design
Prospective cohort study.
Setting
Academic pediatric otolaryngology clinic.
Subjects and Methods
Eighty‐four parents of children <6 years of age who underwent consultation for adeno/tonsillectomy and/or tympanostomy tube insertion were prospectively enrolled. Consultation visits were video recorded and the benefits and risks of surgery documented. Two weeks following the consultation, parents were contacted for assessment of recall of information discussed during the consultation.
Results
Overall, parents recalled only one‐third of the risks of surgery mentioned by the surgeons. Parents were significantly more likely to recall the benefits of surgery as opposed to the risks (P <. 001). Nine parents (10.7%) reported that no benefits were discussed during the consultation, and 10 (11.9%) reported no mention of any risks. Inconsistencies were present in which risks and benefits were mentioned by the providers. Parents who decided to proceed with surgery (58.3%) were significantly less likely to recall the surgical risks than those who did not (P <. 001). The specific surgeon involved, the number of caregivers present, parental education level, and prior surgical history did not influence recall.
Conclusion
Parental recall of benefits and risks associated with common pediatric otolaryngology procedures was poor. This information is important because a low rate of recall may influence parents’ perspectives of the procedure and could alter their decision‐making processes or expectations. Methods to improve parental recall should be further studied.</abstract><cop>Sage CA: Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/0194599816641910</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0194-5998 |
| ispartof | Otolaryngology-head and neck surgery, 2016-08, Vol.155 (2), p.332-339 |
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| source | Access via SAGE; Wiley Online Library - AutoHoldings Journals |
| subjects | adenotonsillectomy complications informed consent risks tympanostomy tube insertion |
| title | Informed Consent in Pediatric Otolaryngology |
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