The concept of a waiting period for preoperative patient consent: Prospective study of 51 shoulder arthroscopy cases.
Orthop Traumatol Surg Res
; 103(5): 791-794, 2017 09.
Article
em En
| MEDLINE
| ID: mdl-28578097
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 ANDMETHODS:
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artroscopia
/
Articulação do Ombro
/
Tomada de Decisões
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Aspecto:
Ethics
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
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Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Orthop Traumatol Surg Res
Ano de publicação:
2017
Tipo de documento:
Article