ArticleJournal of vascular surgery2008
Informed consent for abdominal aortic aneurysm repair: The patient's perspective.
Article in Journal of vascular surgery, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The patient and clinician experience of informed consent for surgery: a systematic review of the qualitative evidence.BMC medical ethics · 2020Pooled it
- Experiences and Decisional Outcomes After Cytoreductive Surgery for Peritoneal Surface Malignancy: The DECISIVE Study.Annals of surgical oncology · 2026Article
- The role of virtual reality in enhancing informed consent for shockwave lithotripsy: A mixed-methods study of physician and patient perspectives.Asian journal of urology · 2026Article
- Is Evar Feasible in Challenging Aortic Neck Anatomies? A Technical Review and Ethical Discussion.Journal of clinical medicine · 2022Review
- A clinical and ethical review on late results and benefits after EVAR.Annals of medicine and surgery (2012) · 2017Review
- Content, accuracy and completeness of patient consent in a regional vascular surgery unit.Irish journal of medical science · 2015Article
- Patient expectations of functional outcomes after rectal cancer surgery: a qualitative study.Diseases of the colon and rectum · 2014Article
- Mixed methods in biomedical and health services research.Circulation. Cardiovascular quality and outcomes · 2013Article
- Critically assessing the Haiti earthquake response and the barriers to quality orthopaedic care.Clinical orthopaedics and related research · 2012Article
- Quality of informed consent for invasive procedures in central Saudi Arabia.International journal of general medicine · 2012Article
- Pilot testing of a decision support tool for patients with abdominal aortic aneurysms.Journal of vascular surgery · 2011Article
- Limitations of online information on abdominal aortic aneurysm.International journal of vascular medicine · 2010Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveWhether or not to undergo surgery for abdominal aortic aneurysm (AAA), and whether to have open or endovascular repair (EVAR), is a complex decision that relies heavily on patient preferences, and yet little is known about the patient perspective on informed consent in this context. This study explores patients' views on their decision-making processes and the quality of surgeon-patient communication during informed consent for AAA repair. DESIGN OF STUDY: We conducted in-depth interviews with AAA patients (n = 20) who underwent open AAA repair, endovascular repair, or declined surgery. Data were independently transcribed and analyzed by a team of individuals with diverse backgrounds, using the constant comparative method of analysis and systematic coding procedures.
settingPatients who had seen surgeons from academic, private practice, and VA settings were interviewed.
main outcome measurePatients' opinions regarding the nature, scope, and content of informed consent for AAA repair.
resultsWe identified four central themes characterizing patients' experiences with informed consent for AAA repair: 1) patients did not appreciate the scope of their options; 2) patients demonstrated that they were not adequately informed prior to making a decision; 3) patients differed in the scope and content of information they desired during informed consent; and 4) trust in the surgeon had an impact on the informed consent process.
conclusionOur research highlights the limitations of the informed consent encounter in the current clinical context, and points to several ways in which informed consent could be improved. Adapting the informed consent encounter to incorporate the patient's perspective is critical in order to ensure that the decision regarding AAA repair is consistent with the patient's informed preference.
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