ArticleBMC medical ethics2014
Informed consent practices for surgical care at university teaching hospitals: a case in a low resource setting.
Article in BMC medical ethics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How to effectively obtain informed consent in trauma patients: a systematic review.BMC medical ethics · 2019Pooled it
- Educational video-assisted versus conventional informed consent for trauma-related debridement surgery: a parallel group randomized controlled trial.BMC medical ethics · 2018Trial
- Awareness and perspectives on patients' rights: a survey of health profession students at a Ugandan University.African health sciences · 2025Article
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- Surgical informed consent practices and influencing factors in sub-Saharan Africa: a scoping review of the literature.BMJ quality & safety · 2024Article
- Dentists' perspectives, practices, and factors associated with informed consent process for fixed prosthodontic treatment: a cross-sectional study of kampala metropolitan area, Uganda.BMC oral health · 2024Article
- Informed consent practice and associated factors among healthcare professionals in public hospitals of Southern Ethiopia, 2023: a mixed-method study.BMC nursing · 2024Article
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- Comparison of the Structured Consent Process Using Modified Delphi Technique with the Standard Process in Obtaining Informed Consent for Procedures in ENT by PHASE III MBBS Students.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023Article
- Experiences of patients and next of kin on informed consent process for emergency surgery in two Urban university teaching hospitals in Uganda: a comparative cross sectional study.BMC emergency medicine · 2023Article
- Assessment of the informed consent process in the provision of dental care in Mulago hospital, Uganda.BMC oral health · 2022Article
- Patient satisfaction with surgical informed consent at Jimma Medical Center, Ethiopia.BMC medical ethics · 2022Article
- The Quality of Informed Consent in Caesarean Section at a Tertiary Hospital in Addis Ababa, Ethiopia.International journal of women's health · 2022Article
- Practice and Factors Associated with Informed Consenting Process for Major Surgical Procedures Among Health-Care Workers, South Eastern Ethiopia.International journal of general medicine · 2021Article
- Barriers to Obtaining Informed Consent on Shortterm Surgical Missions.Plastic and reconstructive surgery. Global open · 2020Article
- Ethics as a Non-technical Skill for Surgical Education in Sub-Saharan Africa.World journal of surgery · 2020Article
- Ethics in Global Pediatric Surgery: Existing Dilemmas and Emerging Challenges.World journal of surgery · 2019Article
- Article
- Does written informed consent adequately inform surgical patients? A cross sectional study.BMC medical ethics · 2019Article
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Authors and funding
9 authors.
Funding
Abstract
backgroundInformed consent in medical practice is essential and a global standard that should be sought at all the times doctors interact with patients. Its intensity would vary depending on the invasiveness and risks associated with the anticipated treatment. To our knowledge there has not been any systematic review of consent practices to document best practices and identify areas that need improvement in our setting. The objective of the study was to evaluate the informed consent practices of surgeons at University teaching Hospitals in a low resource setting.
methodsA cross-sectional study conducted at three university teaching hospitals in Uganda. Self-guided questionnaires were left at a central location in each of the surgical departments after verbally communicating to the surgeons of the intention of the study. Filled questionnaires were returned at the same location by the respondents for collection by the research team. In addition, 20 in-depth interviews were held with surgeons and a review of 384 patients' record files for informed consent documentation was done.
resultsA total of 132 (62.1%) out of 214 questionnaires were completed and returned. Respondents were intern doctors, residents and specialists from General surgery, Orthopedic surgery, Ear, Nose and Throat, Ophthalmology, Dentistry, Obstetrics and Gynaecology departments. The average working experience of respondents was 4.8 years (SD 4.454, range 0-39 years). 48.8% of the respondents said they obtained consent all the time surgery is done while 51.2% did not obtain consent all the time. Many of the respondents indicated that informed consent was not obtained by the surgeon who operated the patient but was obtained either at admission or by nurses in the surgical units. The consent forms used in the hospitals were found to be inadequate and many times signed at admission before diagnosing the patient's disease.
conclusionsInformed consent administration and documentation for surgical health care is still inadequate at University teaching hospitals in Uganda.
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