Evidence map›Paper›PMID 32475083›Full record

ReviewBJS open2020

Achieving good-quality consent: review of literature, case law and guidance.

P Normahani, V Sounderajah, W Harrop-Griffiths, A Chukwuemeka, N S Peters, N J Standfield, M Collins, U Jaffer

Abstract readReview
In one paragraph

Review in BJS open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Integrating Shared Decision-Making into Undergraduate Oncology Education: A Pedagogical Framework.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

P NormahaniImperial Vascular Unit, London, UK.ORCID 0000-0002-6362-7535
V SounderajahImperial Vascular Unit, London, UK.
W Harrop-GriffithsAnaesthetic Department, London, UK.
A ChukwuemekaDepartment of Cardiothoracic Surgery, London, UK.
N S PetersConnected Care Bureau, Imperial College NHS Healthcare Trust, London, UK.
N J StandfieldImperial Vascular Unit, London, UK.
M CollinsLondon Borough of Hounslow Council, London, UK.
U JafferImperial Vascular Unit, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInformed consent is an integral part of clinical practice. There is widespread agreement amongst health professionals that obtaining procedural consent needs to move away from a unidirectional transfer of information to a process of supporting patients in making informed, self-determined decisions. This review aimed to identify processes and measures that warrant consideration when engaging in consent-based discussions with competent patients undergoing elective procedures.

methodsFormal written guidance from the General Medical Council and Royal College of Surgeons of England, in addition to peer-reviewed literature and case law, was considered in the formulation of this review.

resultsA framework for obtaining consent is presented that is informed by the key tenets of shared decision-making (SDM), a model that advocates the contribution of both the clinician and patient to the decision-making process through emphasis on patient participation, analysis of empirical evidence, and effective information exchange. Moreover, areas of contention are highlighted in which further guidance and research are necessary for improved enhancement of the consent process.

conclusionThis SDM-centric framework provides structure, detail and suggestions for achieving meaningful consent.

Indexed as

CommunicationDecision Making, SharedPatient ParticipationPhysician-Patient RelationsEnglandHumansInformed ConsentSurgeons

Identifiers

PMID32475083
PMCPMC7528509

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.