Evidence map›Paper›PMID 32653008›Full record

SynthesisBMC medical ethics2020

The patient and clinician experience of informed consent for surgery: a systematic review of the qualitative evidence.

L J Convie, E Carson, D McCusker, R S McCain, N McKinley, W J Campbell, S J Kirk, M Clarke

Abstract readSystematic Review
In one paragraph

Synthesis in BMC medical ethics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing 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

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

  1. Pooled it
  2. Trial
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  8. IsAI & society · 2026
    Article
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  16. Emergency Verbal Consent for Intrapartum Research: A Grounded Theory Study.BJOG : an international journal of obstetrics and gynaecology · 2025
    Article
  17. Article
  18. Article
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  20. Self-Rated Competence of Ugandan Healthcare Workers to Obtain Informed Consent for Autopsy.The American journal of tropical medicine and hygiene · 2024
    Article
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.

L J ConvieDepartment of General Surgery, Ulster Hospital Dundonald, Belfast, UK. lconvie02@qub.ac.uk.ORCID 0000-0002-4380-8910
E CarsonDepartment of General Surgery, Ulster Hospital Dundonald, Belfast, UK.
D McCuskerDepartment of General Surgery, Ulster Hospital Dundonald, Belfast, UK.
R S McCainDepartment of General Surgery, Ulster Hospital Dundonald, Belfast, UK.
N McKinleyCentre for Public Health, Queen's University Belfast, Belfast, UK.
W J CampbellDepartment of General Surgery, Ulster Hospital Dundonald, Belfast, UK.
S J KirkDepartment of General Surgery, Ulster Hospital Dundonald, Belfast, UK.
M ClarkeCentre for Public Health, Queen's University Belfast, Belfast, UK.

Funding

Medical Research Council G0901530
6 · The paper itself

Abstract

backgroundInformed consent is an integral component of good medical practice. Many researchers have investigated measures to improve the quality of informed consent, but it is not clear which techniques work best and why. To address this problem, we propose developing a core outcome set (COS) to evaluate interventions designed to improve the consent process for surgery in adult patients with capacity. Part of this process involves reviewing existing research that has reported what is important to patients and doctors in the informed consent process.

methodsThis qualitative synthesis comprises four phases: identification of published papers and determining their relevance; appraisal of the quality of the papers; identification and summary of the key findings from each paper while determining the definitiveness of each finding against the primary data; comparison of key themes between papers such that findings are linked across studies.

resultsSearches of bibliographic databases returned 11,073 titles. Of these, 16 studies met the inclusion criteria. Studies were published between 1996 and 2016 and included a total of 367 patients and 74 health care providers. Thirteen studies collected data using in-depth interviews and constant comparison was the most common means of qualitative analysis. A total of 94 findings were extracted from the primary papers and divided into 17 categories and ultimately 6 synthesised findings related to: patient characteristics, knowledge, communication, the model patient, trust and decision making.

conclusionsThis qualitative meta-aggregation is the first to examine the issue of informed consent for surgery. It has revealed several outcomes deemed important to capture by patients and clinicians when evaluating the quality of a consent process. Some of these outcomes have not been examined previously in research comparing methods for informed consent. This review is an important step in the development of a COS to evaluate interventions designed to improve the consent process for surgery. REGISTRATION: The study protocol was registered on the international prospective register for systematic reviews (PROSPERO ID: CRD42017077101).

Indexed as

Health PersonnelInformed ConsentAdultCommunicationHumansResearch DesignAdultsInformed consentQualitative synthesisSurgery

Identifiers

PMID32653008
PMCPMC7353438

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.