Evidence map›Paper›PMID 34125842›Full record

ArticlePloS one2021

Egyptian patients'/guardians' experiences and perception about clinical informed consent and its purpose: Cross sectional study.

Ammal M Metwally, Hala A Amer, Hend I Salama, Safaa I Abd El Hady, Raefa R Alam, Ahmed Aboulghate, Hanan A Mohamed, Hanan M Badran, Amal A Saadallah, Marwa M El-Sonbaty and 7 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
11.3field-weighted citation impact, top 1% of its field
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

23 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

17 authors at 6 institutions in 2 countries.

Ammal M MetwallyMedical Research Division, Community Medicine Research Department, National Research Centre, Dokki, Cairo, Egypt.ORCID 0000-0003-0575-5202
Hala A AmerMedical Research Division, Community Medicine Research Department, National Research Centre, Dokki, Cairo, Egypt.
Hend I SalamaNational Blood Transfusion Services Mansoura Region, Ministry of Health and Population, Egypt.
Safaa I Abd El HadyNeuropsychiatry Dept., Ministry of Health and Population, Egypt.
Raefa R AlamFaculty of Nursing, Mansoura University, Mansoura, Egypt.
Ahmed AboulghateMedical Research Division, Community Medicine Research Department, National Research Centre, Dokki, Cairo, Egypt.
Hanan A MohamedFaculty of Nursing, Mansoura University, Mansoura, Egypt.
Hanan M BadranFaculty of Nursing, Mansoura University, Mansoura, Egypt.
Amal A SaadallahKing Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Marwa M El-SonbatyMedical Research Division, Child Health Department, National Research Centre, Cairo, Egypt.
Eman EltahlawyEnvironmental Research Division, Environmental Health and Occupational Medicine, National Research Centre, Egypt.
Walaa SaadDepartment of biological anthropology, National Research Centre, Egypt, Cairo, Egypt.
Amira MohsenMedical Research Division, Community Medicine Research Department, National Research Centre, Dokki, Cairo, Egypt.
Ghada A Abdel-LatifMedical Research Division, Community Medicine Research Department, National Research Centre, Dokki, Cairo, Egypt.
Asmaa M FathyMedical Research Division, Community Medicine Research Department, National Research Centre, Dokki, Cairo, Egypt.
Amal I HassanainMedical Research Division, Child Health Department, National Research Centre, Cairo, Egypt.
Abdelmoneim EldaliFree-Lancer, Khartoum, Sudan.
National Research Centre · EGMansoura University · EGMinistry of Health and Population · EGKing Faisal Specialist Hospital & Research Centre · SAKing Saud Medical City · SATaibah University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInformed consent (IC) is a healthcare standard emphasizing the meaning of human dignity as clarified in the Universal Declaration of Human Rights. Data about IC practices in Egypt is insufficient. This study aimed to assess the Egyptian patients'/guardians' experiences about IC and their expectations about its practices' purposes in general and according to the type of the healthcare facility.

methodsSelf-administered questionnaire was carried out for 1092 participants who had undergone or were scheduled to a procedure requiring an IC at three studied types for Egyptian health care facilities. Ten statements were ranked twice by the participants to reflect their perception of IC purpose as per what is currently practiced and what they believe should be practiced.

resultsIC implementation varies significantly (p<0.05) across the health care facilities in Egypt. The percentage of its implementation at the non-governmental facilities, governmental facilities, and university hospital was 85.9%, 77.8%, and 63.8 respectively. The first three ranked purposes of the current IC practices were: "Helping patient/guardian decide (64.9%)", "Documenting patient's/guardian's decision (59.3%)", and "Having shared decision (57.3%)". The perceived purposes of IC to be practiced were: "Informing the patient/guardian (68.4%)", "Making sure patient/guardian understand (65.3%)" and "Documenting patients/guardians decisions (65.1%)". "Being a meaningless routine" was reported by the majority to be ranked as a low purpose for IC current and preferred practices.

conclusionThe practice of IC is common within the Egyptian medical community. Participants believe that information disclosure "Making sure patients understand" has to help in IC decision making and its main purpose. However, unfortunately, this is not perceived as a current purpose of IC. There was consensus agreement that documenting the patient's/guardian's decision and informing the patient/guardian are perceived as both important current and preferred purposes for IC practices.

Indexed as

Decision MakingPerceptionAdultCross-Sectional StudiesDisclosureEgyptFemaleHumansInformed ConsentLegal GuardiansMaleMiddle AgedSurveys and Questionnaires

Identifiers

PMID34125842
PMCPMC8202917
OpenAlexW3161801995

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.