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326890

A Survey on Applying Ethics of Informed Consent Among Egyptian Surgeons

Article

Last updated: 24 Dec 2024

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Abstract

Surgical informed consent (SIC) is a fundamental part of safe clinical practice. SIC is an outcome of a proper informative process between surgeons and patients. The current study aimed to assess SIC-related practices among Egyptian surgeons. A self-administered questionnaire was formulated upon review of available literature and surgeons were invited to submit their responses electronically. 97 Egyptian surgeons participated in the study. Participants less than 40 years old represented 85.6% and 91.8% had less than 20 years' experience. Most surgeons (83.6%) had postgraduate qualifications, 38.1% were consultants. Upon analysis of responses, it was found that 73.2% of the surgeons didn't consider non-obtaining valid SIC an error. Regarding SIC practices, it was found that 82.5% of surgeons informed patients of all the possible risks, 75.3% of participants emphasized expected surgical outcomes and 70.1% ensured that patients understood the relevant information. 63.9% of surgeons explained the drawbacks of the procedure's refusal. Also, 63.9% of surgeons documented SIC elements. Alternative treatment strategies were provided by 62.9% of participants. Regarding scoring of these six SIC practices, the median score was 5. Male surgeons had significantly higher median scores compared to females (p=0.003). Higher scores were observed among those less than 40 years old, consultants and those with doctorate degrees. The study concluded that a high percentage of participating surgeons didn't appreciate the relationship between non-obtaining valid SIC and malpractice. However, the participants' practices of SIC elements were generally good. Current results highlighted need to raise surgeons' awareness of ideal SIC practices.

DOI

10.21608/mjfmct.2023.242104.1072

Keywords

Surgical informed consent, invasive procedures, Medical ethics, Egypt

Authors

First Name

Omneya

Last Name

Mohamed

MiddleName

Ibrahim

Affiliation

Forensic Medicine and Clinical Toxicology Department, Faculty of Medicine, Alexandria University, Egypt.

Email

omnia.mohamed1@alexmed.edu.eg

City

Alexandria

Orcid

0000-0003-2798-396X

First Name

Rasha

Last Name

Khedr

MiddleName

Ismail

Affiliation

Forensic Medicine and Clinical Toxicology Department, Faculty of Medicine, Alexandria University, Egypt.

Email

rasha.khedr86@gmail.com

City

Alexandria

Orcid

-

First Name

Hend

Last Name

Ali

MiddleName

Mostafa

Affiliation

Community Medicine Department, Faculty of Medicine, University of Alexandria

Email

hend.mostafa@alexmed.edu.eg

City

Alexandria

Orcid

0000-0001-8024-8396

First Name

Saffa

Last Name

Abdelaziz

MiddleName

Abdelaziz Mohamed

Affiliation

Forensic Medicine and Clinical Toxicology Department, Faculty of Medicine, Alexandria University, Egypt.

Email

dr.saffa@gmail.com

City

Alexandria

Orcid

0000-0002-6667-0176

Volume

32

Article Issue

1

Related Issue

42030

Issue Date

2024-01-01

Receive Date

2023-10-11

Publish Date

2024-01-01

Page Start

121

Page End

133

Print ISSN

1110-5437

Online ISSN

2682-3217

Link

https://mjfmct.journals.ekb.eg/article_326890.html

Detail API

https://mjfmct.journals.ekb.eg/service?article_code=326890

Order

326,890

Type

Original Article

Type Code

966

Publication Type

Journal

Publication Title

Mansoura Journal of Forensic Medicine and Clinical Toxicology

Publication Link

https://mjfmct.journals.ekb.eg/

MainTitle

A Survey on Applying Ethics of Informed Consent Among Egyptian Surgeons

Details

Type

Article

Created At

24 Dec 2024