Research article

The Information and Consent Process in Patients undergoing Elective ENT surgery: A cross-sectional survey

Christos Georgalas , Kulandaivelu Ganesh and Eva Papesch

Department of Otolaryngology, Whipps Cross University Hospital, London, UK

author email corresponding author email

BMC Ear, Nose and Throat Disorders 2008, 8:5doi:10.1186/1472-6815-8-5

Published:	17 September 2008

Abstract

Background

To assess the importance of different information pathways for patients undergoing elective ENT surgery (General Practitioner, Specialist consultation, pre assessment clinic and consent process as well as printed information material and non medical sources) and to correlate their relative importance with patient and doctor factors

Methods – Patients

Cross – sectional questionnaire survey

226 consecutive patients undergoing elective non-oncological otolaryngology procedures at a District General Hospital between May and August 2004

Results

Overall patients were moderately satisfied with the information they received prior to surgery (score 63/100). Although they were generally satisfied with the quality of information they received at their outpatient consultation and at the preadmission clinic, they were less satisfied with the quality of information provided by their GPs and by the quality of self – obtained information. Most importantly, linear regression modeling showed that the overall level of information could be predicted by three factors: The quality of written information received at the hospital, the quality of self-obtained information and the information provided by the specialist at the time of listing for surgery. While patient's education level was correlated with the information process, the age and gender of the patient as well as the grade of the doctor at the outpatients were not associated with his overall levels of satisfaction.

Conclusion

Although the impact of the initial outpatient consultation for patients undergoing elective surgery can not be over emphasized, written information provided at the hospital as well as patient – initiated, parallel information pathways are at least as important: It is our duty to recognize them and use them for the patient's advantage.