Obtaining informed consent is an essential process in the patient centred approach to modern medicine. However, research shows that patients have a poor understanding of the process of informed consent, as well as a poor understanding of the procedures they are consenting for. Improvements need to be made to improve comprehension and ensure that consent is truly valid.
AbramsMA, EarlesB2007Developing an informed consent process with patient understanding in mindNorth Carolina Medical Journal68(5) 352–5
2.
AkkadA, JacksonC, KenyonS2006Patients' perceptions of written consent: questionnaire studyBritish Medical Journal333(7567) 528
3.
BarrettR2005Quality of informed consent: Measuring understanding among participants in oncology clinical trialsOncology Nursing Forum32(4) 751–5
4.
BeauchampTL, ChildressJF2001Principles of biomedical ethics (5th ed) Oxford, Oxford University Press
5.
BermanL, CurryL, GusberyR2002Informed consent for abdominal aortic aneurysm repair: The patient's perspectiveJournal of Vascular Surgery48(2) 296–302
6.
BerryMG, UnwinJ, RossGL2007A comparison of the views of patients and medical staff in relation to the process of informed consentAnnals of the Royal College of Surgeons of England89(4) 268–373
7.
BettiS, SironiA, SainoG2011Effect of the informed consent process on anxiety and comprehension of patients undergoing esophageal and gastrointestinal surgeryJournal of Gastrointestinal Surgery15(6) 922–7
8.
BrennerLH, BrennerAT, HorowitzD2009Beyond informed consent: Educating the patient ClinicalOrthopaedics and Related Research467348–51
9.
BrezisM, IsraelS, Weinstein-BirenshtockA2008Quality of informed consent for invasive proceduresInternational Journal for Quality in Health Care20(5) 352–7
10.
CheungD, SandramouliS2005The consent and counselling of patients for cataract surgery: a prospective auditEye19963–71
11.
ChildersR, LipsettPA, PawlikTM2009Informed consent and the surgeonJournal of the American College of Surgeons208627–34
12.
Chester v Afshar2004 UKHL 41
13.
CohnE, LarsonE2007Improving participant comprehension in the informed consent processJournal of Nursing Scholarship39(3) 273–80
14.
Department of Health2009Reference guide to consent for examination or treatment (2nd ed) London, DH
15.
FalagasME, KorbilaIP, GiannopoulouKP2009Informed consent: how much and what do patients understand?The American Journal of Surgery198(3) 420–35
16.
FinkAS, ProchazkaAV, HendersonWG2010Predictors of comprehension during informed surgical consentJournal of the American College of Surgeons210919–26
17.
FleischmanM, GarciaC2003Informed consent in dermatologic surgeryDermatalogic Surgery29(9) 952–5
18.
GoldbergerJJ, KruseJ, KadishAH2011Effect of informed consent format on patient anxiety, knowledge, and satisfactionAmerican Heart Journal162(4) 780–5
19.
HaxbyEJ, HartoppR2008Risk assessment and consentSurgery26(9) 369–73
20.
Health Professions Council2008a Standards of conduct, performance and ethicsLondon, HPC
21.
Health Professions Council2008b Standards of proficiency - operating department practitionersLondon, HPC
22.
Her Majesty's Stationery Office2005Mental Capacity Act 2005London, HMSO
23.
HopeT2006ConsentThe Foundation Years2(5) 194–8
24.
JeffordM, MooreR2008Improvement of informed consent and the quality of consent documentsThe Lancet Oncology9(5) 485–93
25.
KriwanekS, ArmbrusterC, BeikerhinnP1998Patients' assessment and recall of surgical site information after laparoscopic cholecystectomyDigestive Surgery15669–73
26.
KruppW, SpanehlO, LaubachW2000Informed consent in neurosurgery: Patient's recall of preoperative discussionActa Neurochirurgica142(3) 233–9
27.
KusecS, OreskovicS, SkegroM2006Improving comprehension of informed consentPatient Education and Counselling60294–300
28.
LangdonIJ, HardinR, LearmonthID2002Informed consent for total hip arthroplasty: does a written information sheet improve recall by patients?Annals of the Royal College of Surgeons of England84(6) 404–8
29.
LarobinaME, MerryCJ, NegriCN2007Is informed consent in cardiac surgery and percutaneous coronary intervention achievable?ANZ Journal of Surgery77(7) 530–4
30.
LeclercqWK, KeulersBJ, ScheltingaMR2010A review of surgical informed consent: Past, present, and future. A quest to help patients make better decisionsWorld Journal of Surgery341406–15
31.
LidzCW2006The therapeutic misconception and our models of competency and informed consentBehavioural Sciences and the Law24535–46
32.
LloydAJ2001The extent of patients' understanding of the risks of treatmentQuality in Health Care10(Suppl I): i14–i18
33.
LukoshekP, FazzariM, MarantzP2003Patient and physician factors predict patients' comprehension of health informationPatient Education and Counselling50201–10
34.
MahadevanD, GuptaS2009Consent for trauma and orthopaedic surgery: patient comprehensionClinical Governance14(1) 20–23
35.
MayberryMK, MayberryJF2002Consent with understanding: a movement towards informed decisionsClinical Medicine2(6) 523–6
36.
MulsowJW, FeeleyTM, TierneyS2011Beyond consent – improving understanding in surgical patientsThe American Journal of Surgery In press DOI 10.1016/j.amjsurg.2010.12.010
37.
PantingG2010Informed consentOrthopaedics and Trauma24(6) 441–6
38.
QuickJ2010Developing communication in informed consentJournal of Perioperative Practice20(3) 108–12
RossiM J, GuttmannD, MaclennanMJ2005Video informed consent improves knee arthroscopy patient comprehensionThe Journal of Arthroscopic and Related Surgery21(6) 739–43
41.
SchenkerY, FernandezA, SudoreR2011Interventions to improve patient comprehension in informed consent for medical and surgical proceduresMedical Decision Making31151–73
42.
StanitskiCL2006“Informed” ??? ConsentJournal of Pediatric Orthopaedics26(3) 424–5
43.
TurnerP, WilliamsC2002Informed consent: Patients listen and read, but what information do they retain?New Zealand Medical Journal115(1164) U218
44.
WestHF, BaileWF2010“Tell me what you understand”: The importance of checking for patient understandingThe Journal of Supportive Oncology8216–8
45.
WhiteSM, SeeryJ2009Consent: the law and ethical considerationsAnaesthesia and Intensive Care Medicine10(3) 111–4