How much now to tell? Patients' attitudes to an information sheet prior to angiography and angioplasty.
A prospectively controlled pilot study of 100 patients undergoing an invasive radiological procedure was undertaken to test patients' acceptance of risk disclosure and whether this increases anxiety and rate of procedure cancellation. Two sheets with differing amounts of information on adverse outcome were randomly allocated and patients provided a graded response to statements following the procedure. Eighty-one completed questionnaires were received (brief sheet n = 40; long sheet n = 41). There were 19 non-compliers with main causes either due to lack of interest or problems such as language difficulties, visual impairment and dementia. There were no significant differences between the two groups with respect to subjective anxiety caused by the information or risk of procedure cancellation. This preliminary work has shown that information sheets are well accepted and provide a simple, standardized format for risk disclosure.
Phatouros
C C
CC
Department of Radiology, Royal Perth Hospital, Western Australia.
Blake
M P
MP
D000784:Aortic Dissection / Q000209:etiology; D000792:Angiography / Q000009:adverse effects / Q000379:methods; D017130:Angioplasty / Q000009:adverse effects / Q000379:methods; D001007:Anxiety / Q000209:etiology; D001290:Attitude; D032882:Comprehension; D032962:Consent Forms; D030881:Disclosure; D006406:Hematoma / Q000209:etiology; D006801:Humans; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic; D010865:Pilot Projects; D011446:Prospective Studies; D015642:Radiology, Interventional; D012307:Risk Factors; D011795:Surveys and Questionnaires; D013923:Thromboembolism / Q000209:etiology; D014342:Truth Disclosure