Impact of the informed consent process on patients' understanding of varicose veins and their treatment.
OBJECTIVE
It is particularly important that patients have reasonable understanding of the risks, benefits and nature of elective surgery. This study sought to analyse this level of understanding in patients undergoing varicose vein surgery


METHODS
Eighty two patients completed a questionnaire in the vascular outpatient clinic and were asked to complete a telephone questionnaire following the clinic.


RESULTS
Pain (n = 46) was the primary reason patients considered varicose vein surgery followed by appearance (n = 32). Most patients felt that varicose veins placed them at high risk of leg ulcers (n = 46) and DVT (n = 41). A high level of expectation that surgery would significantly affect pain and flares was recorded. While the outpatient visit did not materially change these misconceptions, an educational leaflet significantly enhanced the recall of complications (p = 0.028) in patients who remembered receiving a leaflet.


CONCLUSIONS
Patients attending varicose vein clinics have an unrealistic expectation of the benefits of surgery and fail to understand the benign nature of their condition. The outpatient process has little effect on patient-held beliefs.
Dillon
M F
MF
Dept of General and Vascular Surgery, Adelaide & Meath Hospital & Trinity College Dublin, Tallaght, Dublin 24.
Carr
C J
CJ
Feeley
T M F
TM
Tierney
S
S
D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007258:Informed Consent; D009042:Motivation; D010174:Pamphlets; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D011183:Postoperative Complications; D018570:Risk Assessment; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014648:Varicose Veins / Q000150:complications / Q000601:surgery*