Core information set for informed consent to surgery for oral or oropharyngeal cancer: A mixed‐methods study

Core information set for informed consent to surgery for oral or oropharyngeal cancer: A... KeypointsPatients' needs for information are often unmet before they undergo surgery.Core information sets consist of information rated as most important for discussion by patients and healthcare professionals.Future work will explore the optimal means of communicating information before surgery.INTRODUCTIONCancers of the oral and oropharyngeal cavities are important health problems for which surgery is a potentially curative treatment option. While survival rates are relatively favourable compared to other upper aerodigestive tract cancers, oral/oropharyngeal cancers and their treatment can have potentially long‐lasting adverse effects on function and quality of life.People with cancer want information about their disease and its treatment. In general, patients express a desire for as much information as possible but evidence suggests these needs are often left unmet. Patients report being insufficiently informed about sensitive issues including survival and quality of life. This means they are potentially unprepared for the outcomes associated with different treatment options, and their consent to treatment may, therefore, be invalid. Recent UK legislation and updated professional guidance have emphasised the fundamental importance of carefully communicating the information patients need to authorise invasive treatments, including surgery. The landmark ruling in Montgomery identified inconsistent information provision as a key issue in the practice of obtaining patients' http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Otolaryngology Wiley

Core information set for informed consent to surgery for oral or oropharyngeal cancer: A mixed‐methods study

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 John Wiley & Sons Ltd
ISSN
1749-4478
eISSN
1749-4486
D.O.I.
10.1111/coa.13037
Publisher site
See Article on Publisher Site

Abstract

KeypointsPatients' needs for information are often unmet before they undergo surgery.Core information sets consist of information rated as most important for discussion by patients and healthcare professionals.Future work will explore the optimal means of communicating information before surgery.INTRODUCTIONCancers of the oral and oropharyngeal cavities are important health problems for which surgery is a potentially curative treatment option. While survival rates are relatively favourable compared to other upper aerodigestive tract cancers, oral/oropharyngeal cancers and their treatment can have potentially long‐lasting adverse effects on function and quality of life.People with cancer want information about their disease and its treatment. In general, patients express a desire for as much information as possible but evidence suggests these needs are often left unmet. Patients report being insufficiently informed about sensitive issues including survival and quality of life. This means they are potentially unprepared for the outcomes associated with different treatment options, and their consent to treatment may, therefore, be invalid. Recent UK legislation and updated professional guidance have emphasised the fundamental importance of carefully communicating the information patients need to authorise invasive treatments, including surgery. The landmark ruling in Montgomery identified inconsistent information provision as a key issue in the practice of obtaining patients'

Journal

Clinical OtolaryngologyWiley

Published: Jan 1, 2018

References

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