@article{7db708def2b4435984174cf08ffdcb0b,
title = "Cardiologists{\textquoteright} and patients{\textquoteright} views about the informed consent process and their understanding of the anticipated treatment benefits of coronary angioplasty: a survey study",
abstract = "Background: Percutaneous coronary intervention is a common revascularisation technique. Serious complications are uncommon, but death is one of them. Seeking informed consent in advance of percutaneous coronary intervention is mandatory. Research shows that percutaneous coronary intervention patients have inaccurate perceptions of risks, benefits and alternative treatments. Aim: To assess cardiologists{\textquoteright} and patients{\textquoteright} views about the informed consent process and anticipated treatment benefits. Methods: Two cross-sectional, anonymous surveys were distributed in England: an electronic version to a sample of cardiologists and a paper-based version to patients recruited from 10 centres. Results: A sample of 118 cardiologists and 326 patients completed the surveys. Cardiologists and patients shared similar views on the purpose of informed consent; however, over 40\% of patients and over a third of cardiologists agreed with statements that patients do not understand, or remember, the information given to them. Patients placed less value than cardiologists on the consent process and over 60\% agreed that patients depended on their doctor to make the decision for them. Patients{\textquoteright} and cardiologists{\textquoteright} views on the benefits of percutaneous coronary intervention were significantly different; notably, 60\% of patients mistakenly believed that percutaneous coronary intervention was curative. Conclusions: The percutaneous coronary intervention informed consent process requires improvement to ensure that patients are more involved and accurately understand treatment benefits to make an informed decision. Redesign of the patient pathway is recommended to allow protected time for health professionals to engage in discussions using evidence-based approaches such as {\textquoteleft}teach back{\textquoteright} and decision support which improve patient comprehension.",
keywords = "Attitudes, comprehension, coronary angioplasty, decision making, informed consent, patient education, survey",
author = "Felicity Astin and John Stephenson and Joy Probyn and Janet Holt and Keith Marshall and Dwayne Conway",
note = "Funding Information: Most patients treated with coronary angioplasty are not clear of their role in the informed consent process, tend to overestimate treatment benefits, perceive it as a cure, but want to know about all of the potential risks. Cardiologists require training in the use of decision support, communication and patient engagement skills such as {\textquoteleft}teach back{\textquoteright} to ensure angioplasty patients receive health information ahead of their treatment in a format that supports recall and comprehension. There is a gap between consent policy and clinical practice that could be addressed through service reconfiguration, patient engagement, skills training for health professionals and the re-design of health information resources. Declaration of conflicting interest The authors declare that there is no conflict of interest. Funding This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PB-PG-0712-28089). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Supplementary material Supplementary material for this article is available online. Publisher Copyright: {\textcopyright} The European Society of Cardiology 2019. Copyright: Copyright 2019 Elsevier B.V., All rights reserved.",
year = "2020",
month = mar,
day = "1",
doi = "10.1177/1474515119879050",
language = "English",
volume = "19",
pages = "260--268",
journal = "European Journal of Cardiovascular Nursing",
issn = "1474-5151",
publisher = "Oxford University Press",
number = "3",
}