Preoperative Education and Informed Consent in Young Adults Undergoing Bariatric Surgery: Patients' Perspectives on Current Practice

Wouter K. G. Leclercq*, Danielle S. Bonouvrie, Charlotte E. J. M. Dohmen, Martine Uittenbogaart, Johan Legemaate, Laurents P. S. Stassen, Francois M. H. van Dielen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Background: Preoperative education is part of the informed consent process and should enable patients to make an informed decision. Aim of this study was to gain a more detailed insight in the perceptions and experiences of the informed consent process of young adults undergoing bariatric surgery.

Methods: Fifty-five young adults, aged 18-25 years, who underwent bariatric surgery, were invited to participate in a semistructured interview. The interview covered three main topics: education of specific informed consent domains, perioperative expectations and experiences, and personal (un)certainties related to undergoing bariatric surgery.

Results: Twenty-seven patients participated in a semistructured interview. Mean age was 23.1 +/- 1.6 years. All consent domains were remembered by the patients, but 24/27 patients could not recall one or more complications. Inadequate weight loss was not recalled by 6/27 patients. Common remarks were that the preoperative education focused mainly on the positive results. Negative effects were inadequately educated.

Conclusions: Physicians should educate patients more about the negative effects of a treatment and should focus more on specific age-related problems and social interactions. Improved preoperative education, including possible outcome scenarios to assess risks and lifetime consequences, should be developed to improve informed consent in these patients.

Original languageEnglish
Pages (from-to)41-47
Number of pages7
JournalBariatric Surgical Practice and Patient Care
Volume16
Issue number1
Early online date31 Dec 2020
DOIs
Publication statusPublished - 1 Mar 2021

Keywords

  • bariatric surgery
  • young adults
  • informed consent
  • preoperative education
  • CHILDREN
  • CARE

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