TY - JOUR
T1 - Preoperative Education and Informed Consent in Young Adults Undergoing Bariatric Surgery
T2 - Patients' Perspectives on Current Practice
AU - Leclercq, Wouter K. G.
AU - Bonouvrie, Danielle S.
AU - Dohmen, Charlotte E. J. M.
AU - Uittenbogaart, Martine
AU - Legemaate, Johan
AU - Stassen, Laurents P. S.
AU - van Dielen, Francois M. H.
PY - 2021/3/1
Y1 - 2021/3/1
N2 - 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.
AB - 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.
KW - bariatric surgery
KW - young adults
KW - informed consent
KW - preoperative education
KW - CHILDREN
KW - CARE
U2 - 10.1089/bari.2020.0045
DO - 10.1089/bari.2020.0045
M3 - Article
SN - 2168-023X
VL - 16
SP - 41
EP - 47
JO - Bariatric Surgical Practice and Patient Care
JF - Bariatric Surgical Practice and Patient Care
IS - 1
ER -