Reevaluating Informed Consent: Integrating Shared Decision-Making into Spinal Surgery for Better Patient Outcomes
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Author
Wang, Jeffrey N.Elhakeem, Mohamed A.
Mesimer, Matthew J.
Mastrokostas, Paul G.
Ahmad, Salman
Reed, Tim
Klein, Brandon
Bartlett, Lucas E.
Bitterman, Adam D.
Megas, Andrew
Keyword
informed consentloss of chance
malpractice
patient autonomy
risk communication
shared decision-making
spine surgery
Journal title
Global Spine JournalDate Published
2024-10-26
Metadata
Show full item recordAbstract
Study design: Narrative review. Objectives: The objectives of this study were to answer the following questions: (1) What is the quality of informed consent in spine surgery, including both neurosurgery and orthopaedic spine surgery? (2) What limitations impede the ability of surgeons to engage in effective shared decision-making (SDM) and obtain adequate informed consent? (3) What strategies and solutions may improve the quality of informed consent and SDM? (4) What factors decrease the incidence of litigation in spine surgery? Methods: N/A. Results: SDM is a collaborative process where patients are involved in their treatment choices through open communication about risks, alternatives, and postoperative expectations. Informed consent is a vital component of this process, ensuring that patients are fully informed and empowered to make decisions based on their values and preferences. This review highlights the current state of informed consent within the context of SDM in spine surgery and explores how enhancing this process can improve patient outcomes, reduce dissatisfaction, and decrease litigation. By emphasizing patient autonomy and improving the quality of risk communication, SDM fosters better physician-patient relationships and more positive clinical outcomes. Conclusions: Orthopaedic surgery and neurosurgery are highly litigated specialties, with failure to obtain informed consent frequently cited in lawsuits. These legal challenges are costly and time-consuming for both physicians and patients. Integrating SDM into the informed consent process can help mitigate these issues, leading to improved patient satisfaction and fewer legal disputes.Citation
Wang JN, Elhakeem MA, Mesimer MJ, Mastrokostas PG, Ahmad S, Reed T, Klein B, Bartlett LE, Bitterman AD, Megas A. Reevaluating Informed Consent: Integrating Shared Decision-Making into Spinal Surgery for Better Patient Outcomes. Global Spine J. 2024 Oct 26:21925682241298228. doi: 10.1177/21925682241298228. Epub ahead of print. PMID: 39460929.DOI
10.1177/21925682241298228ae974a485f413a2113503eed53cd6c53
10.1177/21925682241298228
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Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc-nd/4.0/