Comparison of informed consent for breast cancer surgery in the UK and the Czech republic and patients’ satisfaction with the process

Comparison of informed consent for breast cancer surgery in the UK and the Czech republic and patients’ satisfaction with the process
Monika Rezacova
BMJ Surgery, Interventions, & Health Technologies, 27 September 2024
Abstract
Background
Informed consent is a concept accepted largely in the world, however its interpretation varies. Understanding the diagnosis and process of treatment should be a crucial part of doctor-patient relationship.
Methods
We have assessed 100 patients with a new breast cancer diagnosis (50 in each centre). We have compared the consent forms, risks mentioned to the patient and proposed surgery. A questionnaire was given to patients following the consent process to assess patients‘ satisfaction with information given and possibility of outcome change.
Results
In the UK, patients were given a surgical management plan with multiple potential risks listed on consent. Patients in Czech were given all possible surgical options without specific plan and only few complications. Patients in the UK were satisfied although some of them would appreciate fewer information on risks. Patients in Czech had trust in the doctor’s decision however majority of them would appreciate the exact procedure proposed and more information regarding risks.
Conclusion
Although patients had very different experiences, the vast majority would like to hear the exact type of procedure that is being done and list of significant risks.