Until the mid-20th century, there was no strict moral or legal obligation to involve
patients in medical decision-making. The Hippocratic Corpus even guides physicians
to conceal information from the patient; the physician knows best and has the duty
to direct medical care
1
. After landmark court cases in the 1950s through 1970s, the doctrine of informed
consent established the legal obligation for physicians to obtain consent before performing
surgery
2
. Beyond the legal obligation, however, these decisions marked a shift away from paternalistic
medicine towards shared decision-making, where physicians work in partnership with
patients to align evidence-based medicine with patients’ individual belief systems
and goals
3
. When patients seek out elective surgery, surgeons have a responsibility to discuss
the more common complications, more than simply stating the risks are “bleeding, infection,
and damage to surrounding structures.”To read this article in full you will need to make a payment
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References
Faden RR, Beauchamp TL. A History and Theory of Informed Consent. New York: Oxford University Press; 1986.
- A Modern History of Informed Consent and the Role of Key Information.Ochsner J. 2021; 21: 81-85https://doi.org/10.31486/toj.19.0105
Katz J. The Silent World of Doctor and Patient. Baltimore, MD: Johns Hopkins University Press; 2002.
- Band versus bypass: influence of an educational seminar and surgeon visit on patient preference.Surg Obes Relat Dis. 2007 Jul-Aug; 3: 452-455
Article info
Publication history
Accepted:
January 1,
2023
Received:
December 27,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Published by Elsevier Inc. on behalf of American Society for Metabolic and Bariatric Surgery.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Patient perspectives on the usefulness of the MBSAQIP Bariatric Surgical Risk/Benefit Calculator: a randomized controlled trialSurgery for Obesity and Related Diseases
- PreviewThe Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Bariatric Surgical Risk/Benefit Calculator uses procedure-specific prediction models to generate individualized surgical risk/outcome estimates. This tool helps guide informed consent and operative selection. We hypothesized that calculator use would influence patient procedure choice.
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