Evaluation of informed consent (IC)
Sachdeva, A.; Gupta, S.; Soni, A.; Kumar, R.; Gupta, D.; Raina, A. and Pruthi, P.K. (2002) Evaluation of informed consent (IC). In: SIOP XXXIV Meeting Medical & Pediatric Oncology, 2002, New Delhi, India.
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IC as a method of communication and participation has been used for the last 10 years in our Ped. Onco. unit. In the last 3 years we have looked at the parents comprehension & satisfaction of IC. Method: A total of 75 patients were taken from Jan' 99 to Dec' 01. The disease was discussed followed by signing the IC. 10-15 days later the knowledge of the disease & the need for IC was evaluated. Results: 142 responses were evaluable. They felt the preliminary talk was important and helped allay their anxiety and fear. 128 (90.14%) felt that the disease was grievous and the chances of mortality were high. 49(34.5%) felt there would be longterm defits. 100(70.4%) felt there was in increased incidence of cancer due to industrialization, environment and impure food products. 85(59.85%) felt wrong childrearing practices, lead to cancer. 114(80.28%) felt, treatment was painful and lead to side effects. After IC their anxiety came down considerably. Nearly everybody knew somebody who had cancer and felt that the chances cure (40.1%). 114(80.28%) felt the information was adequate. 90% felt the need for written a booklet. It was perceived by 121 (85.2%) as an instrument to protect the medical staff. 128 signed the IC (90.14%) with a feeling of anxiety, fear trepidity and insecurity. 100(70.4%) felt IC was to absolve the medical staff of the responsibility in case of an untoward incident. Conclusion: IC helped in understanding the disease, but there was great anxiety associated with signing the IC. One can perhaps just give a talk and put a note in the file without signature of the parents.
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