Recall of Complications and Satisfaction of Consent in Mandibular Third Molar Surgery: A Randomised Controlled Single Blind Study
Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 3
Abstract
ABSTRACT Introduction: Informed consent prior to any medical procedure is important for legal, ethical and administrative reasons. Informed consent intends to improve the patients’ knowledge which will allow involvement of the patient in the decision making process. Identifying the most effective and well-received ways to conduct this process is an important aspiration for clinicians. This is especially true for common procedure such as the Mandibular Third Molar Surgery (MTMS). Aim: The aim of this study was to compare the recall of complications of MTMS and satisfaction between two informed consent interventions. Materials and Methods: This parallel randomised controlled study involved subjects between 18-42-year-old who underwent wisdom tooth surgery in the 10-month study period in the Oral and Maxillofacial Surgery Clinic, Universiti Kebangsaan Malaysia. A total of 120 subjects were enrolled and assigned to the verbal (V) or combined Written-Verbal (WV) groups. The recall of complications was assessed in three phases specifically during the first consultation phase (first phase), the preoperative phase (second phase) and the postsurgery phase a week after the surgery (third phase). The score was categorised into poor, moderate and good. The association between the score of recall and interventions was assessed using the Fisher’s-exact test. Comparison of the percentage of recall between the first, second and third phases used the Friedman test while the Wilcoxon signed-rank test was performed to compare the percentage of recall response (median) between the first and second phases, second and third phases and first and third phases. Results: There was no statistically significant difference in the recall rate between the V compared to VW group in all three phases. A statistically significant difference was observed between the first and the second phases (Z= −2.50, p=0.01) and between the first and third phases (Z=−2.55, p=0.01) in the WV group. In the V intervention, only the first and the third phases showed a statistically significant difference (Z=−2.11, p=0.04). Overall, 97.5% of subjects were satisfied with the information received. Conclusion: The current practice of obtaining informed consent with verbal intervention is equivalent to the verbal and written intervention.
Authors and Affiliations
Mohd Mazharul Md Yusoff, Syed Nabil, Muhd Fazlynizam Rashdi, Roszalina Ramli
Keywords
Related Articles
- EP ID EP580617
- DOI 10.7860/JCDR/2019/39809.12735
- Views 97
- Downloads 0
Profile of Tumour Necrosis Factor Alpha -308 G/A Gene Polymorphism in Psoriatic Patients in Karnataka, India
Introduction: Tumour necrosis factor-alpha (TNFα) gene -308G/A polymorphism (rs1800629) are associated with psoriasis in several populations worldwide. Presently, there is no literature on the status of this polymorphism...
Possible Role of Bcl-2 Expression in Metastatic and Non Metastatic Oral Squamous Cell Carcinoma
Introduction: Oral carcinoma is a global health problem. India accounts for one-third of world burden with high prevalence rate of 2.5 million and mortality rate of 5.5 lacs per year. Oral carcinogenesis is a multistage...
Mechanism and Immediate Outcome of Significant Mitral Regurgitation Following Balloon Mitral Valvuloplasty with JOMIVA Balloon
Introduction: Balloon Mitral Valvuloplasty (BMV) with inoue balloon is the most common technique being followed worldwide. Over the wire BMV is a modified technique with Joseph Mitral Valvuloplasty (JOMIVA) balloon and i...
A Rare Case of Genital Malformation with Omphalocele, Exstrophy of Bladder, Imperforate Anus and Spinal Defect Complex-Autopsy Findings
Omphalocele, Exstrophy of cloaca, Imperforate anus and Spinal defects (OEIS) is a severe manifestation of exstrophy-epispadias sequence with a combination of defects including OEIS. It results from improper closure of an...
Serum Zinc Levels in Thai Children with Acute Diarrhoea
ABSTRACT Introduction: Diarrhoea remains a leading cause of morbidity and mortality in children in developing countries. Zinc has been recommended by the WHO for the prophylaxis and treatment of acute diarrhoea. However,...