Rosenfeld Yaakov, Strulov Avshalom
School of Public Health, Haifa University, Haifa, Israel.
Isr Med Assoc J. 2009 Jul;11(7):407-10.
The rate of in vitro fertilization and embryo transfer procedures in Israelis the highest among industrialized countries. The procedure has the potential to make treated patients forever happy, should the desired result occur. It also entails, however, numerous potential complications. Patients who are candidates for the procedure should fully understand both potential desired and undesired results, and should give their consent based on this understanding. The question whether currently used informed consent forms for these procedures indeed serve this purpose is, however, open.
To explore the usefulness of informed consent forms for IVF&ET that are currently used in Israel to represent the potential benefits and risks of the procedures to the patients.
Informed consent forms for IVF&ET were scrutinized for accuracy, clarity and relevance, by comparison to relevant medical literature. IVF&ET informed consent forms were also assessed whether they fulfill the requirements of the Israeli Law of Patient's Rights.
Currently used "informed" consent forms for IVF&ET were found to be fundamentally inaccurate and outdated In some cases (number of embryos to be transferred), the information is grossly obscure. In other cases (alternative management) there are glaring omissions.
Informed consent forms for IVF&ET that are currently used in Israel do not adequately serve their stated purpose. Potential risks and benefits are not presented clearly and alternative management strategies are also missing. Thus, they do not fulfill their social, ethical or legal goals. Updating these forms is urgently needed. New versions should clearly distinguish between common (controllable) and uncommon (uncontrollable) complications.
以色列体外受精和胚胎移植手术的比例在工业化国家中是最高的。如果手术达到预期效果，有可能让接受治疗的患者永远幸福。然而，它也带来了许多潜在并发症。作为该手术候选对象的患者应该充分了解潜在的预期和非预期结果，并基于这种理解给予同意。然而，目前用于这些手术的知情同意书是否真的能达到这个目的，尚无定论。
探讨以色列目前使用的体外受精和胚胎移植知情同意书对于向患者说明手术潜在益处和风险的有用性。
通过与相关医学文献比较，仔细审查体外受精和胚胎移植知情同意书的准确性、清晰度和相关性。还评估了体外受精和胚胎移植知情同意书是否符合以色列患者权利法的要求。
目前使用的体外受精和胚胎移植“知情”同意书被发现从根本上不准确且过时。在某些情况下（如要移植的胚胎数量），信息极其模糊。在其他情况下（替代治疗方案），存在明显遗漏。
以色列目前使用的体外受精和胚胎移植知情同意书未能充分实现其宣称的目的。潜在风险和益处没有清晰呈现，替代治疗策略也缺失。因此，它们没有实现其社会、伦理或法律目标。迫切需要更新这些表格。新版本应明确区分常见（可控）和罕见（不可控）并发症。
