Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
Section of Pediatric Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA.
Gastrointest Endosc. 2022 Feb;95(2):207-215.e2. doi: 10.1016/j.gie.2021.10.022. Epub 2022 Jan 5.
Informed consent is the cornerstone of the ethical practice of procedures and treatments in medicine. The purpose of this document from the American Society for Gastrointestinal Endoscopy (ASGE) Standards of Practice Committee is to provide an update on best practice of the informed consent process and other issues around informed consent and shared decision-making for endoscopic procedures. The principles of informed consent are based on longstanding legal doctrine. Several new concepts and clinical trials addressing the best practice of informed consent will help guide practitioners of the burgeoning field of GI endoscopic procedures. After a literature review and an iterative discussion and voting process by the ASGE Standards of Practice Committee, this document was produced to update our guidance on informed consent for the practicing endoscopist. Because this document was designed by considering the laws and broad practice of endoscopy in the United States, legal requirements may differ by state and region, and it is the responsibility of the endoscopist, practice managers, and other healthcare organizations to be aware of local laws. Our recommendations are designed to improve the informed consent experience for both physicians and patients as they work together to diagnose and treat GI diseases with endoscopy.
知情同意是医学程序和治疗中伦理实践的基石。美国胃肠内镜学会（ASGE）标准实践委员会的这份文件旨在更新知情同意过程的最佳实践以及内镜检查中有关知情同意和共同决策的其他问题。知情同意的原则基于长期以来的法律原则。一些新的概念和临床试验，针对知情同意的最佳实践，将有助于指导胃肠道内镜检查领域的从业者。经过文献回顾以及 ASGE 标准实践委员会的反复讨论和投票，本文件旨在更新我们对执业内镜医师进行知情同意的指导。由于本文件的设计考虑了美国的法律和广泛的内镜实践，各州和地区的法律要求可能不同，因此内镜医师、实践管理人员和其他医疗机构有责任了解当地法律。我们的建议旨在改善医生和患者在共同使用内镜诊断和治疗胃肠道疾病时的知情同意体验。
