Faculty of Medicine and Health Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland.
Department of Vascular Surgery, Beaumont Hospital, Dublin, Ireland.
Phlebology. 2023 May;38(4):259-269. doi: 10.1177/02683555231158284. Epub 2023 Mar 4.
To reach consensus on a core set of essential information for inclusion in the informed consent process to standardize consent for VV surgery.
Using a modified electronic Delphi (e-Delphi) method, a panel of experts in Ireland, were asked to rate statements of essential information to include in the informed consent process with patients. Statements were rated using a 5-point Likert scale. The definition of consensus was declared at 70% agreement by the panel.
Twenty-three panel members accepted the invitation to participate across three e-Delphi rounds. Consensus was reached on 33/42 statements, covering general and procedural information and the risks, benefits and alternatives of varicose veins (VV) surgery. Several statements remained equivocal, having not met consensus by the panel.
Considerable consensus was reached within the panel of experts but some gaps in available research were also highlighted. This consensus may provide the framework to aid physicians to deliver a standardized discussion of the key elements of consent and shared decision making with patients.
就纳入知情同意过程的核心基本信息达成共识，以标准化静脉内（VV）手术的同意书。
采用改良电子德尔菲（e-Delphi）法，爱尔兰的一组专家被要求对纳入患者知情同意过程的基本信息声明进行评分。使用 5 分李克特量表进行评分。小组同意的定义为 70%的一致意见。
23 名小组成员在三轮电子德尔菲法中接受了邀请参与。在 42 个声明中达成了 33 个共识，涵盖了一般信息和程序信息，以及静脉曲张（VV）手术的风险、益处和替代方案。一些声明仍存在不确定性，没有得到小组的一致同意。
专家组内达成了相当大的共识，但也突出了一些研究空白。这一共识可能为医生提供一个框架，以帮助他们与患者进行关键同意要素和共同决策的标准化讨论。
