Patients' and Cardiologists' Perceptions of the Benefits of Percutaneous Coronary Intervention for Stable Coronary Disease
Authors: Yael Schenker, Alan Meisel
Journal: Annals of Internal Medicine (2011)

Letters1 March 2011Patients' and Cardiologists' Perceptions of the Benefits of Percutaneous Coronary Intervention for Stable Coronary DiseaseYael Schenker, MD, MAS and Alan Meisel, JDYael Schenker, MD, MASFrom University of Pittsburgh, Pittsburgh, PA 15213.Search for more papers by this author and Alan Meisel, JDFrom University of Pittsburgh, Pittsburgh, PA 15213.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-154-5-201103010-00015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The results of the study by Rothberg and colleagues (1) mirror the findings of previous research in different settings and widespread clinical experience: Patient comprehension of informed consent is often poor. Although such observations have led some experts to conclude that expectations for patient understanding and involvement in medical decision making are unreasonable, we agree with Fernandez (2) that improving the quality of informed consent is an attainable and important goal (3). In the discussion of how to translate Rothberg and colleagues' findings into practice changes, 3 additional points warrant consideration.First, more is not always better. ...References1. Rothberg MB, Sivalingam SK, Ashraf J, Visintainer P, Joelson J, Kleppel R, et al. Patients' and cardiologists' perceptions of the benefits of percutaneous coronary intervention for stable coronary disease. Ann Intern Med. 2010;153:307-13. [PMID: 20820040] LinkGoogle Scholar2. Fernandez A. Improving the quality of informed consent: it is not all about the risks [Editorial]. Ann Intern Med. 2010;153:342-3. [PMID: 20820045] LinkGoogle Scholar3. Schenker Y, Fernandez A, Sudore R, Schillinger D. Interventions to improve patient comprehension in informed consent for medical and surgical procedures: a systematic review. Med Decis Making. 2010. [PMID: 20357225] Google Scholar4. Fink AS, Prochazka AV, Henderson WG, Bartenfeld D, Nyirenda C, Webb A, et al. Enhancement of surgical informed consent by addition of repeat back: a multicenter, randomized controlled clinical trial. Ann Surg. 2010;252:27-36. [PMID: 20562609] CrossrefMedlineGoogle Scholar5. Tait AR, Voepel-Lewis T, Moscucci M, Brennan-Martinez CM, Levine R. Patient comprehension of an interactive, computer-based information program for cardiac catheterization: a comparison with standard information. Arch Intern Med. 2009;169:1907-14. [PMID: 19901144] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Pittsburgh, Pittsburgh, PA 15213.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPatients' and Cardiologists' Perceptions of the Benefits of Percutaneous Coronary Intervention for Stable Coronary Disease Michael B. Rothberg , Senthil K. Sivalingam , Javed Ashraf , Paul Visintainer , John Joelson , Reva Kleppel , Neelima Vallurupalli , and Marc J. Schweiger Improving the Quality of Informed Consent: It Is Not All About the Risks Alicia Fernandez Metrics 1 March 2011Volume 154, Issue 5Page: 371KeywordsColonoscopyConflicts of interestDecision makingGastroenterology and hepatologyMotivationPerceptionPercutaneous coronary interventionSoftware toolsStable coronary artery disease ePublished: 1 March 2011 Issue Published: 1 March 2011 Copyright & PermissionsCopyright © 2011 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...