Sambit Debbarman
AGMC & GBP Hospital, IndiaPresentation Title:
Assessment of the preoperative informed consent practices among patients who had undergone major abdominal surgery: A cross-sectional study in North-East India
Abstract
Introduction: Informed consent is essential in surgical care to uphold patient autonomy through clear communication of diagnosis, treatment options, and risks. This study aimed to assess the practice and quality of preoperative informed consent among patients undergoing major abdominal surgeries at a tertiary hospital in North-East India.
Methods: This hospital-based cross-sectional observational study was conducted over two months (April & May 2025) at AGMC & GBP Hospital. All adult patients (≥18 years) undergoing major abdominal surgeries during the study period were recruited through consecutive sampling. Data were collected using a structured questionnaire through bedside interviews conducted between post-operative day 1 to 3. The questionnaire includes items related to patient understanding of their condition, surgical procedure, anesthesia, complications, alternative options, and satisfaction with the consent process.
Results: A total of 200 patients participated in the study. Mean age was 44.3 (±15.0) years. Majority were females (60.5%), from urban areas (58.5%), and graduates (63%). All participants reported being informed about their diagnosis, surgical procedure, anesthesia, and surgical complications. While 86.5% were informed about anesthesia-related complications, this varied significantly with patients’ residence and education. Similarly, 85.0% were informed about alternative treatment options, significantly associated with place of residence and type of surgery. All patients reported being given adequate time to ask questions. Consent was obtained by consultants in 91.5% of cases, significantly associated with address and surgery type. In all instances, consent was signed by both patient and attendant, and properly witnessed. No audio or video recording was used. Overall, 94% (188/200) of participants reported satisfaction with the informed consent process.
Conclusion: Although the study reveals good adherence to informed consent practices for major abdominal surgeries, there is room for improvement in ensuring consistent and comprehensive information delivery across all patient demographics.
Methods: This hospital-based cross-sectional observational study was conducted over two months (April & May 2025) at AGMC & GBP Hospital. All adult patients (≥18 years) undergoing major abdominal surgeries during the study period were recruited through consecutive sampling. Data were collected using a structured questionnaire through bedside interviews conducted between post-operative day 1 to 3. The questionnaire includes items related to patient understanding of their condition, surgical procedure, anesthesia, complications, alternative options, and satisfaction with the consent process.
Results: A total of 200 patients participated in the study. Mean age was 44.3 (±15.0) years. Majority were females (60.5%), from urban areas (58.5%), and graduates (63%). All participants reported being informed about their diagnosis, surgical procedure, anesthesia, and surgical complications. While 86.5% were informed about anesthesia-related complications, this varied significantly with patients’ residence and education. Similarly, 85.0% were informed about alternative treatment options, significantly associated with place of residence and type of surgery. All patients reported being given adequate time to ask questions. Consent was obtained by consultants in 91.5% of cases, significantly associated with address and surgery type. In all instances, consent was signed by both patient and attendant, and properly witnessed. No audio or video recording was used. Overall, 94% (188/200) of participants reported satisfaction with the informed consent process.
Conclusion: Although the study reveals good adherence to informed consent practices for major abdominal surgeries, there is room for improvement in ensuring consistent and comprehensive information delivery across all patient demographics.
Biography
Sambit Debbarman has completed his MBBS from Manipur University, India & MS (General Surgery) from Tamil Nadu Dr. MGR Medical University, India. He further advanced his academic career in the field of Minimal Access Surgery. Dr. Debbarman has pursued DMAS from World Laparoscopy Hospital, New Delhi & further accomplished Fellowship in Indian Association of GI Endoscopic Surgery. He is currently serving as Assistant Professor of Surgery at AGMC & GBP Hospital, Tripura and as the State Secretary of The Association of Surgeons of India.
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