Recall of consent information by day care prostate biopsy patients: An assessment of the role of a third-party check.
Background
To evaluate the extent of recall of consent information by daycare prostate biopsy patients in our low-literacy setting. And to evaluate the role of a 3rd party check on patient's recall of consent information.


Subjects and Methods
As part of our standard of care, a formal informed consent session for day care prostate biopsy takes place 3 days prior to the procedure. For this study, before leaving the outpatient clinic the same day, the patient acknowledged before a third-party that his concerns were or were not satisfactorily addressed. The extent of recall of consent information was assessed on the morning of the procedure using a researcher-administered questionnaire. Consecutive patients participated in this cross-sectional study for day care prostate biopsy at a tertiary hospital in southeast Nigeria from February to November 2015 after obtaining due consent.


Results
The recall of the risks associated with the planned procedure was poorer than the recall of the nature of the disease condition or the nature of the planned procedure. However, it was observed that aggregate recall was significantly poorer among patients who negatively attested to a satisfying consent session (OR 0.125; P < 0.0005).


Conclusion
The use of a third-party in determining patient satisfaction after a consent session may be a better indicator of patient comprehension and subsequent recall of consent information, especially in low-literacy settings. Using a third-party, in this manner, may assist in checking paternalism inherent in the patient-doctor relationship.
['Nnabugwu|I I|II|', 'Ugwumba|F O|FO|', 'Udeh|E I|EI|', 'Anyimba|S K|SK|']
D000368:Aged D000369:Aged, 80 and over D001706:Biopsy D032882:Comprehension D003430:Cross-Sectional Studies D003631:Day Care, Medical D005260:Female D019538:Health Care Surveys D006801:Humans D007258:Informed Consent D008297:Male D011939:Mental Recall D008875:Middle Aged D009549:Nigeria D017060:Patient Satisfaction D010817:Physician-Patient Relations D011467:Prostate D020458:Third-Party Consent
prostate biopsy third-party check patient satisfaction Consent-information recall