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Circumcision and Informed Consent

Is More Information Always Better

Bibliographic Data

ID9099855
AuthorsJay J J Christensen-Szalanski, Jay Christensen-Szalanski (University of Iowa, corresponding author), W Thomas Boyce (University of California, San Francisco), Harriet Harrell (University of Arizona), Mary M Gardner (University of Arizona)
Year1987
Volume25
IssueSupplement
Pages856-867
Publication date1987-09-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198709001-00004
PMID3695678
OpenAlexW4250638075, W1985215708
LanguageEN
Citations received1
References cited6

This study observes that physicians routinely inform parents about a small minority of the medical complications and risks associated with elective circumcisions. When selecting which medical complications to mention to parents, physicians appeared to use a policy based on their subjective assessment of the frequency and seriousness of the complications' occurrence. Subsequent analyses revealed that the physicians' probability estimates were biased and their seriousness assessments were consistently less than those expressed by mothers of newborn sons. Replacing the physicians' policy of partial disclosure with a comprehensive disclosure of “unbiased” information of possible risks and complications had no effect on the mothers' decisions to have their sons circumcised but did generate numerous influences on the mothers' attitudes. Among the effects observed in mothers were a reduction in their confidence in the appropriateness of their decision and a dissatisfaction with their physician's behavior. The implications of these findings to informed consent are discussed, and a greater flexibility in providing informed consent is advocated

Alternative medicine · Family medicine · Flexibility (engineering) · Full disclosure · Informed consent · Seriousness · Ethics and Legal Issues in Pediatric Healthcare · Genital Health and Disease · Law · Medicine · Patient-Provider Communication in Healthcare · Psychology

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Citations per year0.07
Citation span1996 - 1996 (1)
Highly citedNo

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