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Evaluación del proceso de consentimiento informado en pacientes sometidos a ostomías de urgencia.

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Title: Evaluación del proceso de consentimiento informado en pacientes sometidos a ostomías de urgencia.
Alternate Title: Evaluation of the informed consent process in patients undergoing emergency stoma surgery.
Authors: Israel-Navon, Benjamín1,2 benjaminisrael@uchile.cl, Osorio-Fuenzalida, Marcial3, Ruiz-Figueroa, Iván2, Ureta-Díaz, Hernán1,2, García-Castro, Milton1,2
Source: Revista de Cirugia. 2026, Vol. 78 Issue 4, p351-359. 9p.
Abstract (English): Introduction: Informed consent (IC) is a cornerstone of clinical practice, reflecting patient autonomy. However, its effective implementation presents challenges in emergency settings. This study evaluated patients’ perception of the IC process in emergency surgeries requiring a diverting stoma, aiming to describe the process and identify opportunities for improvement. Materials and Methods: A descriptive observational study was conducted on adult patients undergoing emergency surgery with intestinal resection and creation of a diverting stoma at a public hospital in Santiago, Chile, between December 2024 and March 2025 (N = 16). The COMRADE questionnaire was applied to assess satisfaction with communication and confidence in the decision made. Results: The overall satisfaction score with IC was 85.4%, with 82.2% in satisfaction with communication and 88.8% in confidence in the decision. No statistically significant differences were found between groups, although a trend toward lower satisfaction was observed among female patients and those with a lower educational level. Conclusion: There is high overall satisfaction with the process. However, areas for improvement were identified regarding active participation in decision-making and risk communication, underscoring the need to strengthen the physician–patient relationship in emergency contexts. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: El consentimiento informado (CI) es un pilar fundamental en la práctica clínica y refleja la autonomía del paciente. Sin embargo, su aplicación efectiva presenta desafíos en contextos de urgencia, donde las decisiones críticas deben tomarse rápidamente. Se evaluó la percepción de los pacientes sobre el proceso de CI en cirugías de urgencia que requirieron una ostomía de descarga, para describir la percepción del proceso e identificar áreas de mejora. Materiales y Métodos: Se realizó un estudio observacional descriptivo en pacientes adultos sometidos a cirugía de urgencia con resección colónica o intestinal y confección de ostomía de descarga en un hospital público de Santiago de Chile, entre diciembre de 2024 y marzo de 2025 (N = 16). Se aplicó el cuestionario COMRADE para evaluar la satisfacción con la comunicación y la confianza en la decisión tomada. Resultados: Se obtuvo una satisfacción global del consentimiento informado de 85,4%, con un 82,2% en satisfacción con la comunicación y 88,8% en confianza en la decisión. No se encontraron diferencias significativas entre los grupos, aunque se identificó una tendencia a peor percepción en pacientes de sexo femenino y menor nivel educacional. Conclusión: Existe una alta satisfacción global con el proceso. No obstante, se identificaron áreas de mejora relacionadas con la participación activa en la toma de decisiones y la comunicación de riesgos, reforzando la necesidad de fortalecer la relación médico-paciente en contextos de urgencia. [ABSTRACT FROM AUTHOR]
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Abstract:Introduction: Informed consent (IC) is a cornerstone of clinical practice, reflecting patient autonomy. However, its effective implementation presents challenges in emergency settings. This study evaluated patients’ perception of the IC process in emergency surgeries requiring a diverting stoma, aiming to describe the process and identify opportunities for improvement. Materials and Methods: A descriptive observational study was conducted on adult patients undergoing emergency surgery with intestinal resection and creation of a diverting stoma at a public hospital in Santiago, Chile, between December 2024 and March 2025 (N = 16). The COMRADE questionnaire was applied to assess satisfaction with communication and confidence in the decision made. Results: The overall satisfaction score with IC was 85.4%, with 82.2% in satisfaction with communication and 88.8% in confidence in the decision. No statistically significant differences were found between groups, although a trend toward lower satisfaction was observed among female patients and those with a lower educational level. Conclusion: There is high overall satisfaction with the process. However, areas for improvement were identified regarding active participation in decision-making and risk communication, underscoring the need to strengthen the physician–patient relationship in emergency contexts. [ABSTRACT FROM AUTHOR]
ISSN:24524557
DOI:10.35687/s2452-454920260042987