September 7th, 2010
Patients Still Overestimate Benefits of Elective PCI
Patients who undergo elective PCI continue to overestimate the procedure’s benefits, according to a small study published in the Annals of Internal Medicine. Michael Rothberg and colleagues surveyed 153 patients and 27 cardiologists at a single academic center and found that 88% of the patients thought PCI would reduce their risk for MI and 82% thought it would reduce their risk for fatal MI. By contrast, most of the cardiologists believed that PCI’s benefits in stable patients like these would be limited to symptom relief.
In an accompanying editorial, Alicia Fernandez writes that informed consent needs to be greatly improved: “Informed consent requires us to do more than tell our patients about the risks of the treatments we offer them. We need to make sure our patients also fully understand the anticipated benefits.”
Note to readers: Rick Lange has started a discussion on this topic in the Interventional Cardiology section of CardioExchange. Click here to join the discussion.