Consensus regarding transoral robotic surgery (TORS) complications for use in a proposed standardised consent form
Gupta, Keshav Kumar Simons, Anthony Mortimore, Sean Walker, David Sahota, Raguwinder Bindy De, Mriganka Arora, Asit Garas, George
Gupta, Keshav Kumar
Simons, Anthony
Mortimore, Sean
Walker, David
Sahota, Raguwinder Bindy
De, Mriganka
Arora, Asit
Garas, George
Affiliation
Birmingham Women's and Children's NHS Foundation Trust; Nottingham University Hospitals NHS Trust; University Hospitals of Derby and Burton NHS Foundation Trust; Royal Surrey NHS Foundation Trust; University Hospitals of Leicester NHS Trust; University Hospitals Birmingham NHS Foundation Trust; Guy's and St Thomas' NHS Foundation Trust; Imperial College London; Imperial College Healthcare NHS Trust; Athens Medical Center and Psychiko Clinic
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Publication date
2025-05-15
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Abstract
Consenting patients for surgery is a vital process with ethical and legal implications. The use of a standardised consent form may provide a solution to issues related to poor communication surrounding the consenting process. To date, there is no standardised consent form available for use specifically for transoral robotic surgery (TORS) across robotic centres. In an attempt to improve the consenting process relating specifically to TORS, this study aims to develop a standardised consent form using a modified Delphi process. A modified Delphi process was employed to define consensus for complications to be used in a standardised consent form for TORS. An initial iteration was devised using a literature search with experts rating each item using a Likert scale. The process was repeated until consensus was reached for all items. Two rounds were completed with seven experts detailing key risks to be included on a standardised TORS consent form. This study is the first to propose a standardised consent form for use specifically in TORS. The authors agree with other literature that suggests that the use of standardised consent forms provide numerous advantages over handwritten forms. Future studies are needed to evaluate its implementation across multiple centres in order to assess the proposed benefits to both clinicians and patients.
Citation
Gupta KK, Simons A, Mortimore S, Walker D, Sahota RB, De M, Arora A, Garas G. Consensus regarding transoral robotic surgery (TORS) complications for use in a proposed standardised consent form. J Robot Surg. 2025 May 15;19(1):217. doi: 10.1007/s11701-025-02389-z.
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Article