PDF(Pubmed)
Abstract：
UNASSIGNED: The evolution of treatment options for painful spinal disorders in diverse settings has produced a variety of approaches to patient care among clinicians from multiple professional backgrounds. The American Society of Pain and Neuroscience (ASPN) Best Practice group identified a need for a multidisciplinary guideline regarding appropriate and effective informed consent processes for spine procedures.
UNASSIGNED: The ASPN Informed Consent Guideline was developed to provide clinicians with a comprehensive evaluation of patient consent practices during the treatment of spine pathology.
UNASSIGNED: After a needs assessment, ASPN determined that best practice regarding proper informed consent for spinal procedures was needed and a process of selecting faculty was developed based on expertise, diversity, and knowledge of the subject matter. A comprehensive literature search was conducted and when appropriate, evidence grading was performed. Recommendations were based on evidence when available, and when limited, based on consensus opinion.
UNASSIGNED: Following a comprehensive review and analysis of the available evidence, the ASPN Informed Consent Guideline group rated the literature to assist with specification of best practice regarding patient consent during the management of spine disorders.
UNASSIGNED: Careful attention to informed consent is critical in achieving an optimal outcome and properly educating patients. This process involves a discussion of risks, advantages, and alternatives to treatment. As the field of interventional pain and spine continues to grow, it is imperative that clinicians effectively educate patients and obtain comprehensive informed consent for invasive procedures. This consent should be tailored to the patient\'s specific needs to ensure an essential recognition of patient autonomy and reasonable expectations of treatment.
UNASSIGNED: The ASPN Informed Consent Guideline was developed to provide clinicians with a comprehensive evaluation of patient consent practices during the treatment of spine pathology.
UNASSIGNED: After a needs assessment, ASPN determined that best practice regarding proper informed consent for spinal procedures was needed and a process of selecting faculty was developed based on expertise, diversity, and knowledge of the subject matter. A comprehensive literature search was conducted and when appropriate, evidence grading was performed. Recommendations were based on evidence when available, and when limited, based on consensus opinion.
UNASSIGNED: Following a comprehensive review and analysis of the available evidence, the ASPN Informed Consent Guideline group rated the literature to assist with specification of best practice regarding patient consent during the management of spine disorders.
UNASSIGNED: Careful attention to informed consent is critical in achieving an optimal outcome and properly educating patients. This process involves a discussion of risks, advantages, and alternatives to treatment. As the field of interventional pain and spine continues to grow, it is imperative that clinicians effectively educate patients and obtain comprehensive informed consent for invasive procedures. This consent should be tailored to the patient\'s specific needs to ensure an essential recognition of patient autonomy and reasonable expectations of treatment.
摘要：
■在不同的环境中，疼痛性脊柱疾病的治疗选择的演变产生了来自多个专业背景的临床医生的多种患者护理方法。美国疼痛与神经科学学会（ASPN）最佳实践小组确定了关于脊柱手术的适当和有效的知情同意程序的多学科指南的必要性。
■ASPN知情同意指南旨在为临床医生提供脊柱病理治疗期间患者同意实践的全面评估。
■在需求评估之后，ASPN确定，关于脊柱手术的适当知情同意的最佳实践是必要的，并根据专业知识制定了选择教师的过程。多样性,和主题知识。进行了全面的文献检索，并在适当的时候，进行证据分级。建议是基于现有证据，当有限时，基于共识意见。
■在对现有证据进行全面审查和分析之后，ASPN知情同意指南小组对文献进行评级,以帮助规范脊柱疾病治疗期间患者同意的最佳实践.
■仔细注意知情同意对于获得最佳结果和正确教育患者至关重要。这个过程涉及风险的讨论，优势,和治疗的替代方案。随着介入疼痛和脊柱领域的不断发展，临床医生必须对患者进行有效的教育,并获得侵入性手术的全面知情同意书.此同意应根据患者的具体需求进行调整，以确保对患者的自主性和合理的治疗预期的基本认可。
■ASPN知情同意指南旨在为临床医生提供脊柱病理治疗期间患者同意实践的全面评估。
■在需求评估之后，ASPN确定，关于脊柱手术的适当知情同意的最佳实践是必要的，并根据专业知识制定了选择教师的过程。多样性,和主题知识。进行了全面的文献检索，并在适当的时候，进行证据分级。建议是基于现有证据，当有限时，基于共识意见。
■在对现有证据进行全面审查和分析之后，ASPN知情同意指南小组对文献进行评级,以帮助规范脊柱疾病治疗期间患者同意的最佳实践.
■仔细注意知情同意对于获得最佳结果和正确教育患者至关重要。这个过程涉及风险的讨论，优势,和治疗的替代方案。随着介入疼痛和脊柱领域的不断发展，临床医生必须对患者进行有效的教育,并获得侵入性手术的全面知情同意书.此同意应根据患者的具体需求进行调整，以确保对患者的自主性和合理的治疗预期的基本认可。
