<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902018000200067</article-id>
<article-id pub-id-type="doi">10.29193/rmu.34.2.4</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Demanda de información y conocimiento de los pacientes de su derecho a decidir o rechazar una cirugía. Experiencia en dos servicios quirúrgicos]]></article-title>
<article-title xml:lang="en"><![CDATA[Patients' demand for information and awareness of their right to decide on undergoing or refusing surgery. Experience in two surgical departments]]></article-title>
<article-title xml:lang="pt"><![CDATA[Demanda de informação e de conhecimento dos pacientes sobre seu direito a decidir ou rejeitar uma cirurgia. Experiência em dois serviços cirúrgicos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lozano]]></surname>
<given-names><![CDATA[Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borgno]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Mora]]></surname>
<given-names><![CDATA[Franco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lagos]]></surname>
<given-names><![CDATA[Fidel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borches]]></surname>
<given-names><![CDATA[Frances]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Wetsch]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrero]]></surname>
<given-names><![CDATA[Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Almada]]></surname>
<given-names><![CDATA[Hugo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Departamento de Medicina y Ciencias Forenses]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Clínica Quirúrgica 2]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Unidad de Sociología de la Salud. Departamento de Medicina Preventiva y Social]]></institution>
<addr-line><![CDATA[ Montevideo]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Departamento de Medicina Legal y Ciencias Forenses]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Departamento de Medicina Legal y Ciencias Forenses]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Unidad de Sociología de la Salud. Departamento de Medicina Preventiva y Social]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Departamento de Medicina Legal y Ciencias Forenses]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>34</volume>
<numero>2</numero>
<fpage>67</fpage>
<lpage>86</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902018000200067&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902018000200067&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902018000200067&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El consentimiento informado como deber del médico y derecho de los pacientes está expresamente reconocido en la legislación nacional con especial énfasis a partir de la aprobación de la Ley N° 18.335 en el año 2008. Sin embargo, se han evidenciado dificultades en el proceso de información y obtención del consentimiento. Mediante un cuestionario cerrado, anónimo y autoadministrado se consultó a pacientes operados sobre qué aspectos de la información consideraban relevantes conocer y qué conocimiento tenían sobre el derecho a ser informados. Más del 80% de los entrevistados manifestó el interés en contar con información sobre alternativas terapéuticas y sobre las complicaciones más frecuentes de la intervención. Asimismo, creyeron pertinente contar con la descripción del procedimiento al que serán sometidos y las opciones de modificar el tipo de cirugía durante la operación. Menos del 10% explicitó el interés en ser informado sobre el riesgo de muerte, la posibilidad de reintervenciones y en recibir información mediante figuras e imágenes ilustrativas del procedimiento. Se destaca que nueve de cada diez entrevistados admitieron conocer su derecho a ser informados sobre diferentes aspectos del acto quirúrgico y que casi la mitad (48%) consideró que debe confiar en las decisiones del médico sin importar la cantidad de información recibida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Informed consent as the physician´s obligation and the patient&#8217;s right is expressly recognized by the national law, mainly as from 2008, when Act Number 18335 was passed. However, certain difficulties have been seen in the information process and in connection with obtaining consent. Patients who underwent surgery were consulted by means of a closed, anonymous and self-administered survey as to the specific aspects they considered relevant to know and how familiar they were with their right to be informed. Over 80% of the patients in the survey stated they were interested in learning about treatment alternatives and the most frequent complications arising from treatment. Likewise, they thought it would be appropriate to know about the procedure they would undergo and the options available to modify the kind of surgery once it had started. Under 105 of patients stated they were interested in learning about life-threatening risks, the chance of a needing to operate again and receiving information through pictures and illustrations showing the procedure. The study points out 9 out of ten patients admitted they knew about their right to be informed about different aspect of the surgery and that almost half of them (48%) stated they needed to trust the decisions made by physicians, regardless of the quality of the information received.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: Ele informou o dever do médico e paciente lei consentimento é expressamente reconhecido pela legislação nacional, com ênfase especial a partir da adoção da Lei nº 18.335, em 2008. No entanto, eles têm demonstrado dificuldades no processo de informação e obter consentimento. Através de um questionário fechado, anônimo e autoadministrado, os pacientes operavam quais aspectos da informação que consideravam relevantes para conhecer e quais os conhecimentos que tinham sobre o direito de serem informados. Mais de 80% dos entrevistados manifestaram interesse em ter informações sobre alternativas terapêuticas e sobre as complicações mais frequentes da intervenção. Da mesma forma, consideraram pertinente a descrição do procedimento a que serão submetidas e as opções para modificar o tipo de cirurgia durante a operação. Menos de 10% manifestaram interesse em ser informado sobre o risco de morte, possibilidade de reintervenções e recebimento de informações através de figuras e imagens que ilustram o procedimento. Ele destaca que nove em cada dez inquiridos admitiram a conhecer o seu direito de ser informado sobre os diferentes aspectos da cirurgia e quase metade (48%) considerou deve confiar nas decisões do médico, independentemente da quantidade de informações recebidas.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Consentimiento informado]]></kwd>
<kwd lng="es"><![CDATA[Cirugía]]></kwd>
<kwd lng="es"><![CDATA[Derechos del paciente]]></kwd>
<kwd lng="es"><![CDATA[Acceso a la información]]></kwd>
<kwd lng="en"><![CDATA[Informed consent]]></kwd>
<kwd lng="en"><![CDATA[Surgery]]></kwd>
<kwd lng="en"><![CDATA[Patient rights]]></kwd>
<kwd lng="en"><![CDATA[Access to information]]></kwd>
<kwd lng="pt"><![CDATA[Consentimento livre e esclarecido]]></kwd>
<kwd lng="pt"><![CDATA[Cirurgia]]></kwd>
<kwd lng="pt"><![CDATA[Direitos do paciente]]></kwd>
<kwd lng="pt"><![CDATA[Acesso à informação]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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