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Improving the Quality of Informed Consent: It Is Not All About the Risks

Alicia Fernandez, MD
[+] Article, Author, and Disclosure Information

From University of California, San Francisco, San Francisco, CA 94143-1364.

Acknowledgment: The author acknowledges Rachel Stern, BA, for insightful comments on earlier versions of this editorial.

Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M10-1687.

Requests for Single Reprints: Alicia Fernandez, MD, Department of Medicine, University of California, San Francisco, Box 1364, San Francisco, CA 94143-1364; e-mail, afernandez@medsfgh.ucsf.edu.

Ann Intern Med. 2010;153(5):342-343. doi:10.7326/0003-4819-153-5-201009070-00011
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Percutaneous coronary intervention (PCI) for stable coronary artery disease is one of the most common invasive procedures performed in the United States (1). Since the publication of the COURAGE (Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation) trial in 2007 (2), PCI is widely recognized to offer more immediate relief of angina than optimal medical therapy in stable patients with coronary artery disease, while conferring no additional benefit in the risk for myocardial infarction (MI) or death.

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