Evidence map›Paper›PMID 33530693›Full record

Trial reportAmerican journal of rhinology & allergy2021

Educational Informed Consent Video Equivalent to Standard Verbal Consent for Rhinologic Surgery: A Randomized Controlled Trial.

Joseph P Penn, Rohit Nallani, Erin L Dimon, Taylor C Daniels, Kevin J Sykes, Alexander G Chiu, Mark R Villwock, Jennifer A Villwock

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of rhinology & allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Joseph P PennDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas, Medical Center, Kansas City, Kansas.ORCID https://orcid.org/0000-0002-4237-3783
Rohit NallaniDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas, Medical Center, Kansas City, Kansas.ORCID https://orcid.org/0000-0001-6313-205X
Erin L DimonSchool of Medicine, University of Kansas, Kansas City, Kansas.
Taylor C DanielsSchool of Medicine, University of Kansas, Kansas City, Kansas.
Kevin J SykesDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas, Medical Center, Kansas City, Kansas.ORCID https://orcid.org/0000-0001-9379-3406
Alexander G ChiuDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas, Medical Center, Kansas City, Kansas.
Mark R VillwockDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas, Medical Center, Kansas City, Kansas.
Jennifer A VillwockDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas, Medical Center, Kansas City, Kansas.

Funding

Institutional Career Development CoreKL2TR002367 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI MATTHEW W MOSCONI, NICOLE L NOLLEN · 2017 to 2026
$7.3M
NCATS NIH HHS KL2 TR002367
6 · The paper itself

Abstract

backgroundInformed consent is an integral part of pre-operative counseling. However, information discussed can be variable. Recent studies have explored the use of multimedia in providing informed consent for rhinologic surgery.

objectiveTo measure impact of an educational video (Video) compared to verbal informed consent (Verbal) on knowledge gained, alleviation of concerns, and efficiency.

methodsPatients undergoing endoscopic sinus surgery (ESS), septoplasty, or ESS+septoplasty were prospectively enrolled and randomized to receive Video or Verbal consent. The Video group watched an educational video; the Verbal group received standard verbal consent from an Otolaryngology resident per institutional protocol. Both groups had the opportunity to discuss questions or concerns with their attending surgeon. Prior to, and after, consent was signed, both groups completed surveys regarding knowledge of purpose, risks, and benefits of surgery as well as surgical concerns. Decision regret and patient satisfaction were also assessed post-operatively.

results77 patients were enrolled (39 Video, 38 Verbal). Demographics were not significantly different between groups. Overall knowledge significantly improved (p < 0.005) and concerns significantly decreased (p < 0.001) following consent in both groups. Improvements in these metrics were equivalent between groups (p < 0.02). Furthermore, resident time to complete consent, patient satisfaction, and decision regret were not significantly different between groups.

conclusionUse of an educational video was equivalent to standard verbal informed consent for patients undergoing rhinologic surgery. Otolaryngologists can consider developing procedure-specific videos to allow allocation of time to other tasks, standardized education of patients, and streamlining of the informed consent process.

Indexed as

Informed ConsentRhinoplastyEndoscopyHumansPatient SatisfactionSurveys and Questionnairesdecision regreteducational videoendoscopic sinus surgeryinformed consentmultimediapatient educationpatient satisfactionrhinologyseptoplastystandardized consent

Identifiers

PMID33530693
PMCPMC9793427

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.