Evidence map›Paper›PMID 37695436›Full record

SynthesisActa neurochirurgica2023

The use of e-consent in surgery and application to neurosurgery: a systematic review and meta-analysis.

Asfand Baig Mirza, Abbas Khizar Khoja, Fizza Ali, Mustafa El-Sheikh, Ammal Bibi-Shahid, Jandira Trindade, Brett Rocos, Gordan Grahovac, Jonathan Bull, Alexander Montgomery and 2 more

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Acta neurochirurgica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

12 authors.

Asfand Baig MirzaDepartment of Neurosurgery, Queens Hospital Romford, London, UK.
Abbas Khizar KhojaGuy's, King's and St Thomas' School of Medical Education, King's College London, London, UK. khizerabbas40@hotmail.com.ORCID 0000-0002-5889-548X
Fizza AliGuy's, King's and St Thomas' School of Medical Education, King's College London, London, UK.
Mustafa El-SheikhDepartment of Neurosurgery, Queens Hospital Romford, London, UK.
Ammal Bibi-ShahidGuy's, King's and St Thomas' School of Medical Education, King's College London, London, UK.
Jandira TrindadeRoyal London Hospital, Barts Health NHS Trust, London, UK.
Brett RocosRoyal London Hospital, Barts Health NHS Trust, London, UK.
Gordan GrahovacKing's College Hospital, Kings NHS Foundation Trust, Denmark Hill, London, UK.
Jonathan BullRoyal London Hospital, Barts Health NHS Trust, London, UK.
Alexander MontgomeryRoyal London Hospital, Barts Health NHS Trust, London, UK.
Babak ArvinDepartment of Neurosurgery, Queens Hospital Romford, London, UK.
Ahmed-Ramadan SadekDepartment of Neurosurgery, Queens Hospital Romford, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe integration of novel electronic informed consent platforms in healthcare has undergone significant growth over the last decade. Adoption of uniform, accessible, and robust electronic online consenting applications is likely to enhance the informed consent process and improve the patient experience and has the potential to reduce medico-legal ramifications of inadequate consent. A systematic review and meta-analysis was conducted to evaluate the utility of novel electronic means of informed consent in surgical patients and discuss its application to neurosurgical cohorts.

methodsA review of randomised controlled trials, non-randomised studies of health interventions, and single group pre-post design studies in accordance with the PRISMA statement. Random effects modelling was used to estimate pooled proportions of study outcomes. Patient satisfaction with the informed consent process and patients' gain in knowledge were compared for electronic technologies versus non-electronic instruments. A sub-group analysis was conducted to compare the utility of electronic technologies in neurosurgical cohorts relative to other surgical patients in the context of patient satisfaction and knowledge gain.

resultsOf 1042 screened abstracts, 63 studies were included: 44 randomised controlled trials (n = 4985), 4 non-randomised studies of health interventions (n = 387), and 15 single group pre-post design studies (n = 872). Meta-analysis showed that electronic technologies significantly enhanced patient satisfaction with the informed consent process (P < 0.00001) and patients' gain in knowledge (P < 0.00001) compared to standard non-electronic practices. Sub-group analysis demonstrated that neurosurgical patient knowledge was significantly enhanced with electronic technologies when compared to other surgical patients (P = 0.009), but there was no difference in patient satisfaction between neurosurgical cohorts and other surgical patients with respect to electronic technologies (P = 0.78).

conclusionsNovel electronic technologies can enhance patient satisfaction and increase patients' gain in knowledge of their surgical procedures. Electronic patient education tools can significantly enhance patient knowledge for neurosurgical patients. If used appropriately, these modalities can shorten and/or improve the consent discussion, streamlining the surgical process and improving satisfaction for neurosurgical patients.

Indexed as

NeurosurgeryHumansInformed ConsentNeurosurgical ProceduresPatient Satisfactione-ConsentElectronic technologiesInformed consentMeta-analysisPatient satisfactionSurgery

Identifiers

PMID37695436
PMCPMC10624752

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Registered trials

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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.