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Orthotopic Rat Kidney Transplantation: A Novel and Simplified Surgical Approach

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e-Consent: approaching surgical consent with mobile technology

Allison Bethune¹, Marisol Davila-Foyo¹, Mikaeel Valli¹

¹From the Division of Neurosurgery, Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ont. (Bethune, Costa, Davila-Foyo); and the Institute of Medical Sciences, University of Toronto, Toronto, Ont. (Valli).

Canadian Journal of Surgery. Journal Canadien De Chirurgie

|September 25, 2018

Summary

This summary is machine-generated.

A multimedia e-book significantly improved patient knowledge for neurosurgical procedures. This tool enhances informed consent discussions, ensuring patients make better decisions about their care.

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Area of Science:

Neurosurgery
Medical Education
Patient Communication

Background:

Patient recall of surgical risks, benefits, and outcomes is often inadequate.
Informed consent is crucial for elective neurosurgical procedures.
Enhancing patient understanding is key to improving the consent process.

Purpose of the Study:

To evaluate if a multimedia educational tool improves patient knowledge for informed consent.
To assess the impact of an e-book on patient understanding of neurosurgical procedures.

Main Methods:

Adult patients undergoing elective neurosurgery were randomized into control (standard consent) and intervention (e-book + standard consent) groups.
Participants completed a 14-item questionnaire pre- and post-consent discussion.
The study involved 38 participants from a single neurosurgical site.

Main Results:

The intervention group showed significantly higher post-discussion questionnaire scores (23.2) compared to the control group (20.2) (p=0.02).
Patient knowledge significantly increased in the intervention group after using the e-book (p=0.03).
No significant knowledge change was observed in the control group.

Conclusions:

An electronic booklet effectively enhances patient knowledge regarding neurosurgical procedures.
Multimedia tools can standardize and optimize the informed consent process.
Improved patient understanding facilitates truly informed decision-making.