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Using hyperrealistic simulations to improve digital informed consent for endourological procedures.

Víctor Galve Lahoz1, David Corbatón Gomollón2, Federico Rodríguez-Rubio Cortadellas3

  • 1Urology Service, Hospital Ernest Lluch Martin, Zaragoza, Spain.

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|December 26, 2021
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Summary

Digital informed consent using hyperrealistic simulations significantly improved patients' understanding of information before endourological procedures. This enhanced digital informed consent (DIC) method boosts comprehension and patient engagement.

Keywords:
#Urologycomprehensioninformed consentmultimediaurologic surgical proceduresvideo-audio media

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Area of Science:

  • Urology
  • Medical Education
  • Informed Consent

Background:

  • Informed consent is crucial for patient autonomy in medical procedures.
  • Traditional methods of delivering informed consent may not always ensure adequate patient understanding.
  • Digital tools offer potential for improving patient comprehension.

Purpose of the Study:

  • To evaluate if digital informed consent (DIC) enhances subjective understanding of information.
  • To determine the impact of DIC on informed consent for endourological procedures.

Main Methods:

  • A nonblinded randomized controlled trial involving 84 patients undergoing urological procedures.
  • The intervention group received digital informed consent via a hyperrealistic simulation on a tablet.
  • Patients completed validated questionnaires assessing understanding, anxiety, and information needs post-surgery and at 30 days.

Main Results:

  • The digital informed consent group showed a 14.5% higher immediate subjective understanding score compared to the control group (72% vs 57.5%, P=0.006).
  • No significant differences were observed in anxiety or information utility/need between groups for delayed understanding.
  • Subgroup analysis indicated higher, though not statistically significant, understanding scores in the DIC group across different education levels.

Conclusions:

  • Hyperrealistic simulations as a form of digital informed consent effectively improve subjective understanding.
  • This digital approach enhances the quality of informed consent for patients undergoing endourological procedures.