Poster, Podium & Video Sessions
Presentation Authors: Sebastian Armijos León*, Federico Rodriguez-Rubio, Cadiz, Spain, Jorge Rioja Zuazu, Zaragoza, Spain, Virginia Sanchez Barrios, Guildford, United Kingdom, Juan González Caballero, Cádiz, Spain, Bandi Sanjeev, Brisbane, Australia, Elba Canelon, Cadiz, Spain
Introduction: Informed consent (IC) is the authorization on a voluntary basis for a medical or surgical procedure. At present, the method for providing this information is non-engaging obsolete and in need of updating. Technology plays an important role and the application (app) allows us to describe the surgery with HD videos and interact with the patient using illustrations.
The aim of this study is to compare the comprehension of the patient between Standard Verbal Communication (SVC) and Portable Video Media (PVM) as in iURO apps in the IC process.
Trial registration number ClinicalTrials.gov ID: NCT02846467.
Methods: The sample consisted of 158 patients undergoing transurethral resection of the prostate or bladder. They were informed by the written IC and subsequently randomized in two groups: patients informed by PVM (group E) and patients with SVC (group C). A validated questionnaire was used to compare the comprehension immediately and 15 days after the surgery. Questionnaire items: information (1), usefulness of the intervention (2), side effects (3), complications (4), comorbidity (5), usefulness of the information (6), anxiety (7) and risks (8).
The study was carried out from December 2013 to March 2016 at the University Hospital in Puerto Real (Spain). The analysis was performed with the statistical package SPSS®.
Results: More than 75% of the patients were male and the average age was 68 and 69 years in groups E and C respectively.
Before surgery, the questionnaire results demonstrated 6 of 8 items of information were improved by the app with statistical significance (p<0.05), the items improved were: 1, 2, 5, 6, 7 and 8 (table 1). The results after surgery showed improvement in 7 of the 8 items for the app but only 4 have p<0.05, the items improved were: 1, 6, 7 and 8 (table 2).
Conclusions: The IC process must advance hand in hand with the technological innovations currently being implemented in medicine. This study demonstrates objectively, that the comprehension of the patient before and after surgery is greatly improved when using the app, as a more effective means of content delivery. The results of our study are very encouraging, there is evidence of benefits to patients and indirectly for the improvement of the quality of services provided within the health system.
Source Of Funding: None