Educational Video Addition to the Bariatric Surgery Informed Consent Process: a Randomized Controlled Trial
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ORIGINAL CONTRIBUTIONS
Educational Video Addition to the Bariatric Surgery Informed Consent Process: a Randomized Controlled Trial Kutay Saglam 1 & Cuneyt Kayaalp 1 & Aydin Aktas 1 & Fatih Sumer 1
# Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Objective Bariatric surgery is not a risk-free procedure and requires lifelong patient compliance in the postoperative period. Although the risks involved in bariatric surgery and the importance of lifelong follow-ups in the postoperative period are explained to patients in detail through verbal and written informed consent, the strong desire for weight loss can sometimes cause patients and their families to be ignorant of the mentioned issues preoperatively. The objective of this study is to evaluate the effectiveness of preoperative informational videos at improving the comprehension of informed consent content in bariatric surgery candidates. Materials and Methods A total of 74 bariatric surgery candidates were randomized into two groups. The first group was given a usual verbal-written informed consent. The second group got an additional informing video presentation informed consent, in addition to the usual verbal-written informed consent. Then, both groups got a questionnaire evaluating their knowledge of bariatric surgery informed consent. The correct response scores and their relationship with patient demographics were analyzed. Results Both groups had similar demographic features. Video-presented group had higher scores in questionnaire (11.3 ± 2.3 versus 9.4 ± 1.7, p = 0.001). Subgroup analysis showed that health care workers (12.5 ± 1.9 versus 10.3 ± 2.2, p = 0.005) and university graduates (11.6 ± 2.4 versus 10.1 ± 2.1, p = 0.03) got better results in the questionnaire. In multivariate analysis, videoassisted informing was found to be the only independent variable for high questionnaire scores (p = 0.0001). Conclusions This study showed that video-assisted informed consent improves patients’ comprehension prior to bariatric surgery. We recommend routine preoperative video-assisted informing for bariatric surgery candidates in addition to usual verbalwritten informed consent. Keywords Multimedia . Informed consent . Overweight . Obesity . Metabolic surgery . Sleeve gastrectomy . Roux-en-Y gastric bypass
Introduction Obesity is a growing health problem in the world, and surgical procedures recently became the most effective treatment option for morbid obesity. According to the International Federation of Obesity and Metabolic Disorders, in 2014, 580,000 metabolic operations were performed worldwide [1]. Bariatric surgery itself is not a risk-free procedure, and it additionally requires lifelong postoperative patient adherence,
* Kutay Saglam [email protected] 1
Department of Gastrointestinal Surgery, Inonu University, 44315 Malatya, Turkey
including routine check-ups, taking vitamin and mineral supplements, and avoiding early postoperative pregnancy. Although the risks involved in bariatric surgery and the importance of lifelong
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