The Effect of Written Information on Recall of Surgical Risks of Carpal Tunnel Release Surgery: A Randomized Controlled Study

Wong, Alison; Martin, Janet L.; Tang, David; LeBlanc, Martin; Morris, Steven F.; Paletz, Justin; Stein, Julia; Wong, Michael; Bezuhly, Michael

doi:10.1097/prs.0000000000002771

Cited by 14 publications

(35 citation statements)

References 31 publications

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“…The informed consent process is an ethically and legally critical process, as it informs patients about their treatment and the relevant processes that they will undergo before and after treatment [ 1 , 2 ]. The importance of the informed consent process is further highlighted in cases involving clear risks, potential complications, and subjective assessments of postoperative outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…at Chosun University hospital. The patient sample size was calculated with reference to another study about recall of surgical risks [ 1 ]. Calculation with α=0.05, effect size=0.5, and power=0.80 identified the requirement of 26 participants in each group (G*Power 3.1.9.2; Heinrich Heine University Düsseldorf, Düsseldorf, Germany).…”

Section: Methodsmentioning

confidence: 99%

“…During the informed consent process, patients were explained about their current state, the surgical techniques, and the possible postoperative outcomes and risks [ 1 ]. The number of recalled surgical risks after surgery can be used as a parameter to determine how well the patient understood the informed consent process [ 1 , 6 , 9 ]. The control group underwent the traditional informed consent process with verbal descriptions and paper permission.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Informed consent involves providing information about the condition, purpose, and risks of treatment, as well as the possible outcomes [ 1 ]. Particularly, explanation about surgical risks is an important aspect of the informed consent process [ 1 ]. Apart from the potential legal implications, explanation about the risks of surgery plays an important role in building a trusting relationship between the patient and surgeon, and if such trust is not present, patients can experience discomfort and anxiety, eventually leading to poor satisfaction [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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The efficacy of mobile application use on recall of surgical risks in nasal bone fracture reduction surgery

Kim

Cheon

Choi

et al. 2018

Arch Craniofac Surg

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Background The number of surgical risks recalled by a patient after surgery can be used as a parameter for assessing how well the patient has understood the informed consent process. No study has investigated the usefulness of a self-developed mobile application in the traditional informed consent process in patients with a nasal bone fracture. This study aimed to investigate whether delivery of information, such as surgical risks, through a mobile application is more effective than delivery of information through only verbal means and a paper.Methods This prospective, randomized study included 60 patients with a nasal bone fracture. The experimental group (n=30) received preoperative explanation with the traditional informed consent process in addition to a mobile application, while the control group (n=30) received preoperative explanation with only the traditional informed consent process. Four weeks after surgery, the number of recalled surgical risks was compared for analysis. The following six surgical risks were explained: pain, bleeding, nasal deformity, numbness, nasal obstruction, and nasal cartilage necrosis.Results The mean number of recalled surgical risks among all patients was 1.58±0.56. The most frequently recalled surgical risk was nasal deformity in both groups. The mean number of recalled surgical risks was 1.72±0.52 in the experimental group and 1.49±0.57 in the control group. There was a significant association between mobile application use and the mean number of recalled surgical risks (p=0.047). Age, sex, and the level of education were not significantly associated with the mean number of recalled surgical risks.ConclusionThis study found that a mobile application could contribute to the efficient delivery of information during the informed consent process. With further improvement, it could be used in other plastic surgeries and other surgeries, and such an application can potentially be used for explaining risks as well as delivering other types of information.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%