eprintid: 10059170
rev_number: 27
eprint_status: archive
userid: 608
dir: disk0/10/05/91/70
datestamp: 2018-10-24 14:23:19
lastmod: 2021-10-12 22:03:12
status_changed: 2018-10-24 14:23:19
type: article
metadata_visibility: show
creators_name: Marcus, HJ
creators_name: Jain, A
creators_name: Grieve, J
creators_name: Dorward, NL
title: Informed Consent for Patients Undergoing Transsphenoidal Excision of Pituitary Adenoma: Development and Evaluation of a Procedure-Specific Online Educational Resource
ispublished: pub
subjects: UCH
divisions: UCL
divisions: B02
divisions: C07
divisions: D07
keywords: Consent, Pituitary, Surgery, Transsphenoidal
note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
abstract: OBJECTIVE: The results of recent high-profile delict and medical negligence cases now require doctors to take "reasonable care to ensure that the patient is aware of any material risks involved in any recommended treatment, and of any reasonable alternative or variant treatments." Thus, we report the development and evaluation of a procedure-specific online educational resource to support the informed consent process for patients undergoing transsphenoidal excision of pituitary adenomas. METHODS: An interactive educational multimedia website was developed using a combination of text, images, and videos. A telephone questionnaire was devised to evaluate patients' understanding that included 15 true/false questions. The questionnaire was administered to separate cohorts of patients on the waiting list for transsphenoidal excision of a pituitary adenoma before and after introduction of the website. The patients were also asked to rate the extent to which they found the website easy to understand and useful on a 10-point Likert scale. Data were compared using the χ2 and Mann-Whitney U test, with P < 0.05 considered to indicate statistical significance. RESULTS: Ten consecutive patients completed the questionnaire before the introduction of the website and nine afterward. The median questionnaire scores were significantly greater after the introduction of the website (14 of 15 vs. 12 of 15; P = 0.002), and all patients subjectively found the website easy to understand and useful (10 of 10 in both groups). CONCLUSIONS: An interactive educational multimedia website appears to be a helpful adjunct to the informed consent process for patients undergoing transsphenoidal excision of a pituitary adenoma.
date: 2018-10
date_type: published
official_url: https://doi.org/10.1016/j.wneu.2018.07.102
oa_status: green
full_text_type: other
language: eng
primo: open
primo_central: open_green
article_type_text: Journal Article
verified: verified_manual
elements_id: 1593423
doi: 10.1016/j.wneu.2018.07.102
pii: S1878-8750(18)31580-8
lyricists_name: Marcus, Hani
lyricists_id: HJMAR16
actors_name: Flynn, Bernadette
actors_id: BFFLY94
actors_role: owner
full_text_status: public
publication: World Neurosurgery
volume: 118
pagerange: e933-e937
event_location: United States
issn: 1878-8769
citation:        Marcus, HJ;    Jain, A;    Grieve, J;    Dorward, NL;      (2018)    Informed Consent for Patients Undergoing Transsphenoidal Excision of Pituitary Adenoma: Development and Evaluation of a Procedure-Specific Online Educational Resource.                   World Neurosurgery , 118    e933-e937.    10.1016/j.wneu.2018.07.102 <https://doi.org/10.1016/j.wneu.2018.07.102>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10059170/1/Marcus_Manuscript%20-%20HJM090718%20-%20Clean.pdf