The Impact of Video Consent on Patient Satisfaction When Undergoing Percutaneous Nephrolithotomy: A Randomized Control Trial

<b>Introduction:</b> Consent-taking for surgery evolved from a historical paternalistic approach to informed consent in the mid-20th century. Modern healthcare models prioritize patient-centric care, and the use of multimedia tools may overcome challenges such as language barriers and co...

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Main Authors: Kartik Sharma, Gautam Ram Choudhary, Shiv Charan Navriya, Jeena Raju Kudunthail, Deepak Prakash Bhirud, Mahendra Singh, Arjun Singh Sandhu
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Société Internationale d’Urologie Journal
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Online Access:https://www.mdpi.com/2563-6499/6/1/3
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author Kartik Sharma
Gautam Ram Choudhary
Shiv Charan Navriya
Jeena Raju Kudunthail
Deepak Prakash Bhirud
Mahendra Singh
Arjun Singh Sandhu
author_facet Kartik Sharma
Gautam Ram Choudhary
Shiv Charan Navriya
Jeena Raju Kudunthail
Deepak Prakash Bhirud
Mahendra Singh
Arjun Singh Sandhu
author_sort Kartik Sharma
collection DOAJ
description <b>Introduction:</b> Consent-taking for surgery evolved from a historical paternalistic approach to informed consent in the mid-20th century. Modern healthcare models prioritize patient-centric care, and the use of multimedia tools may overcome challenges such as language barriers and complex medical surgical steps. This study evaluates the impact of an educational video on patient satisfaction for those undergoing percutaneous nephrolithotomy (PCNL), a procedure where explaining complexities verbally can be challenging. <b>Materials and Methods:</b> A randomized control trial was conducted at a tertiary care center in India from July 2022 to April 2024. A total of 232 adult patients scheduled for PCNL were randomly assigned to a study group (Group A) or a control group (Group B). Group A viewed an educational video about PCNL, while Group B provided standard written consent. The video, presented in patients’ native languages, covered procedural details, potential outcomes, and post-operative care. Patient satisfaction was assessed using a 10-question questionnaire at discharge, with scores ranging from one (poor) to five (best). Statistical analysis was performed using SPSS software to compare outcomes between the two groups. <b>Results:</b> The study found that Group A exhibited significantly higher satisfaction compared to Group B across all domains. Group A demonstrated a better understanding of the procedure, improved knowledge of post-operative care, reduced anxiety, and a greater awareness of potential complications. Specifically, the mean satisfaction scores for Group A were higher in understanding the procedure (13.15 vs. 10.00), post-operative care (8.46 vs. 6.84), and overall anxiety (8.65 vs. 6.96). The video also improved patients’ comprehension regarding potential complications and the need for further procedures. Complication rates and hospital stay durations were similar between both groups. <b>Discussion:</b> The educational video significantly enhanced patient satisfaction and the understanding of PCNL. This multimedia approach provided a consistent, clear explanation of the procedure, which improved patient comprehension and reduced anxiety, irrespective of literacy levels. These findings support the integration of video-assisted consent in pre-operative education to enhance patient engagement and satisfaction. <b>Conclusions:</b> The use of an educational video for consent in PCNL improves patient understanding and satisfaction. This method effectively complements traditional consent processes, providing a valuable tool for patient education in complex procedures.
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spelling doaj-art-14be089a95344c8cb15dc962d2007e6d2025-08-20T03:17:19ZengMDPI AGSociété Internationale d’Urologie Journal2563-64992025-02-0161310.3390/siuj6010003The Impact of Video Consent on Patient Satisfaction When Undergoing Percutaneous Nephrolithotomy: A Randomized Control TrialKartik Sharma0Gautam Ram Choudhary1Shiv Charan Navriya2Jeena Raju Kudunthail3Deepak Prakash Bhirud4Mahendra Singh5Arjun Singh Sandhu6Department of Urology, All India Institute of Medical Sciences (AIIMS), Jodhpur 342005, Rajasthan, IndiaDepartment of Urology, All India Institute of Medical Sciences (AIIMS), Jodhpur 342005, Rajasthan, IndiaDepartment of Urology, All India Institute of Medical Sciences (AIIMS), Jodhpur 342005, Rajasthan, IndiaDepartment of Urology, All India Institute of Medical Sciences (AIIMS), Jodhpur 342005, Rajasthan, IndiaDepartment of Urology, All India Institute of Medical Sciences (AIIMS), Jodhpur 342005, Rajasthan, IndiaDepartment of Urology, All India Institute of Medical Sciences (AIIMS), Jodhpur 342005, Rajasthan, IndiaDepartment of Urology, All India Institute of Medical Sciences (AIIMS), Jodhpur 342005, Rajasthan, India<b>Introduction:</b> Consent-taking for surgery evolved from a historical paternalistic approach to informed consent in the mid-20th century. Modern healthcare models prioritize patient-centric care, and the use of multimedia tools may overcome challenges such as language barriers and complex medical surgical steps. This study evaluates the impact of an educational video on patient satisfaction for those undergoing percutaneous nephrolithotomy (PCNL), a procedure where explaining complexities verbally can be challenging. <b>Materials and Methods:</b> A randomized control trial was conducted at a tertiary care center in India from July 2022 to April 2024. A total of 232 adult patients scheduled for PCNL were randomly assigned to a study group (Group A) or a control group (Group B). Group A viewed an educational video about PCNL, while Group B provided standard written consent. The video, presented in patients’ native languages, covered procedural details, potential outcomes, and post-operative care. Patient satisfaction was assessed using a 10-question questionnaire at discharge, with scores ranging from one (poor) to five (best). Statistical analysis was performed using SPSS software to compare outcomes between the two groups. <b>Results:</b> The study found that Group A exhibited significantly higher satisfaction compared to Group B across all domains. Group A demonstrated a better understanding of the procedure, improved knowledge of post-operative care, reduced anxiety, and a greater awareness of potential complications. Specifically, the mean satisfaction scores for Group A were higher in understanding the procedure (13.15 vs. 10.00), post-operative care (8.46 vs. 6.84), and overall anxiety (8.65 vs. 6.96). The video also improved patients’ comprehension regarding potential complications and the need for further procedures. Complication rates and hospital stay durations were similar between both groups. <b>Discussion:</b> The educational video significantly enhanced patient satisfaction and the understanding of PCNL. This multimedia approach provided a consistent, clear explanation of the procedure, which improved patient comprehension and reduced anxiety, irrespective of literacy levels. These findings support the integration of video-assisted consent in pre-operative education to enhance patient engagement and satisfaction. <b>Conclusions:</b> The use of an educational video for consent in PCNL improves patient understanding and satisfaction. This method effectively complements traditional consent processes, providing a valuable tool for patient education in complex procedures.https://www.mdpi.com/2563-6499/6/1/3percutaneous nephrolithotomyPCNLvideo consent
spellingShingle Kartik Sharma
Gautam Ram Choudhary
Shiv Charan Navriya
Jeena Raju Kudunthail
Deepak Prakash Bhirud
Mahendra Singh
Arjun Singh Sandhu
The Impact of Video Consent on Patient Satisfaction When Undergoing Percutaneous Nephrolithotomy: A Randomized Control Trial
Société Internationale d’Urologie Journal
percutaneous nephrolithotomy
PCNL
video consent
title The Impact of Video Consent on Patient Satisfaction When Undergoing Percutaneous Nephrolithotomy: A Randomized Control Trial
title_full The Impact of Video Consent on Patient Satisfaction When Undergoing Percutaneous Nephrolithotomy: A Randomized Control Trial
title_fullStr The Impact of Video Consent on Patient Satisfaction When Undergoing Percutaneous Nephrolithotomy: A Randomized Control Trial
title_full_unstemmed The Impact of Video Consent on Patient Satisfaction When Undergoing Percutaneous Nephrolithotomy: A Randomized Control Trial
title_short The Impact of Video Consent on Patient Satisfaction When Undergoing Percutaneous Nephrolithotomy: A Randomized Control Trial
title_sort impact of video consent on patient satisfaction when undergoing percutaneous nephrolithotomy a randomized control trial
topic percutaneous nephrolithotomy
PCNL
video consent
url https://www.mdpi.com/2563-6499/6/1/3
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