{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T23:30:27Z","timestamp":1787873427877,"version":"build-2784847793"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,12,3]],"date-time":"2022-12-03T00:00:00Z","timestamp":1670025600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,12,3]],"date-time":"2022-12-03T00:00:00Z","timestamp":1670025600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,12,3]],"date-time":"2022-12-03T00:00:00Z","timestamp":1670025600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/K00414X\/1"],"award-info":[{"award-number":["MR\/K00414X\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000341","name":"Arthritis Research UK","doi-asserted-by":"publisher","award":["19891"],"award-info":[{"award-number":["19891"]}],"id":[{"id":"10.13039\/501100000341","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000297","name":"Royal College of Surgeons of England","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000297","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/K00414X\/1"],"award-info":[{"award-number":["MR\/K00414X\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000341","name":"Arthritis Research UK","doi-asserted-by":"publisher","award":["19891"],"award-info":[{"award-number":["19891"]}],"id":[{"id":"10.13039\/501100000341","id-type":"DOI","asserted-by":"publisher"}]},{"name":"EIDO Healthcare Limited"},{"DOI":"10.13039\/501100000297","name":"Royal College of Surgeons of England","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000297","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Despite the 2015\u00a0Montgomery Ruling highlighting key requisites for informed consent, little has changed to modernise data\u2010sharing and documentation of the consent process. It can be difficult to gauge patient understanding and address all patient concerns in time\u2010limited appointments. We aimed to assess the feasibility of a digital information\u2010sharing platform to support a move towards a digital informed consent process.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All adult patients referred to a single centre with symptomatic gallstones were invited to use a digital information\u2010sharing platform to support the informed consent process prior to their first surgical clinic appointment. The platform provided patients with multimedia information on gallstones and available treatment options. It recorded the time spent accessing information, asked patients multiple choice questions (MCQs) to allow a self\u2010test of understanding, documented a summary medical history, and allowed free text for patient questions. This information was summarised into a clinical report to support outpatient clinic consultations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 349 patients registered to use the digital platform, 203 (58.2%) [165 (81.3%) female, mean age 47.6 years (range 19\u201384 years)] completed all modules necessary to generate a clinical report. Some 130 patients (64.0%) answered all 10\u00a0MCQs correctly and spent a mean of 18.7\u00a0min (range 3\u201388\u00a0min) reading the consent information. Most patient\u2010reported medical histories were deemed to be accurate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite difficulties with access, resulting in drop\u2010outs, patients welcomed the opportunity to receive information digitally, prior to their consultation. Patients described feeling empowered and better informed to be involved in decision\u2010making.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-022-06846-w","type":"journal-article","created":{"date-parts":[[2022,12,4]],"date-time":"2022-12-04T00:03:16Z","timestamp":1670112196000},"page":"649-657","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Digital Informed Consent: Modernising Information Sharing in Surgery to Empower Patients"],"prefix":"10.1002","volume":"47","author":[{"given":"Simon L.","family":"Parsons","sequence":"first","affiliation":[{"name":"Trent Oesophago\u2010Gastric Unit Nottingham University Hospitals NHS Trust City Hospital Campus, Hucknall Road Nottingham UK"},{"name":"Gastrointestinal Surgery, Nottingham Digestive Diseases Centre and National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Queen's Medical Centre Nottingham University Hospitals NHS Trust and University of Nottingham Nottingham UK"},{"name":"EIDO Healthcare Limited Bridgford Business Centre 29 Bridgford Road Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prita","family":"Daliya","sequence":"additional","affiliation":[{"name":"Trent Oesophago\u2010Gastric Unit Nottingham University Hospitals NHS Trust City Hospital Campus, Hucknall Road Nottingham UK"},{"name":"Gastrointestinal Surgery, Nottingham Digestive Diseases Centre and National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Queen's Medical Centre Nottingham University Hospitals NHS Trust and University of Nottingham Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phil","family":"Evans","sequence":"additional","affiliation":[{"name":"EIDO Healthcare Limited Bridgford Business Centre 29 Bridgford Road Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1187-5796","authenticated-orcid":false,"given":"Dileep N.","family":"Lobo","sequence":"additional","affiliation":[{"name":"Gastrointestinal Surgery, Nottingham Digestive Diseases Centre and National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Queen's Medical Centre Nottingham University Hospitals NHS Trust and University of Nottingham Nottingham UK"},{"name":"MRC Versus Arthritis Centre for Musculoskeletal Ageing Research, Queen's Medical Centre, School of Life Sciences University of Nottingham Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,3]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"NHS(2019)The NHS Long Term Plan.https:\/\/www.longtermplan.nhs.uk\/wp\u2010content\/uploads\/2019\/08\/nhs\u2010long\u2010term\u2010plan\u2010version\u20101.2.pdf. Accessed on 1 Nov 2022"},{"key":"e_1_2_9_3_1","unstructured":"NHS(2022)Delivery plan for tackling the COVID\u201019 backlog of elective care.https:\/\/www.england.nhs.uk\/coronavirus\/wp\u2010content\/uploads\/sites\/52\/2022\/02\/C1466\u2010delivery\u2010plan\u2010for\u2010tackling\u2010the\u2010covid\u201019\u2010backlog\u2010of\u2010elective\u2010care.pdf. Accessed on 1 Nov 2022"},{"key":"e_1_2_9_4_1","unstructured":"General Medical Council(2020)Guidance on professional standards and ethics for doctors: Decision making and consent 2020.https:\/\/www.gmc\u2010uk.org\/\u2010\/media\/documents\/gmc\u2010guidance\u2010for\u2010doctors\u2014decision\u2010making\u2010and\u2010consent\u2010english_pdf\u201084191055.pdf. Accessed on 1 Nov 2022"},{"key":"e_1_2_9_5_1","unstructured":"Judgment: Montgomery (Appellant) v Lanarkshire Health Board (Respondent) (Scotland)(2015).https:\/\/www.supremecourt.uk\/cases\/docs\/uksc\u20102013\u20100136\u2010judgment.pdf. Accessed on 1 Nov 2022"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010022\u201006588\u20109"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021\u20109681(87)90171\u20108"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(07)61602\u2010X"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12910\u2010021\u201000585\u20108"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00840"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X19896348"},{"key":"e_1_2_9_12_1","unstructured":"JamesG(2020)Report of the Independent Inquiry into the Issues raised by Paterson.https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/863211\/issues\u2010raised\u2010by\u2010paterson\u2010independent\u2010inquiry\u2010report\u2010web\u2010accessible.pdf. Accessed on 1 Nov 2022"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.14339"},{"key":"e_1_2_9_14_1","unstructured":"NHS Resolution FOI_4805(2020)https:\/\/resolution.nhs.uk\/wp\u2010content\/uploads\/2020\/12\/FOI_4805_Failure\u2010to\u2010Warn\u2010in\u2010Acute\u2010Trusts.pdf. Accessed on 1 Nov 2022"},{"key":"e_1_2_9_15_1","unstructured":"NHS Resolution(2018)Did you know? The benefits of supported decision making (consent).https:\/\/resolution.nhs.uk\/wp\u2010content\/uploads\/2018\/09\/Did\u2010you\u2010know\u2010The\u2010benefits\u2010of\u2010supported\u2010decision\u2010making\u2010consent\u2010WEB.pdf. Accessed on 1 Nov 2022"},{"key":"e_1_2_9_16_1","unstructured":"EIDO(2020)Healthcare Home Consent Solutions from EIDO Healthcarehttps:\/\/vimeo.com\/443337018. Accessed on 1 Nov 2022"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2020.08.021"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.2196\/28612"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.2196\/22280"},{"key":"e_1_2_9_20_1","unstructured":"Good Things Foundation(2021)Widening digital participation.https:\/\/www.goodthingsfoundation.org\/what\u2010we\u2010do\/our\u2010partnerships\/health\u2010and\u2010wellbeing\/widening\u2010digital\u2010participation\/. Accessed on 1 Nov 2022"},{"key":"e_1_2_9_21_1","unstructured":"NielsenJ(1994) updated 2020)10 usability heuristics for user interface design.https:\/\/www.nngroup.com\/articles\/ten\u2010usability\u2010heuristics\/. Accessed on 1 Nov 2022"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-022-06846-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00268-022-06846-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-022-06846-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-022-06846-w","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T17:21:13Z","timestamp":1703352073000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-022-06846-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,3]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1007\/s00268-022-06846-w"],"URL":"https:\/\/doi.org\/10.1007\/s00268-022-06846-w","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,3]]},"assertion":[{"value":"14 November 2022","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 December 2022","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Simon L Parsons is a company director for EIDO Healthcare Limited. None of the other authors has a direct conflict of interest to declare.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}},{"value":"The study proposal was appraised by the confidentiality advisory group: 16\/CAG\/0045, with public and patient involvement, and research ethics committee application: 16\/SW\/0088. It was registered with ClinicalTrials.gov: NCT02810860, and NUH research and innovation: 15GS002.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical statement"}}]}}