{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:44:30Z","timestamp":1777448670493,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Informed consent is a cornerstone of ethical and legal medical practice, ensuring patients understand treatment benefits, risks, and alternatives. Patients often forget key details, potentially compromising decision-making. This study evaluates whether incorporating an informative video into the standard consent process enhances patient comprehension, retention, and satisfaction for laparoscopic cholecystectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-center, parallel-group, superiority randomized controlled trial was conducted in a hospital setting in Turkey. It included 264 patients, evenly divided. The control group underwent standard verbal consent; the video-consent group received an informative video additionally. Both groups completed an 8-question knowledge test and the 32-point Client Satisfaction Questionnaire (CSQ-8) post-consent. Scores were compared statistically. Harms were assessed via patient self-report of adverse events or discomfort related to the consent process or video.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The video-consent group achieved significantly higher scores in the surgery and complications categories (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.032 and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.048). Significant differences were found for Questions 5 and 7 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.021 and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.043). Satisfaction scores were higher in the video-consent group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.044), and satisfaction correlated with comprehension scores (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Older age negatively correlated with comprehension (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.041), and secondary-educated patients in the video-consent group scored significantly higher (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.039).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Incorporating video into the consent process improves patient comprehension and satisfaction, particularly for surgery and complications. Video-assisted consent is a valuable adjunct to traditional methods, enhancing patient understanding and engagement. Further studies are needed to explore its broader applicability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348251385098","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T19:58:00Z","timestamp":1760471880000},"page":"1124-1132","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing Patient Understanding Through Video-Assisted Consent for Laparoscopic Cholecystectomy: A Randomized Controlled Trial"],"prefix":"10.1177","volume":"92","author":[{"given":"Aylin","family":"Acar","sequence":"first","affiliation":[{"name":"Umraniye Training and Research Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tolga","family":"Canbak","sequence":"additional","affiliation":[{"name":"Umraniye Training and Research Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1433-3431","authenticated-orcid":false,"given":"Olgun","family":"Erdem","sequence":"additional","affiliation":[{"name":"Umraniye Training and Research Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1854-7437","authenticated-orcid":false,"given":"Fatih","family":"Ba\u015fak","sequence":"additional","affiliation":[{"name":"Umraniye Training and Research Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kemal Olcay","family":"Karaman","sequence":"additional","affiliation":[{"name":"Umraniye Training and Research Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"e_1_3_6_2_2","unstructured":"Say\u0131s\u0131:1219 R.G. 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Available from: https:\/\/www.saglik.gov.tr\/TR-10385\/sayisi1219--rg-tarihi04041928--rg-sayisi863-tababet-ve-suabati-sanatlarinin-tarzi-icrasina-dair-kanun.html"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1997.00440300148014"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/014107689008300506"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2010.12.010"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-008-0460-x"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2006.03671.x"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00012"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)15025-8"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/03610739608254020"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/18.1.18"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-022-06628-4"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(98)00065-2"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-10975-9"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1945892421992659"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.06.016"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/1553350612446352"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/9593631"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1160\/ME0406"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-019-04372-5"},{"issue":"1","key":"e_1_3_6_21_2","first-page":"21","article-title":"Video consent: a pilot study of informed consent in laparoscopic urology and its impact on patient satisfaction","volume":"10","author":"Sahai A","year":"2006","unstructured":"Sahai A, Kucheria R, Challacombe B, Dasgupta P. 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