{
  "abstract": "INTRODUCTION:: Preoperative anxiety is common in patients undergoing cancer surgery, and may be influenced by the quality of preoperative information. Video-assisted consent may improve the informed consent process and reduce anxiety.\n\nAIM:: This randomized controlled trial evaluated whether video-assisted preoperative consent reduced state anxiety, as compared with standard verbal and written consent, in patients undergoing laparoscopic gastrointestinal cancer surgery.\n\nMATERIALS AND METHODS:: Adult patients scheduled for elective laparoscopic resection due to gastrointestinal or hepatobiliary malignancy were randomized to the video-assisted or standard consent groups. The State-Trait Anxiety Inventory Form I (STAI-I) was used for state anxiety assessment prior to and following consent. The primary end point was the between-group difference in the STAI-I score change, calculated as preconsent score minus postconsent STAI-I score. Secondary outcomes included patient satisfaction, postoperative pain, functional recovery, length of hospital stay (LOS), and complications.\n\nRESULTS:: Of 76 randomized patients, 65 were included in the final analysis (33 individuals in the video consent group, and 32 in the standard consent group). The STAI-I score change was greater in the video consent group: 4 (0–6) vs 1 (1–3; P = 0.01). This association remained after adjustment for preconsent STAI-I scores, body mass index (BMI), and health literacy (B = 2.79; 95% CI, 0.52–5.06; P = 0.02). Satisfaction scores were higher in the video consent group, whereas recovery time, LOS, and major complications were similar between the groups.\n\nCONCLUSIONS:: Video-assisted consent was associated with a greater, albeit modest, reduction in preoperative anxiety and a higher level of satisfaction, as compared with standard consent in laparoscopic gastrointestinal cancer surgery; the anxiety findings remained following an adjustment for BMI and health literacy.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Surgical Oncology, Ankara University School of Medicine, Ankara, Türkiye",
    "Department of Surgical Oncology, Ankara Etlik City Hospital, Ministry of Health, Ankara, Türkiye",
    "Department of Surgical Oncology, Van Training and Research Hospital, Van, Türkiye",
    "Çanakkale Mehmet Akif Ersoy State Hospital, Ministry of Health, Çanakkale, Türkiye"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Abdurrahman Başpınar"
    },
    {
      "affs": [
        1
      ],
      "name": "Fırat Tekeş"
    },
    {
      "affs": [
        2
      ],
      "name": "Ezgi Altınsoy"
    },
    {
      "affs": [
        0
      ],
      "name": "Selim Tamam"
    },
    {
      "affs": [
        0
      ],
      "name": "Serdar Çulcu"
    },
    {
      "affs": [
        3
      ],
      "name": "Gökhan Gökten"
    },
    {
      "affs": [
        0
      ],
      "name": "Salim Demirci"
    },
    {
      "affs": [
        0
      ],
      "name": "Ali Ekrem Ünal"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/5w22js4saepy0.bib",
  "cited_by": 0,
  "doi": "10.20452/wiitm.2026.18040",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13738033/",
  "id": "5w22js4saepy0",
  "issns": [
    "1895-4588",
    "2299-0054"
  ],
  "landing_url": "https://doi.org/10.20452/wiitm.2026.18040",
  "language": "en",
  "licence": "CC-BY-NC-SA-4.0",
  "licence_label": "CC BY-NC-SA 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "General Surgery"
    ],
    [
      "openalex",
      "3600|Patient-Provider Communication in Healthcare"
    ]
  ],
  "openalex": "W7172345818",
  "pdf_url": "https://www.mp.pl/videosurgery/en/node/18040/pdf",
  "pmcid": "PMC13738033",
  "pmid": "42992101",
  "published": "2026-08-03",
  "publisher": "Fundacja Wideochirurgii",
  "ris": "https://research.draconitic.com/paper/5w22js4saepy0.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T12:23:06Z",
      "native_id": "PMC13738033",
      "source": "pmc",
      "url": "https://doi.org/10.20452/wiitm.2026.18040"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2746|Minimally Invasive Surgical Techniques",
      "subfield": "surgery"
    }
  ],
  "title": "Effect of video-assisted informed consent on preoperative anxiety in patients undergoing laparoscopic gastrointestinal cancer surgery: a randomized controlled trial",
  "title_text": "Effect of video-assisted informed consent on preoperative anxiety in patients undergoing laparoscopic gastrointestinal cancer surgery: a randomized controlled trial",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:23:06Z",
  "url": "https://research.draconitic.com/paper/5w22js4saepy0",
  "venue": "Videosurgery and other Miniinvasive Techniques",
  "versions": []
}