Effect of video-assisted informed consent on preoperative anxiety in patients undergoing laparoscopic gastrointestinal cancer surgery: a randomized controlled trial
4 affiliations
- 1Department of Surgical Oncology, Ankara University School of Medicine, Ankara, Türkiye
- 2Department of Surgical Oncology, Ankara Etlik City Hospital, Ministry of Health, Ankara, Türkiye
- 3Department of Surgical Oncology, Van Training and Research Hospital, Van, Türkiye
- 4Çanakkale Mehmet Akif Ersoy State Hospital, Ministry of Health, Çanakkale, Türkiye
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.
AIM:: 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.
MATERIALS 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.
RESULTS:: 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.
CONCLUSIONS:: 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.
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BibTeX
@article{baspınar2026effect,
title = {{Effect of video-assisted informed consent on preoperative anxiety in patients undergoing laparoscopic gastrointestinal cancer surgery: a randomized controlled trial}},
author = {Abdurrahman Başpınar and Fırat Tekeş and Ezgi Altınsoy and Selim Tamam and Serdar Çulcu and Gökhan Gökten and Salim Demirci and Ali Ekrem Ünal},
journal = {Videosurgery and other Miniinvasive Techniques},
year = {2026},
month = aug,
doi = {10.20452/wiitm.2026.18040},
url = {https://doi.org/10.20452/wiitm.2026.18040},
note = {CC BY-NC-SA 4.0},
}
RIS
TY - JOUR
TI - Effect of video-assisted informed consent on preoperative anxiety in patients undergoing laparoscopic gastrointestinal cancer surgery: a randomized controlled trial
AU - Abdurrahman Başpınar
AU - Fırat Tekeş
AU - Ezgi Altınsoy
AU - Selim Tamam
AU - Serdar Çulcu
AU - Gökhan Gökten
AU - Salim Demirci
AU - Ali Ekrem Ünal
PY - 2026
DA - 2026/08/03
JO - Videosurgery and other Miniinvasive Techniques
DO - 10.20452/wiitm.2026.18040
UR - https://doi.org/10.20452/wiitm.2026.18040
AB - 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. AIM:: 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. MATERIALS 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. RESULTS:: 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. CONCLUSIONS:: 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.
SN - 1895-4588
SN - 2299-0054
ER -