Evidence map›Paper›PMID 33985574›Full record

ArticlePilot and feasibility studies2021

Development, piloting, and evaluation of an evidence-based informed consent form for total knee arthroplasty (EvAb-Pilot): a protocol for a mixed methods study.

Alina Weise, Julia Lühnen, Stefanie Bühn, Felicia Steffen, Sandro Zacher, Julia Lauberger, Deha Murat Ates, Andreas Böhmer, Henning Rosenau, Anke Steckelberg and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04669483 (Development, Piloting and Evaluation of an Evidence-based Informed Consent Form for Total Knee Arthroplasty), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
4.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04669483 unknown statusnot on this map

Development, Piloting and Evaluation of an Evidence-based Informed Consent Form for Total Knee Arthroplasty

TypeobservationalSponsorUniversity of Witten/HerdeckeRan2021 to 2023Enrolled220ConditionsConsent Forms, Osteoarthritis, Knee, Arthroplasty, Replacement, KneeArmsevidence-based informed consent form
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Alina WeiseInstitute for Research in Operative Medicine, Faculty of Health-School of Medicine, University of Witten/Herdecke, Ostmerheimer Str. 200, Building 38, 51109, Cologne, Germany. Alina.Weise@uni-wh.de.ORCID http://orcid.org/0000-0003-4563-5782
Julia LühnenInstitute for Health and Nursing Science, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Straße 8, 06112, Halle (Saale), Germany.
Stefanie BühnInstitute for Research in Operative Medicine, Faculty of Health-School of Medicine, University of Witten/Herdecke, Ostmerheimer Str. 200, Building 38, 51109, Cologne, Germany.
Felicia SteffenDepartment for Criminal Law, Law of Criminal Procedure and Medical Law, Faculty of Law, Economics and Business, Martin Luther University Halle-Wittenberg, Universitätsplatz 6, 06108, Halle (Saale), Germany.
Sandro ZacherInstitute for Health and Nursing Science, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Straße 8, 06112, Halle (Saale), Germany.
Julia LaubergerInstitute for Health and Nursing Science, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Straße 8, 06112, Halle (Saale), Germany.
Deha Murat AtesDepartment of Trauma and Orthopedic Surgery, University of Witten/Herdecke, Cologne-Merheim Medical Center, Ostmerheimer Str. 200, 51109, Cologne, Germany.
Andreas BöhmerDepartment of Anaesthesiology and Intensive Care Medicine, University of Witten-Herdecke, Cologne-Merheim Medical Center, Ostmerheimer Straße 200, 51109, Cologne, Germany.
Henning RosenauDepartment for Criminal Law, Law of Criminal Procedure and Medical Law, Faculty of Law, Economics and Business, Martin Luther University Halle-Wittenberg, Universitätsplatz 6, 06108, Halle (Saale), Germany.
Anke SteckelbergInstitute for Health and Nursing Science, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Straße 8, 06112, Halle (Saale), Germany.
Tim MathesInstitute for Research in Operative Medicine, Faculty of Health-School of Medicine, University of Witten/Herdecke, Ostmerheimer Str. 200, Building 38, 51109, Cologne, Germany.
Martin Luther University Halle-Wittenberg · DEWitten/Herdecke University · DE

Funding

Innovationsausschuss beim Gemeinsamen Bundesausschuss (DE) 01VSF19025
6 · The paper itself

Abstract

backgroundPractitioners frequently use informed consent forms to support the physician-patient communication and the informed consent process. Informed consent for surgery often focuses on risk centered information due to high liability risks for treatment errors. This may affect patients' anxiety of adverse events and the nocebo effect. This study focuses on the optimization of pre-surgical information on risks and complications, and at the same time reconciles these information with legal requirements.

methodsThe development, piloting, and evaluation of evidence-based informed consent forms for total knee arthroplasty (TKA) and related anesthesia procedures will follow the UK MRC Framework for developing and evaluating complex interventions. Conducting different sub-studies, we will (I) qualitatively explore the information acquisition and decision-making processes, (II) develop and pilot test evidence-based informed consent forms on the example of TKA and related anesthesia procedures, (III) conduct a monocentric interrupted time series (ITS) pilot study to evaluate the effects of evidence-based informed consent forms in comparison with standard consent forms, and (IV) perform a process evaluation to identify barriers and facilitators to the implementation of the intervention and to analyze mechanisms of impact. DISCUSSION: The evidence-based and understandable presentation of risks in informed consent forms aims at avoiding distorted risk depiction and strengthening the patients' competencies to correctly assess the risks of undergoing surgery. This might reduce negative expectations and anxiety of adverse events, which in turn might reduce the nocebo effect. At the same time, the practitioners' acceptance of evidence-based informed consent forms meeting legal requirements could be increased.

trial registrationClinicalTrials.gov, NCT04669483 . Registered 15 December 2020. German Clinical Trials Registry, DRKS00022571 . Registered 15 December 2020.

Indexed as

AnxietyEvidence-based health informationInformed consentInformed consent formMixed methodsNocebo effectPilotRisk communicationTotal knee arthroplasty (TKA)

Identifiers

PMID33985574
PMCPMC8116642
OpenAlexW3116892745

What Socratic holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.