MP56-17: Radical cystectomy video consensus: a simple and effective way to improve awareness of patients undergoing radical cystectomy

Francesco Esperto, Francesco Prata*, Francesco Tedesco, Alberto Ragusa, Noemi Deanesi, Antonio Testa, Angelo Civitella, Piergiorgio Tuzzolo, Luca Romei, Vito Giuseppe Crimi, Loris Cacciatore, Gerardo Paolo Flammia, Antonio Alcini, Annamaria Salerno, Rome, Italy, Salvatore Mario Prata, Sora, Italy, Roberto Mario Scarpa, Rocco Papalia, Rome, Italy

Introduction: In the age of information technology,  the European Association of Urology Patient Information (EAU PI) delivers high quality video-content about surgical procedures with a language easy to understand for patients. The aim of this study was to assess the level of understanding and feasibility of video consensus administration in pts scheduled for radical cystectomy (RC)

Methods: The EAU PI video content about RC was translated in Italian and implemented with possible complication explanation at the end of it. From January 2021 to September 2021 all pts who underwent RC for bladder cancer (BC) at our institution were prospectively included in this study. A print-based traditional consensus was administered to all pts and, after that, a video information about RC showing potential complications. After paper-based consensus and video consensus, pts received a preformed Likert 10 scale questionnaire to evaluate: 1)comprehension; 2)contents; 3)satisfaction; 4)simplicity; 5)details; with a score from 1 to 10. Descriptive and variance analysis was performed through SPSS v27 with an alpha value of significance set at 0.05, comparing the different types of consensus

Results: 30 pts were included in our study and 50 questionnaires were evaluated. 17% (5) of pts were female and 83% (25) were male, 66.6 % (20) were aged 50–70 years, 33.4 % (10) over 70 years. Mean score ± standard deviation (SD) for different domains analysed was the following: mean comprehension score ± (SD) was 6.5 ± (0.58) in standard consensus group versus 8.2 ± (0.725) in the video consensus group, p*=0.0001. Mean contents score ± (SD) was 6.4 ± (0.4) in standard consensus group versus 8.4 ± (0.82) in the video consensus group, p*=0.0001. Mean satisfaction score ± (SD) was 6.4 ± (0.65) in standard consensus group versus 8.5 ± (0.8) in the video consensus group, p*=0.0001. Mean simplicity score ± (SD) was 6.1 ± (0.45) in standard consensus group versus 8.4 ± (0.65) in the video consensus group, p*=0.0001. Mean details score ± (SD) was 6.25 ± (0.3) in standard consensus group versus 8.8 ± (0.9) in the video consensus group, p*=0.0001

*U Mann-Whitney test for independent samples

Conclusions: All the domains analysed showed a higher statistically significant appreciation for video consent compared to traditional informed consent. Overall satisfaction, with a mean score of 8.4 out of 10, showed to our advice the way to chase for the future. Video consent represents a simple and comprehensive tool for pts and can improve their awareness and satisfaction.

Source of Funding: None