A Framework to Improve Surgeon Communication in High-Stakes Surgical Decisions: Best Case/Worst Case.

ABSTRACT:

Importance

Although many older adults prefer to avoid burdensome interventions with limited ability to preserve their functional status, aggressive treatments, including surgery, are common near the end of life. Shared decision making is critical to achieve value-concordant treatment decisions and minimize unwanted care. However, communication in the acute inpatient setting is challenging.

Objective

To evaluate the proof of concept of an intervention to teach surgeons to use the Best Case/Worst Case framework as a strategy to change surgeon communication and promote shared decision making during high-stakes surgical decisions.

Design, setting, and participants

Our prospective pre-post study was conducted from June 2014 to August 2015, and data were analyzed using a mi

SUBMITTER: Taylor LJ 

PROVIDER: S-EPMC5479749 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature