Frequency of Preoperative Advance Care Planning for Older Adults Undergoing High-risk Surgery: A Secondary Analysis of a Randomized Clinical Trial.

ABSTRACT:

Importance

For patients facing major surgery, surgeons believe preoperative advance care planning (ACP) is valuable and routinely performed. How often preoperative ACP occurs is unknown.

Objective

To quantify the frequency of preoperative ACP discussion and documentation for older adults undergoing major surgery.

Design, setting, and participants

This secondary analysis of data from a multisite randomized clinical trial testing the effects of a question prompt list intervention on preoperative communication for older adults considering major surgery was performed at 5 US academic medical centers. Participants included surgeons who routinely perform high-risk surgery and patients 60 years or older with at least 1 comorbidity and an oncological or vascular (cardiac, per

SUBMITTER: Kalbfell E 

PROVIDER: S-EPMC8117055 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature