Surgeon Use of Shared Decision-making for Older Adults Considering Major Surgery: A Secondary Analysis of a Randomized Clinical Trial.

ABSTRACT:

Importance

Because major surgery carries significant risks for older adults with comorbid conditions, shared decision-making is recommended to ensure patients receive care consistent with their goals. However, it is unknown how often shared decision-making is used for these patients.

Objective

To describe the use of shared decision-making during discussions about major surgery with older adults.

Design, setting, and participants

This study is a secondary analysis of conversations audio recorded during a randomized clinical trial of a question prompt list. Data were collected from June 1, 2016, to November 31, 2018, from 43 surgeons and 446 patients 60 years or older with at least 1 comorbidity at outpatient surgical clinics at 5 academic centers.

Interventions

SUBMITTER: Baggett ND 

PROVIDER: S-EPMC8943640 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature