Factors Associated With Provision of Nonbeneficial Surgery: A National Survey of Surgeons.

ABSTRACT:

Objective

We tested the association of systems factors with the surgeon's likelihood of offering surgical intervention for older adults with life-limiting acute surgical conditions.

Background

Use of surgical treatments in the last year of life is frequent. Improved risk prediction and clinician communication are solutions proposed to improve serious illness care, yet systems factors may also drive receipt of nonbeneficial treatment.

Methods

We mailed a national survey to 5200 surgeons randomly selected from the American College of Surgeons database comprised of a clinical vignette describing a seriously ill older adult with an acute surgical condition, which utilized a 2×2 factorial design to assess patient and systems factors on receipt of surgical treatment to surg

SUBMITTER: Zaza SI 

PROVIDER: S-EPMC9905263 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature