Journal article
Discrepancies in decision making preferences between parents and surgeons in pediatric surgery
BMC medical informatics and decision making, Vol.21(1), pp.42-42
02/04/2021
DOI: 10.1186/s12911-021-01414-z
PMCID: PMC7863410
PMID: 33541347
Abstract
BackgroundLittle data exists regarding decision-making preferences for parents and surgeons in pediatric surgery. Here we investigate whether parents and surgeons have similar decision-making preferences as well as which factors influence those preferences. Specifically, we compare parents' and surgeons' assessments of the urgency and complexity of pediatric surgical scenarios and the impact of their assessments on decision-making preferences.MethodsA survey was emailed to parents of patients evaluated in a university-based pediatric surgery clinic and surgeons belonging to the American Pediatric Surgical Association. The survey asked respondents to rate 6 clinical vignettes for urgency, complexity, and desired level of surgeon guidance using the Controlled Preferences Scale (CPS).ResultsRegarding urgency, parents were more likely than surgeons to rate scenarios as emergent when cancer was involved (parents: 68.8% cancer vs. 29.5% non-cancer, p<.001; surgeons: 19.2% cancer vs. 25.4% non-cancer, p=.051). Parents and surgeons were more likely to rate a scenario as emergent when a baby was involved (parents: 45.2% baby vs. 36.2% child, p=.001; surgeons: 28.0% baby vs. 14.0% child, p<.001). Regarding decision-making preferences, parents and surgeons had similar CPS scores (2.56 vs. 2.72, respectively). Multivariable analysis showed parents preferred more surgeon guidance when scenarios involved a baby (OR 1.22; 95% CI 1.08-1.37; p<0.01) or a cancer diagnosis (OR 1.29; 95% CI 1.11-1.49; p<0.01), and that both parents and surgeons preferred more surgeon guidance when a scenario was considered emergent (parents: OR 1.81; 95% CI 1.37-2.38, p<0.001; surgeons: OR 2.48 95% CI 1.76-3.49, p<0.001).ConclusionsWhen a pediatric patient is a baby or has cancer, parents are more likely then surgeons to perceive the clinical situation to be emergent, and both parents and surgeons prefer more surgeon guidance in decision-making when a clinical scenario is considered emergent. More research is needed to understand how parents' decision-making preferences depend on clinical context.
Details
- Title: Subtitle
- Discrepancies in decision making preferences between parents and surgeons in pediatric surgery
- Creators
- Erica M. Carlisle - University of Iowa Hospitals and ClinicsCaleb J. Klipowicz - University of IowaLaura A. Shinkunas - University of IowaAaron M. Scherer - Roy J. and Lucille A. Carver College of MedicineLauris C. Kaldjian - Roy J. and Lucille A. Carver College of Medicine
- Resource Type
- Journal article
- Publication Details
- BMC medical informatics and decision making, Vol.21(1), pp.42-42
- DOI
- 10.1186/s12911-021-01414-z
- PMID
- 33541347
- PMCID
- PMC7863410
- NLM abbreviation
- BMC Med Inform Decis Mak
- ISSN
- 1472-6947
- eISSN
- 1472-6947
- Publisher
- Springer Nature
- Number of pages
- 11
- Language
- English
- Date published
- 02/04/2021
- Academic Unit
- Medical Ethics; Stead Family Department of Pediatrics; Surgery; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984321866802771
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