Shared decision-making in vascular surgery

Jun Xu; Anya E R Prince

doi:10.1016/j.jvs.2019.03.002

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Shared decision-making in vascular surgery

Journal article

Open access

Peer reviewed

Shared decision-making in vascular surgery

Jun Xu and Anya E R Prince

Journal of vascular surgery, Vol.70(5), pp.1711-1715

11/2019

DOI: 10.1016/j.jvs.2019.03.002

PMID: 31068265

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https://doi.org/10.1016/j.jvs.2019.03.002View

Published (Version of record) Open Access

Abstract

Ideally, patients' decision-making regarding surgical options should reflect myriad implicit values. The informed consent process is meant to ensure that patients' values mirror clinical decisions regarding expectations for outcomes, such as quality of life, life expectancy, and subsequent pain and suffering. However, surgeons are not always equipped to discuss patients' values. Shared decision-making is a method that could help surgeons elicit patients' values and subsequently improve the patient's knowledge and satisfaction, among other important outcomes. Yet, several barriers hinder implementation of shared decision-making in the clinic, such as time, interpersonal characteristics, and trust. To address concerns, several tools and approaches have been developed to increase shared decision-making in the clinic. This article highlights two strategies: the three-talk model and decision aids. Shared decision-making is a tool that could be especially valuable in discussions regarding elective surgery. Further research is needed to determine how best to implement shared decision-making in the surgical setting. Without full integration of patients' values into discussions of surgical options, there will continue to be a disconnect between the surgical procedures, outcomes, and patients' values.

Quality of Life

Pain, Postoperative - etiology

Humans

Patient Participation

Decision Support Techniques

Elective Surgical Procedures - adverse effects

Physician-Patient Relations

Treatment Outcome

Trust

Informed Consent

Vascular Surgical Procedures - methods

Vascular Surgical Procedures - adverse effects

Decision Making, Shared

Life Expectancy

Elective Surgical Procedures - methods

Vascular Diseases - surgery

Details

Title: Subtitle: Shared decision-making in vascular surgery
Creators: Jun Xu - Division of Vascular Surgery, Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa. Electronic address: jun-xu-1@uiowa.edu
Anya E R Prince - University of Iowa College of Law, Iowa City, Iowa
Resource Type: Journal article
Publication Details: Journal of vascular surgery, Vol.70(5), pp.1711-1715
Publisher: United States
DOI: 10.1016/j.jvs.2019.03.002
PMID: 31068265
ISSN: 0741-5214
eISSN: 1097-6809
Language: English
Date published: 11/2019
Academic Unit: Surgery; Law Faculty
Record Identifier: 9984051588202771

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