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Surgeons' Views on Shared Decision-Making.

Suraj Kannan1, Jayhyun Seo1, Kevin R Riggs2,3

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Summary
This summary is machine-generated.

Surgeons support shared decision-making (SDM) when treatment is uncertain but not always, often filtering options based on patient interest and their own preferences. They tailor SDM to perceived patient engagement and clinical situations.

Keywords:
patient-centered careperceptionshared decision-makingsurgerysurgical decision-making

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Area of Science:

  • Surgical Practice
  • Patient-Centered Care
  • Medical Decision-Making

Background:

  • Shared decision-making (SDM) is crucial in surgery, integrating clinician expertise with patient values.
  • Understanding surgeons' perspectives on SDM is essential for optimizing patient involvement.

Purpose of the Study:

  • To explore surgeons' current practices and beliefs regarding shared decision-making (SDM) in surgical encounters.
  • To identify factors influencing surgeons' adoption of SDM in clinical practice.

Main Methods:

  • Qualitative study involving semi-structured interviews with 18 surgeons from diverse practice types and specialties.
  • Content analysis of transcribed interviews to identify key themes related to SDM.
  • Purposive sampling ensured diversity in practice type, specialty, gender, and experience.

Main Results:

  • Surgeons generally support patient involvement, especially when treatment options are uncertain.
  • SDM adoption is influenced by perceived patient interest and the surgeon's own preferences.
  • Surgeons often present a subset of options, using clinical judgment to filter choices.
  • Approaches to recommendations varied, with some guiding patients to perceived optimal decisions and others maintaining neutrality.

Conclusions:

  • Shared decision-making (SDM) is not universally applied by surgeons in all situations.
  • Surgeons' decisions on using SDM are guided by patient disposition and clinical uncertainty.
  • Further research is needed to standardize SDM implementation in surgical care.