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Shared decision-making for pediatric elective penile surgery
Wyatt MacNevin1, Amanda MacDonald1, Paul Hong2
1Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.
Summary
In pediatric penile surgery, shared decision-making (SDM) was perceived as high, yet 15% of parents experienced decisional conflict (DC) linked to lower SDM involvement, indicating a need for improved communication.
Area of Science:
- Pediatric Surgery
- Urology
- Decision Science
Background:
- Proxy decision-makers in pediatric surgery often face decisional conflict (DC).
- Shared decision-making (SDM) may mitigate DC.
- Elective pediatric penile surgery involves parental decision-making.
Purpose of the Study:
- To investigate decisional conflict (DC) in parents undergoing elective pediatric penile surgery.
- To assess the level of shared decision-making (SDM) involvement during these consultations.
Main Methods:
- Prospective enrollment of 44 parents of children under 8 years old.
- Utilized patient and physician questionnaires for SDM assessment.
- Employed the SURE screening test to evaluate decisional conflict (DC).
Main Results:
- Seven participants (15.9%) experienced significant decisional conflict (DC).
- High average SDM scores were reported by both patients and physicians.
- DC was significantly associated with lower perceived SDM involvement from both parties.
Conclusions:
- High perceived SDM involvement in pediatric penile surgery consultations.
- A notable percentage of parents experienced DC, correlating with reduced SDM.
- Discrepancies in perceived SDM between parents and physicians highlight areas for improvement.
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