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Shared Decision-Making in Pancreatic Surgery.

Jennifer Trobaugh¹, Wayne Fuqua¹, Kyra Folkert²

¹From the Department of Psychology, Behavioral Medicine Laboratory, Western Michigan University.

Annals of Surgery Open : Perspectives of Surgical History, Education, and Clinical Approaches

|August 21, 2023

Summary

This summary is machine-generated.

Shared decision-making (SDM) in pancreatic surgery improves patient recovery expectations, reduces regret, and enhances quality of life. Better physician-patient interactions are key to achieving these positive outcomes.

Keywords:

pancreatic surgery patient reported outcomes shared decision making

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Area of Science:

Oncology
Surgical Oncology
Health Services Research

Background:

Pancreatic surgery involves significant risks, including morbidity, mortality, and disease recurrence, complicating patient decision-making.
Enhancing shared decision-making (SDM) can lead to care that aligns with patient goals and values.

Purpose of the Study:

To identify factors influencing patients' perceptions of shared decision-making (SDM) in pancreatic surgery.
To explore the relationship between SDM and patient outcomes such as satisfaction, decisional regret, quality of life, and recovery expectations.

Main Methods:

A cross-sectional survey was administered to patients who underwent pancreatic surgery.
Data collected included satisfaction with decision scale (SWD), decisional regret scale (DRS), physician-patient interaction quality, and quality of life (FACT-Hep).
Statistical analyses included Pearson's correlation and regression modeling to assess relationships.

Main Results:

A strong positive correlation was found between SDM and decisional regret/satisfaction (r=0.70) and recovery expectations (r=0.62).
Physician-patient relationship quality correlated with recovery expectations (r=0.53).
SDM scores predicted decision evaluation (R²(adj)=0.48), quality of life (R²(adj)=0.15), and recovery expectations (R²(adj)=0.37).

Conclusions:

Improved SDM in pancreatic surgery is linked to more realistic recovery expectations.
Enhanced SDM is associated with decreased decisional regret and improved quality of life for patients.
Optimizing the physician-patient relationship is crucial for improving patient outcomes in pancreatic surgery.