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Ensuring Goal-Aligned Care in a Busy Surgical Practice
1University of Utah Hospital, General Surgery, Salt Lake City, Utah.
Seminars in Colon & Rectal Surgery
|February 24, 2025
Summary
As the US population ages, incorporating patient goals into surgical decisions for older adults is crucial. This review offers a framework to guide surgeons in eliciting and using patient goals for better care alignment.
Area of Science:
- Geriatric Surgery
- Patient-Centered Care
- Surgical Decision-Making
Background:
- The US population is aging, leading to more older adults with multiple health issues seeking surgical consultations.
- Current guidelines recommend incorporating patient goals into surgical decisions for older adults, but implementation remains slow.
- Age-Friendly Health Systems initiatives emphasize patient-centered care, including goal alignment.
Purpose of the Study:
- To provide a practical framework for eliciting and utilizing patient goals in surgical practice.
- To facilitate goal-aligned care for older adults undergoing surgical evaluation.
- To address the slow uptake of patient-centered goal incorporation in geriatric surgery.
Main Methods:
- This is a review article, synthesizing existing literature and guidelines.
- The review focuses on frameworks for patient goal elicitation and integration into surgical decision-making.
- It draws upon recommendations from major surgical and geriatric societies.
Main Results:
- A framework for eliciting and using patient goals in surgical settings is proposed.
- The review highlights the importance of shared decision-making in geriatric surgery.
- It identifies potential barriers and facilitators to implementing goal-aligned care.
Conclusions:
- Implementing patient goal elicitation is essential for achieving goal-aligned care in geriatric surgery.
- A structured approach can improve the integration of patient preferences into surgical treatment plans.
- This framework aims to enhance the quality of care for an aging surgical population.
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