Cardiothoracic & vascular anesthesia

Opportunities for shared decision-making about major surgery with high-risk patients: a multi-method qualitative study

Br J AnaesthPublished Multi-method qualitative study

Authors' conclusion

Decisions about major surgery were not always shared between patients and doctors. The nature of the presenting problem, comorbidities, clinical pathways, and patient trajectories all informed the type of consultation and opportunities for sharing decision-making.

Study context

Population
Older high-risk patients offered major orthopaedic, colorectal and/or cardiac surgery, their relatives and clinicians, clinics in five UK hospitals33 patients · 19 relatives · 36 clinicians
Outcome
Opportunities for shared decision-making about major surgery
Methodological detailsvideo recordings of preoperative consultations, interviews, focus groups, observations, documentary analysis, multicentre
  • Video recordings of preoperative consultations
  • Interviews
  • Focus groups
  • Observations
  • Documentary analysis
  • Multicentre

Main finding

As reported in the abstract

Three opportunities for shared decision-making identified
3

Original publication

Opportunities for shared decision-making about major surgery with high-risk patients: a multi-method qualitative study. Br J Anaesth. Published 26 April 2023. doi:10.1016/j.bja.2023.03.022

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