Identifying Patterns in Preoperative Communication about High-Risk Surgical Intervention: A Secondary Analysis of a Randomized Clinical Trial.
Lily N StalterNathan D BaggettBret M HanlonAnne BuffingtonElle L KalbfellAmy B ZelenskiRobert M ArnoldJustin T ClappMargaret L SchwarzePublished in: Medical decision making : an international journal of the Society for Medical Decision Making (2023)
In decision-making conversations about high-risk surgical intervention, surgeons emphasize description of the patient's disease and potential treatment, and the use of "fix-it" language is common.Surgeons dedicated limited time to eliciting patient preferences and goals, and 79.9% of conversations resulted in no explicit goal of treatment.Current communication practices may be inadequate to support deliberation about the value of surgery for individual patients and their families.