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ABSTRACT Background When high-risk patients are offered major surgery, there is little information about shared decision-making. When and why clinicians and patients may choose to discuss decision-making about major surgery is explored in this article. Methods Multi-method qualitative research, combining video-recordings of pre-operative consultations, interviews, and focus groups, with observations of clinics in five UK hospitals undergoing major joint, colorectal and/or cardiac surgery. Three options for shared decision making about major surgery were found. The former explored the likelihood of benefits of surgery for a condition that was not a threat to life for the patient and the later, involving the review of a variety of options while also considering important comorbidities and patient preferences. Patients and doctors are not always informed about the decisions regarding major surgery.
Source link: https://doi.org/10.1101/2022.08.02.22278194
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