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A Framework to Improve Surgeon Communication in High-Stakes Surgical Decisions
Author(s) -
Lauren J. Taylor,
Michael J. Nabozny,
Nicole M. Steffens,
Jennifer L. Tucholka,
Karen J. Brasel,
Sara K. Johnson,
Amy Zelenski,
Paul J. Rathouz,
Qianqian Zhao,
Kristine L. Kwekkeboom,
Toby C. Campbell,
Margaret L. Schwarze
Publication year - 2017
Publication title -
jama surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.757
H-Index - 176
eISSN - 2168-6262
pISSN - 2168-6254
DOI - 10.1001/jamasurg.2016.5674
Subject(s) - medicine , psychological intervention , interquartile range , deliberation , conversation , nursing , surgery , linguistics , philosophy , politics , political science , law
Although many older adults prefer to avoid burdensome interventions with limited ability to preserve their functional status, aggressive treatments, including surgery, are common near the end of life. Shared decision making is critical to achieve value-concordant treatment decisions and minimize unwanted care. However, communication in the acute inpatient setting is challenging.

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