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A focus group study investigating medical decision making in octogenarians of high socioeconomic status with successful outcomes following cardiac surgery
Author(s) -
Oldroyd John C,
Levinson Michele R,
Stephenson Gemma,
Rouse Alice,
Leeuwrik Tina
Publication year - 2014
Publication title -
australasian journal on ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 34
eISSN - 1741-6612
pISSN - 1440-6381
DOI - 10.1111/ajag.12022
Subject(s) - socioeconomic status , medicine , medical decision making , cardiac surgery , quality of life (healthcare) , focus group , surgery , intensive care medicine , medical emergency , family medicine , nursing , population , environmental health , marketing , business
Aim To explore medical decision making in octogenarians having cardiac surgery. Methods Five focus groups conducted in a private hospital setting with octogenarians of high socioeconomic status who had successful cardiac surgery in the previous 3–13 months. Results Octogenarian's motivations for having cardiac surgery include survival, relief of symptoms, convenience and improving quality of life. The decision to have surgery involved clinical advice by doctors that the time had come to take up a surgical option. Patient's decisions did not take into account alternative treatment options either because these had not been presented by doctors or because medical management had failed. The final decision was made by patients. Conclusions Decisions to have cardiac surgery in octogenarians are made by patients after discussions with family based on their risks as communicated by their doctors. This underlines the importance of effective risk communication by doctors to help patients make appropriate medical decisions.