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Cost and Outcomes Information Should Be Part of Shared Decision Making.
JAMA Surgery ( IF 15.7 ) Pub Date : 2019-05-01 , DOI: 10.1001/jamasurg.2018.5581
William B Weeks 1 , James N Weinstein 1, 2, 3, 4, 5
Affiliation  

To the Editor We applaud Kopecky et al1 for articulating that a shared decision-making process for determining whether to obtain a preference-sensitive elective surgery requires more than asking a patient to watch a video, read a document, or fill in numbers on a risk calculator. Clearly, a surgeon should agree that the surgery is a reasonable treatment option, be able to modify treatment recommendations based on a patient’s risk profile, and weigh in on what the surgeon believes to be the best treatment pathway. Along the way, patients should be informed of the short-term and long-term risks and benefits of different treatment options, including adverse effect profiles that might influence decision making for reasonable patients with distinct sets of values.



中文翻译:

成本和结果信息应成为共享决策的一部分。

致编辑我们赞扬Kopecky等[ 1]明确表示,一种共同的决策过程来决定是否进行偏爱敏感的选择性手术,而不仅仅是要求患者观看视频,阅读文档或在屏幕上填写数字。风险计算器。显然,外科医生应该同意手术是合理的治疗选择,能够根据患者的风险状况修改治疗建议,并权衡外科医生认为是最佳治疗途径。在此过程中,应告知患者不同治疗方案的短期和长期风险和益处,包括可能影响具有不同价值集的合理患者的决策的不良反应。

更新日期:2019-05-16
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