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.

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。