Academic Journal
Do Surgical Patients Feel They Are Adequately Informed of Decision-making Prior to Surgery?
| Τίτλος: | Do Surgical Patients Feel They Are Adequately Informed of Decision-making Prior to Surgery? |
|---|---|
| Συγγραφείς: | Hoffman DI; Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA., Lilley EJ; Harvard Medical School, Boston; Department of Supportive Oncology, Center for Surgery and Public Health, Dana Farber Cancer Institute, Boston, USA; Division of Surgical Oncology, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA., Bartek M; Division of Palliative Care and Geriatrics, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Division of Trauma, Emergency Surgery, and Surgical Critical Care, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. Electronic address: mbartek@mgb.org. |
| Πηγή: | Advances in surgery [Adv Surg] 2026 Sep; Vol. 60 (1), pp. 233-250. |
| Τύπος έκδοσης: | Journal Article; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Country of Publication: United States NLM ID: 0045335 Publication Model: Print Cited Medium: Internet ISSN: 1878-0555 (Electronic) Linking ISSN: 00653411 NLM ISO Abbreviation: Adv Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2007-> : Philadelphia : Elsevier Original Publication: Chicago : Year Book Medical Publishers |
| Ιατρικοί όροι (MeSH): | Informed Consent* , Decision Making* , Surgical Procedures, Operative*, Humans ; Physician-Patient Relations ; Decision Making, Shared ; Communication ; Patient Reported Outcome Measures |
| Περίληψη: | Despite signing a consent form, many surgical patients subsequently report gaps in understanding an operation, its alternatives, and its impact on everyday life. Observational studies, patient surveys, and audio-recordings of preoperative interactions suggest that surgeons reliably meet legal requirements for informed consent but less often achieve informed, preference-concordant decisions-especially for older adults facing high-risk procedures. Emerging tools such as structured decision aids, scenario-based frameworks, risk visualization, and patient-reported outcome measures can improve knowledge, expectations, and satisfaction. This article reviews the state of the science, highlights practical communication frameworks, and outlines persistent gaps and future directions. (Copyright © 2026 Elsevier Inc. All rights reserved.) |
| Competing Interests: | Disclosure The authors report no relevant conflicts of interest. |
| Contributed Indexing: | Keywords: Communication; Goals of care; Informed consent; Palliative care; Patient-reported outcome measures; Shared decision-making |
| Entry Date(s): | Date Created: 20260805 Date Completed: 20260805 Latest Revision: 20260805 |
| Update Code: | 20260806 |
| DOI: | 10.1016/j.yasu.2026.05.001 |
| PMID: | 42556954 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1878-0555 |
|---|---|
| DOI: | 10.1016/j.yasu.2026.05.001 |