Why the study?
Anesthesiologists rarely engage in advance care planning or shared decision-making with seriously ill patients before elective surgery, risking non-beneficial procedures that do not align with patient goals.
Population
1 patient (72-year-old man with serious illness evaluated in preoperative clinic)
Design
Clinical case scenario and narrative framework proposal
Authors
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May enhance goal-concordant preoperative discussions in serious illness; leaves open effects on surgical outcomes.
Expanding the role of the anesthesia preoperative clinic to include shared decision-making and advance care planning can help ensure surgical interventions align with the goals and values of patients with serious illness.
Goldenberg et al. (2019) studied this question.
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