What is the clinical evidence from this study?

Study design: Letter. Population: Peri-operative shared decision-making.

What question did this study set out to answer?

To identify key clinical and organizational considerations necessary for personalizing risk communication during perioperative shared decision-making consultations.

August 16, 2026Anaesthesia

Shared decision‐making: how can we personalise risk?

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Key result

This letter discusses challenges in peri-operative shared decision-making, including limitations of mortality-focused risk tools, communication of uncertainty, action bias, and staffing models.

Design

Editorial

Authors

MWMatthew WilliamsImperial College Healthcare NHS Trust JDJames DayOxford University Hospitals NHS Trust

Discussion

Member takes

Implication

Highlights the need for personalized risk tools, clinician training in risk communication, awareness of action bias, and updated staffing models to effectively implement shared decision-making in peri-operative care.

Key Points

To identify key clinical and organizational considerations necessary for personalizing risk communication during perioperative shared decision-making consultations.
Critically appraised the PeriOperative Quality Initiative consensus statement on perioperative shared decision-making.
Examined limitations in current surgical risk calculation tools, statistical communication, clinician cognitive biases, and clinical staffing frameworks.
Noted that widely used risk models often focus narrowly on mortality rather than patient-prioritized outcomes such as complications and quality of life.
Highlighted the need for formal training in communicating statistical uncertainty and managing clinician action bias toward operative intervention.
Identified traditional outpatient clinic structures as operational barriers that restrict the multidisciplinary collaboration essential for shared decision-making.

PICO

Population

Peri-operative shared decision-making

Limitations

Many risk tools focus on mortality rather than patient-centered outcomes
Clinicians lack training in communicating statistical uncertainty
Action bias toward surgery over conservative management
Traditional staffing models do not easily support multidisciplinary shared decision-making

Cite This Study

Williams et al. (2026) conducted a letter in Peri-operative shared decision-making. This letter discusses challenges in peri-operative shared decision-making, including limitations of mortality-focused risk tools, communication of uncertainty, action bias, and staffing models.

synapsesocial.com/papers/6a8178fcf2fb91fc834ac229 https://doi.org/10.1111/anae.70323

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Shared decision‐making: how can we personalise risk?

Discussion

Member takes

Implication

Key Points

PICO

Limitations

Cite This Study

Shared decision‐making: how can we personalise risk?

Discussion

Member takes

Implication

Key Points

PICO

Limitations

Cite This Study

Also Consider

Also Consider