What question did this study set out to answer?

To identify components for effective surgical shared decision-making for older adults using a consensus process.

March 8, 2026

Defining Surgical Shared Decision-Making for Older Adults Using the RAND/UCLA Appropriateness Method: A Consensus Statement.

Key Points

To identify components for effective surgical shared decision-making for older adults using a consensus process.
Structured consensus process involving expert opinions.
Identification of components for surgical shared decision-making.
Focus on preoperative communication and quality measurement.
43 components identified as valid and feasible for surgical shared decision-making.
Components support improved preoperative communication and intervention development.
Barriers such as time, knowledge, and cultural constraints were emphasized for effective implementation.

Abstract

Through a structured consensus process, 43 components were identified as valid and feasible for surgical SDM with older adults. These components provide a framework to guide preoperative communication, inform quality measurement, and support the development of interventions to improve SDM. Addressing barriers such as time, knowledge, and cultural constraints will be essential for implementation.

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