{Reference Type}: Journal Article
{Title}: Patient Participation in Multidisciplinary High-Risk Surgery Discussions: A Pilot Study.
{Author}: Jones TS;Mckown L;Lane A;Horney C;Unruh M;Brown N;Sommerville-Henderson S;Jones EL;Albright K;Levy C;Robinson T;
{Journal}: J Palliat Med
{Volume}: 27
{Issue}: 7
{Year}: 2024 Jul 8
{Factor}: 2.947
{DOI}: 10.1089/jpm.2023.0655
{Abstract}: Objective: Our medical center implemented a multidisciplinary team to improve surgical decision making for high-risk older adults. To make this a patient-centric process, a pilot program included the patient and their family/caregiver(s) in these conversations. Our hypothesis is that multidisciplinary team discussions can improve difficult surgical decision making. Methods: From January to June 2022, we offered patients and their family participation in multidisciplinary discussions at a Veterans Affairs medical center. Semistructured interviews were conducted 1-6 days after the meeting. Interview transcripts were analyzed with qualitative mixed-methods approach. Results: Six patients and caregivers participated in the interviews. They found the discussion helpful for improving their understanding of the surgical decision. Out of these, 50% (3 of 6) of the patients changed their decision regarding the planned operation based on the discussion. Conclusion: Including patients and caregiver(s) in multidisciplinary surgical decision-making discussions resulted in half of the patients changing their surgical plans. This pilot study demonstrated both acceptance and feasibility for all participants.