Shared Decision Making for Elective Surgical Procedures in Older Adults with and without Cognitive Insufficiencies

K. D. Valentine, Ha Vo, Brittney Mancini, Richard D. Urman, Franchesca Arias, Michael J. Barry and Karen R. Sepucha
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K. D. Valentine: Massachusetts General Hospital, Boston, MA, USA
Ha Vo: Massachusetts General Hospital, Boston, MA, USA
Brittney Mancini: Massachusetts General Hospital, Boston, MA, USA
Richard D. Urman: Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, USA
Franchesca Arias: Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA
Michael J. Barry: Massachusetts General Hospital, Boston, MA, USA
Karen R. Sepucha: Massachusetts General Hospital, Boston, MA, USA

Medical Decision Making, 2023, vol. 43, issue 6, 656-666

Abstract: Purpose Older adults are prone to cognitive impairment, which may affect their ability to engage in aspects of shared decision making (SDM) and their ability to complete surveys about the SDM process. This study examined the surgical decision-making processes of older adults with and without cognitive insufficiencies and evaluated the psychometric properties of the SDM Process scale. Methods Eligible patients were 65 y or older and scheduled for a preoperative appointment before elective surgery (e.g., arthroplasty). One week before the visit, staff contacted patients via phone to administer the baseline survey, including the SDM Process scale (range 0–4), SURE scale (top scored), and the Montreal Cognitive Assessment Test version 8.1 BLIND English (MoCA-blind; score range 0–22; scores 

Keywords: shared decision making; cognitive insufficiencies; elective surgery; preoperative assessment (search for similar items in EconPapers)
Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:sae:medema:v:43:y:2023:i:6:p:656-666

DOI: 10.1177/0272989X231182436

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