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Shared Decision Making for Surgical Care in the Era of COVID-19.

Authors
  • Forner, David1, 2
  • Noel, Christopher W2, 3
  • Densmore, Ryan1
  • Goldstein, David P4
  • Corsten, Martin1
  • Pieterse, Arwen H5
  • Shuman, Andrew G6
  • Hong, Paul1
  • Rac, Valeria E2, 7, 8, 9
  • 1 Division of Otolaryngology-Head & Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada. , (Canada)
  • 2 Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada. , (Canada)
  • 3 Department of Otolaryngology-Head & Neck Surgery, University of Toronto, Toronto, Ontario, Canada. , (Canada)
  • 4 Department of Otolaryngology-Head & Neck Surgery, University Health Network, Toronto, Ontario, Canada. , (Canada)
  • 5 Medical Decision Making, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands. , (Netherlands)
  • 6 Department of Otolaryngology-Head & Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.
  • 7 Ted Rogers Centre for Heart Research at Peter Munk Cardiac Centre, Toronto General Hospital Research Institute (TGHRI), University Health Network (UHN), Toronto, Ontario, Canada. , (Canada)
  • 8 Toronto Health Economics and Technology Assessment (THETA) Collaborative, Toronto General Hospital Research Institute (TGHRI), University Health Network (UHN), Toronto, Ontario, Canada. , (Canada)
  • 9 Diabetes Action Canada, CIHR SPOR Network, Toronto, Ontario, Canada. , (Canada)
Type
Published Article
Journal
Otolaryngology
Publisher
SAGE Publications
Publication Date
Sep 01, 2020
Identifiers
DOI: 10.1177/0194599820954138
PMID: 32867581
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The global pandemic caused by severe acute respiratory syndrome coronavirus 2 has upended surgical practice. In an effort to preserve resources, mitigate risk, and maintain health system capacity, nonurgent surgeries have been deferred in many jurisdictions, with urgent procedures facing increasing wait times and unpredictability given potential future surges. Shared decision making, a process that integrates patient values and preferences with the scientific expertise of clinicians, may be of particular benefit during these unprecedented times. Aligning patient choices with their values, reducing unnecessary health care use, and promoting consistency between providers are now more critical than ever before. We review important aspects of shared decision making and provide guidance for its perioperative application during the coronavirus disease 2019 pandemic.

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