Surgical decision making is not all about risk. Surgeons must weigh anticipated outcomes against expected burdens when contemplating decisions between surgery or no surgery.1 Developing a strategy for managing surgical problems and honoring patient priorities requires this calculation using a process of shared decision making. Although the tools to support surgical decision making have improved over time, the ability of surgeons to engage patients in shared decision-making depends on their ability to use these tools correctly.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Kopecky KE, Urbach D, Schwarze ML. Risk Calculators and Decision Aids Are Not Enough for Shared Decision Making. JAMA Surg. Published online September 19, 2018. doi:10.1001/jamasurg.2018.2446
Customize your JAMA Network experience by selecting one or more topics from the list below.