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September 19, 2018

Risk Calculators and Decision Aids Are Not Enough for Shared Decision Making

Author Affiliations
  • 1Department of Surgery, Stanford University, Stanford, California
  • 2Department of Medicine, University of Wisconsin-Madison, Madison
  • 3Department of Surgery, Women’s College Hospital, University of Toronto, Toronto, Ontario, Canada
  • 4Department of Surgery, University of Wisconsin-Madison, Madison
  • 5Department of Medical History and Bioethics, University of Wisconsin-Madison, Madison
JAMA Surg. Published online September 19, 2018. doi:10.1001/jamasurg.2018.2446

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.

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