To the Editor We applaud Kopecky et al1 for articulating that a shared decision-making process for determining whether to obtain a preference-sensitive elective surgery requires more than asking a patient to watch a video, read a document, or fill in numbers on a risk calculator. Clearly, a surgeon should agree that the surgery is a reasonable treatment option, be able to modify treatment recommendations based on a patient’s risk profile, and weigh in on what the surgeon believes to be the best treatment pathway. Along the way, patients should be informed of the short-term and long-term risks and benefits of different treatment options, including adverse effect profiles that might influence decision making for reasonable patients with distinct sets of values.
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Weeks WB, Weinstein JN. Cost and Outcomes Information Should Be Part of Shared Decision Making. JAMA Surg. Published online February 13, 2019154(5):465–466. doi:10.1001/jamasurg.2018.5581
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