کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2914287 1575504 2010 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Information Communicated with Patients in Decision Making about their Abdominal Aortic Aneurysm
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Information Communicated with Patients in Decision Making about their Abdominal Aortic Aneurysm
چکیده انگلیسی

ObjectivesTo explore what kind of information surgeons communicate with patients diagnosed with an abdominal aortic aneurysm, and if the information provided regarding the disorder and treatment options available complies with legal requirements.MethodsDutch vascular surgeons sound-recorded consultations with their patients. Recordings were scored using a checklist based on ethical considerations and five statutory categories of information on: (1) the disorder, (2) procedure and aim of surgery, (3) consequences and risks of surgery, (4) watchful observation and (5) individual prognosis regarding state of health. Each category was represented by several information items, which were scored dichotomously (‘not mentioned’ or ‘mentioned’). A category was considered sufficiently addressed if at least one of its items was mentioned.ResultsThirty-five consultations were recorded (13 patients with aneurysmal diameter <5.5 cm and 22 with diameter ≥5.5 cm). In a minority of recordings, all five categories were addressed: 1/13 (8%) and 9/22 (41%), respectively. None of the information items was discussed consistently in every recording. Although most patients were informed about the proposed treatment option (11/13; 85% and 19/22; 86%), the alternative treatment option was mentioned only occasionally (4/13; 31% and 14/22; 64%).ConclusionsPatients with an abdominal aneurysm are informed inconsistently about their disorder and treatment options. Information is often less than that legally required. This may hinder shared decision making.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Vascular and Endovascular Surgery - Volume 39, Issue 6, June 2010, Pages 708–713
نویسندگان
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