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In trial, video helps people weigh bariatric surgery pros, cons
Date:4/7/2011

r, he added. But the long-term outcomes are still unknown; and surgery carries risks, including complications and even death.

"When an intervention has many pros and consas bariatric surgery doeseach individual patient's preferences should play an even larger role than usual," Dr. Arterburn said. That's why Dartmouth Atlas Project experts call this kind of care "preference-sensitive." These experts, who track Medicare spending nationwide, have found that too often this kind of care reflects the practice patterns of the doctors in their area. Instead, he said, preference-sensitive care, including bariatric surgery, should reflect the preferences of individual patients.

For that to happen, it helps for patients to go through a process of "shared decision making" with their doctors, said Dr. Arterburn. In shared decision making, each doctor shares with their patient all relevant information on the possible risks and benefits of detection and treatment options for a health condition. Each patient considers what might make them prefer or tolerate one treatment, side effect, or outcome more or less than others. Then, in conversations with their doctors, patients clarify their preferences, weigh their options, and make the choice that's right for them, he explained.

Prior studies have shown that informed patients who participate actively in their care decisions tend to choose less invasive options than their physicians would make alone, Dr. Arterburn added. When patients are more informed and active, they also tend to make more conservative choicesand to be more satisfied with their outcomes regardless of whether they choose the intervention or not.


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Contact: Rebecca Hughes
hughes.r@ghc.org
206-287-2055
Group Health Research Institute
Source:Eurekalert  

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