Objective: To provide a description of communication breakdowns and to identify
interventions to improve surgical decision making for elderly patients with serious illness …

Objective: We sought to characterize patterns of communication extrinsic to a decision aid
that may impede goal-concordant care. Background: Decision aids are designed to facilitate …

Objective: To address the need for improved communication practices to facilitate goal-
concordant care in seriously ill, older patients with surgical emergencies. Summary …

Background: Clinical decisions for seriously ill older patients with surgical emergencies are
highly complex. Measuring the benefits of burdensome treatments in this context is fraught …

Importance Although many older adults prefer to avoid burdensome interventions with
limited ability to preserve their functional status, aggressive treatments, including surgery …

Background Surgical patients increasingly have more comorbidities and are of an older age,
complicating surgical decision-making in emergent situations. Little is known about …

Objective: To explore high-stakes surgical decision making from the perspective of seniors
and surgeons. Background: A majority of older chronically ill patients would decline a low …

Background Shared decision-making is critical to optimal patient-centered care. For elective
operations, when there is sufficient time for deliberate discussion, little is known about how …

OBJECTIVES: The Study to Understand Prognoses and Preferences for Outcomes and
Risks of Treatments (SUPPORT) represents one of the largest and most comprehensive …

Background: Anticipating post-acute needs and making referrals for follow-up care are
crucial for quality discharge planning. Several studies reveal serious gaps in quality for …