FRIDAY, Aug. 15 (HealthDay News) -- Older patients and surgeons
don't communicate effectively when discussing surgical treatment
options, even though the decision to have surgery can be
particularly difficult and confusing for seniors, says an Indiana
University School of Medicine study.
The researchers recorded patient-surgeon consultations and later
interviewed the patients about their concerns and whether they
discussed those worries with the surgeon. The study found that
older patients raised only about half of their concerns when
talking with the surgeon.
"Unexpressed concerns are challenging, because they can lead to different expectations and understanding of the problems patients are concerned about and treatment recommendations that are poorly tailored to patient needs," study author Richard M. Frankel, a professor of medicine, said in a university news release.
If concerns aren't expressed, "physicians will have little
chance to correct or modify them. Unfortunately, unexpressed
concerns may contribute to breakdowns in communication which are
frustrating for both physicians and patients," he added.
Most (84 percent) of the concerns expressed by older adults in
the study were related to the surgery itself. Other major concerns
included: quality of life after surgery; the post-surgery care
facility; and the timing of the surgery.
Only 16 percent of concerns were related to the surgeons,
including doubts about competency and the perception that surgeons
tend to promote surgery as the only real treatment option.
While surgeons generally respond well to concerns raised by
patients, the study found that patients may be highly selective
about which concerns they mention.
"Knowing that older adults frequently don't voice all their concerns should help surgeons create opportunities for patients who are reluctant to bring them up," Frankel said.
The study was published in the July issue of
The Journal of Bone and Joint Surgery.
More information
The U.S. National Institute on Aging has more about
seniors and surgery.
