Paraesophageal hernias in older patients can present a management dilemma for the patient, surgeon, and gastroenterologist. “Watch and wait” or operate are the 2 choices influenced by age. Shared decision making in the discussion of options is necessary to reflect a respect for the patient’s values. A team-based approach involving the patient and family provides a clear clinical pathway and connection across primary care, gastroenterology, and foregut surgery.
BraddockCH.The emerging importance and relevance of shared decision making in clinical practice. Med Decis Making. 2010;30:5S-7S.
3.
ShinkunasLAKlipowiczCJCarlisleEM.Shared decision making in surgery: a scoping review of patient and surgeon preferences. BMC Med Inform Decis Mak. 2020;20:190.
4.
CharlesCGafniAWhelanT.Shared decision-making in the medical encounter: what does it mean? (or it takes at least two to tango). Soc Sci Med. 1997;44(5):681-692.
5.
ElwynGFroschDThomsonR, et al. Shared decision making: a model for clinical practice. J Gen Intern Med. 2012;27:1361-1367.
