ArticleRambam Maimonides medical journal2018
Factors Affecting Surgical Decision-making-A Qualitative Study.
Article in Rambam Maimonides medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Surgical outcomes of simultaneous vs. staged resection in colorectal cancer with liver metastases: a systematic review and meta-analysis.BMC surgery · 2025Pooled it
- Incidence and predictors of postoperative complications in Sub-Saharan Africa: a systematic review and meta-analysis.Frontiers in health services · 2024Pooled it
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- Decision-making Factors in Surgical Techniques and Attitudes Towards Environmental Sustainability.Annals of surgery · 2026Article
- Diagnostic Performance of Artificial Intelligence (AI) Chatbot Compared to Orthopedic Trauma Surgeons in Evaluating Indication for Surgery for Isolated Lateral Malleolar Fractures: a Retrospective Study.Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2026Observational
- Balancing Objectivity and Humanity: Ethical Challenges and Considerations in Surgical Candidacy Decisions.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2026Article
- Article
- Review
- Management of Pediatric Medial Epicondyle Fractures: Results of a Survey of the Pediatric Orthopaedic Society of North America (POSNA).Journal of pediatric orthopedics · 2026Article
- Review
- Calculating Value in Hand and Wrist Care: A Systematic Review on the Current Literature.Journal of hand surgery global online · 2025Article
- Efficacy of Surgical Management Among Patients With Carpal Tunnel Syndrome Not Responding to Medical Management.Cureus · 2025Article
- Surgical site soft tissue thickness as a predictor of complications following arthroplasty.World journal of methodology · 2025Review
- Protective ileostomy creation after anterior resection of the rectum (PICARR): a decision-making exploring international survey.Updates in surgery · 2025Article
- Endoscopic endonasal approach to the nerves of the pterygopalatine fossa: a detailed cadaveric anatomical study.Surgical and radiologic anatomy : SRA · 2025Article
- The Centre for Evidence-Based Orthopaedics Tool for the Implementation of Evidence-Based Practice.Cureus · 2025Article
- Impact of bone quality on surgical decision-making in total hip arthroplasty: a qualitative analysis in the UK.BMJ open · 2025Article
- Evaluation of the quality of postoperative care in neurosurgery at a national referral hospital.Frontiers in surgery · 2025Article
- Factors influencing UK arthroplasty surgeons' decision-making between total and medial unicompartmental knee surgery: A vignette-based behavioural experiment.Journal of experimental orthopaedics · 2025Article
- Barriers faced by surgeons in identifying and managing malnutrition in emergency general surgery: A qualitative study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGuidelines and Class 1 evidence are strong factors that help guide surgeons' decision-making, but dilemmas exist in selecting the best surgical option, usually without the benefit of guidelines or Class 1 evidence. A few studies have discussed the variability of surgical treatment options that are currently available, but no study has examined surgeons' views on the influential factors that encourage them to choose one surgical treatment over another. This study examines the influential factors and the thought process that encourage surgeons to make these decisions in such circumstances.
methodsSemi-structured face-to-face interviews were conducted with 32 senior consultant surgeons, surgical fellows, and senior surgical residents at the University of Toronto teaching hospitals. An e-mail was sent out for volunteers, and interviews were audio-recorded, transcribed verbatim, and subjected to thematic analysis using open and axial coding.
resultsBroadly speaking there are five groups of factors affecting surgeons' decision-making: medical condition, information, institutional, patient, and surgeon factors. When information factors such as guidelines and Class 1 evidence are lacking, the other four groups of factors-medical condition, institutional, patient, and surgeon factors (the last-mentioned likely being the most powerful)-play a significant role in guiding surgical decision-making.
conclusionsThis study is the first qualitative study on surgeons' perspectives on the influential factors that help them choose one surgical treatment option over another for their patients.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.