{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T23:37:17Z","timestamp":1766187437351,"version":"3.48.0"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"01","funder":[{"name":"National Cancer Institute of the National Institutes of Health","award":["T32CA090217"],"award-info":[{"award-number":["T32CA090217"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Colon Rectal Surg"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Informed consent and shared decision-making are central tenets of surgical consultations and the decision to proceed, or not, with surgery. These standard practices require communication with patients about the risks and benefits of the procedures they are considering. Yet communicating about risk is not straightforward. Limited health literacy, cognitive pitfalls, and the emotional experience of illness or a new diagnosis can all impact how patients interpret the information they receive. Beyond the legal obligations to ensure patients are informed, communicating effectively about risk can also support patients throughout the perioperative period, particularly if rare complications occur. We propose a framework for discussing risks and downsides of surgery that contextualizes rare risks in the expected trajectory of recovery, supporting patients through the decision-making process and onwards.<\/jats:p>","DOI":"10.1055\/s-0045-1807757","type":"journal-article","created":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T18:48:11Z","timestamp":1745520491000},"page":"095-101","source":"Crossref","is-referenced-by-count":0,"title":["Beyond Bleeding, Infection, Damage to Surrounding Structures: Challenges and Opportunities When Communicating about Surgical Risks"],"prefix":"10.1055","volume":"39","author":[{"given":"Melanie L.","family":"Fritz","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana C.","family":"De Roo","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,4,24]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1016\/j.amjsurg.2017.09.015","article-title":"Informed consent-It's more than a signature on a piece of paper","volume":"214","author":"C S Cocanour","year":"2017","journal-title":"Am J Surg"},{"issue":"07","key":"ref2","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1007\/s00268-010-0542-0","article-title":"A review of surgical informed consent: past, present, and future. A quest to help patients make better decisions","volume":"34","author":"W KG Leclercq","year":"2010","journal-title":"World J Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"j4891","DOI":"10.1136\/bmj.j4891","article-title":"A three-talk model for shared decision making: multistage consultation process","volume":"359","author":"G Elwyn","year":"2017","journal-title":"BMJ"},{"issue":"07","key":"ref4","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1016\/j.pec.2020.11.032","article-title":"Shared decision making: What is the work?","volume":"104","author":"G Elwyn","year":"2021","journal-title":"Patient Educ Couns"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1016\/j.jamcollsurg.2013.02.027","article-title":"Optimizing ACS NSQIP modeling for evaluation of surgical quality and risk: patient risk adjustment, procedure mix adjustment, shrinkage adjustment, and surgical focus","volume":"217","author":"M E Cohen","year":"2013","journal-title":"J Am Coll Surg"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.jamcollsurg.2019.09.017","article-title":"Enhancing the American College of Surgeons NSQIP surgical risk calculator to predict geriatric outcomes","volume":"230","author":"M A Hornor","year":"2020","journal-title":"J Am Coll Surg"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.jamcollsurg.2016.03.040","article-title":"Evaluation and enhancement of calibration in the American College of Surgeons NSQIP Surgical Risk Calculator","volume":"223","author":"Y Liu","year":"2016","journal-title":"J Am Coll Surg"},{"issue":"08","key":"ref8","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1001\/jamasurg.2018.1055","article-title":"Estimating surgical risk for patients with severe comorbidities","volume":"153","author":"S K Sherman","year":"2018","journal-title":"JAMA Surg"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1177\/0003134820973392","article-title":"Can the American College of Surgeons National Surgical Quality Improvement Program Risk calculator predict outcomes for urgent colectomies?","volume":"88","author":"M A Ziegler","year":"2022","journal-title":"Am Surg"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1111\/bioe.12703","article-title":"What do patients want? 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