{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T14:01:45Z","timestamp":1790431305250,"version":"4.1.0"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vasc Endovascular Surg"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Outcomes of carotid surgery are commonly evaluated using clinical parameters such as mortality and stroke, and these are mostly based on doctors\u2019 and scientific perspectives. Patient-centered health care aims to value the evaluation from the patients\u2019 perspective, mostly using Patient-Reported Outcomes (PROs). The aim of this study was to gain insights into outcomes that patients undergoing carotid surgery consider important (PROs) and to verify these outcomes by patients themselves.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Outcomes<\/jats:title>\n                    <jats:p>These protocol-based, exploratory semi-structured, focus group discussions (FGDs) were conducted in a single-center teaching hospital. Included patients were symptomatic and underwent an eversion technique between June 2024 and March 2025. FGDs were conducted, 3-12\u00a0weeks after surgery, by a medical psychologist. Patients completed the Shared Decision-Making Questionnaire-9 (SDM-Q-9) and the Short Form-36 Health Survey (SF-36) preoperatively; the SF-36 was repeated three months after surgery. The physician who informed the patient about treatment options completed the corresponding SDM-Q-9 for clinicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 24 patients were enrolled across five FGDs, of whom two withdrew consent. The consecutive sample (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 22) included 4 women and 18 men (mean age of 77.7\u00a0years (SD \u00b1 6.5)). Patients reported trusting their healthcare providers but expressed a desire for more information regarding hospital stay, prescribed medication, and overall recovery. Regarding health status, physical function showed a statistically significant difference (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .04,95%CI0.55-29.86) between preoperative mean score (80.1) and postoperative (66.2). We found no differences (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .45) between the mean scores of the patients and doctors regarding the ranking in SDM-Q-9.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study showed that FGDs helped to better understand the patients\u2019 perspective and experience regarding outcomes in the carotid surgery care-chain. The findings of the FGDs are highly valuable for optimizing local care pathways and patient information materials, while identifying new domains (such as fatigue) for future multicenter validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15385744261491476","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T14:47:28Z","timestamp":1790088448000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Patients\u2019 VOICE on Carotid Surgery; Insights From Focus Group Discussions"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2568-9969","authenticated-orcid":false,"given":"Martijn S.","family":"Marsman","sequence":"first","affiliation":[{"name":"Elisabeth-TweeSteden Hospital"},{"name":"Rijnstate Hospital"},{"name":"Radboud University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giel G.","family":"Koning","sequence":"additional","affiliation":[{"name":"Bergman Clinics Enschede"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel M. P. J.","family":"Reijnen","sequence":"additional","affiliation":[{"name":"Rijnstate Hospital"},{"name":"University of Twente"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirela","family":"Habibovi\u0107","sequence":"additional","affiliation":[{"name":"Tilburg University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick W. H. E.","family":"Vriens","sequence":"additional","affiliation":[{"name":"Elisabeth-TweeSteden Hospital"},{"name":"Tilburg University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2022.04.011"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0741-5214(99)70100-x"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.22.6.711"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-10-90"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-021-01692-8"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-022-06429-z"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2020.11.036"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.12.010"},{"key":"e_1_3_7_10_2","unstructured":"International Consortium for Health Outcomes Measurement. https:\/\/www.ichom.org\/patient-centered-outcome-measures\/.2024.ICHOMPatient-CenteredOutcomeMeasures"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2023.01.037"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2017.12.008"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40271-018-0337-1"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0895-4356(98)00097-3"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/15385744241286585"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.21972"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0132158"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/hec.4730020305"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.24940\/theijhss\/2020\/v8\/i11\/HS2011-082"},{"key":"e_1_3_7_20_2","unstructured":"Raats I. 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