The integration of a woman's perspective in hysterectomy decisions.
It has been argued, based on a limited amount of research data, that patient participation in decision-making regarding surgery, results not only in more patient satisfaction, but also in better surgery outcomes. Especially in a procedure such as hysterectomy, with far-reaching consequences and many potential side effects, it may therefore be relevant to promote an active role of the patient in the decision-making process. The article identifies contextual elements that might promote this active role. Subsequently a model of participative, informed decision-making is outlined. The model entails that clinical guidelines should be adjusted to the particular situation at hand and that patients should be fully informed about hysterectomy-involved risks. An overview of the various guidelines and risks is provided. Proper counseling in the decision-making phase as well as in the post-hysterectomy period is advocated. Throughout the article attention is paid to documented and undocumented ethnic differences regarding various aspects of hysterectomy, particularly differences in patient participation around the world.
De Gelder
Rianne
R
Leiden University Medical Center, The Netherlands.
Richters
Annemiek
A
Peters
Lex
L
D001294:Attitude to Health; D003469:Culture; D003657:Decision Making; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D007044:Hysterectomy / Q000523:psychology*; D010819:Physician's Role; D010817:Physician-Patient Relations; D011184:Postoperative Period; D012307:Risk Factors; D012725:Sexual Behavior