title: Weight and patients' decision to undergo cardiac surgery.
abstract: Obese patients are less likely to have cardiac surgery than normal weight patients. This could be due to physician or patient decision-making. We undertook a qualitative descriptive study to explore the influence of obesity on patients' decision-making to have cardiac surgery. Forty-seven people referred for coronary artery bypass graft (CABG) surgery were theoretically sampled. Twelve people had declined cardiac surgery. Participants underwent in-depth interviews aimed at exploring their decision-making process. Data were analyzed using conventional content analysis. Though patients' weight did not play a role in their decision, their relationship with their cardiologist/surgeon, the rapidity and orchestration of the diagnosis and treatment, appraisal of risks and benefits, previous experience with other illness or others who had cardiac surgery, and openness to other alternatives had an impact. It is possible that there is a lack of comfort or acknowledgment by all parties in discussing the influence of weight on CABG surgery risks.
authors.affiliation: University of Calgary, Faculty of Nursing, Calgary, AB, Canada. kingk@ucalgary.ca
authors.forename: Kathryn M
authors.initials: KM
authors.lastname: King-Shier
authors.forename: Pamela
authors.initials: P
authors.lastname: LeBlanc
authors.forename: Charles
authors.initials: C
authors.lastname: Mather
authors.forename: Sarah
authors.initials: S
authors.lastname: Sandham
authors.forename: Cydnee
authors.initials: C
authors.lastname: Seneviratne
authors.forename: Andrew
authors.initials: A
authors.lastname: Maitland
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D001026:Coronary Artery Bypass / Q000706:statistics & numerical data*; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity; D010358:Patient Participation; D010817:Physician-Patient Relations; D036301:Qualitative Research; D018570:Risk Assessment