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Please use this identifier to cite or link to this item: https://hdl.handle.net/11055/999
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dc.contributor.authorHodsdon Aen_US
dc.date2020-08-13-
dc.date.accessioned2020-08-26T03:08:58Z-
dc.date.available2020-08-26T03:08:58Z-
dc.date.issued2020-08-13-
dc.identifier.citation9:24en_US
dc.identifier.issn2047-0525en_US
dc.identifier.urihttp://hdl.handle.net/11055/999-
dc.description.abstractAbstract Background: Individuals with obesity frequently present for anaesthesia and surgery. Good communication during the preoperative consultation can optimise the provision of relevant health information and guide improvement of health status preoperatively. Methods: We planned a systematic literature review to assess existing guidelines and evidence of effectiveness for how anaesthetists should communicate with patients who have obesity in the preoperative period about perioperative risks and weight management. Database searches used keywords related to perioperative weight loss conversations. We found no papers that directly addressed our aim. The literature identified as most relevant was analysed in the form of a narrative review. Results: The majority of suggestions for weight loss conversations came from primary care. Four primary themes potentially relevant to anaesthetists were identified: barriers to such conversations, communication tools, language and communication and specific recommendations. Identified barriers included lack of skills, training, poor remuneration, pessimism and time constraints for clinicians. Established discussion tools including the ‘5A’s’ approach (Assess, Advise, Agree, Assist, Arrange) and motivational interviewing may hold promise to improve preoperative conversations. The papers highlighted a need for empathetic language, including use of patientspecific language where possible. Conclusions: There are currently no published guidelines for how anaesthetists could most effectively discuss weight in the perioperative period with patients who have obesity. Much of the literature for obesity communication is based on the primary care setting. The perioperative period may represent an increased time of receptiveness for patients. Guidelines for discussions about weight management and associated perioperative risk are suggested.en_US
dc.subjectPerioperative medicineen_US
dc.subjectAnaesthesiaen_US
dc.subjectObesityen_US
dc.subjectCommunicationen_US
dc.titlePreoperative communication between anaesthetists and patients with obesity regarding perioperative risks and weight management: a structured narrative reviewen_US
dc.typeJournal Articleen_US
dc.type.contentTexten_US
dc.identifier.journaltitlePerioperative Medicineen_US
dc.identifier.orcid0000 0002 8337 4352en_US
dc.identifier.doi10.1186/s13741-020-00154-4en_US
dc.description.affiliatesWollongong Hospitalen_US
dc.description.affiliatesThe University of Melbourneen_US
dc.description.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/32817786/en_US
dc.type.studyortrialNarrative Reviewsen_US
item.cerifentitytypePublications-
item.grantfulltextopen-
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.fulltextWith Fulltext-
Appears in Collections:Scholarly and Clinical
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