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General Surgery

Navigating Surgical Decisions in Patients with Dementia: Clinician Challenges and Insights

MedXY Editorial TeamAug 22, 2026
cognitive impairmentcaregiver involvementsurgical decision-makingElectronic Health Records

Highlight

  • Clinicians encounter significant difficulty identifying dementia and assessing decision-making capacity in surgical patients due to inconsistent documentation and limited resources.
  • Caregivers and nonsurgical clinicians play a crucial role in surgical decision-making, though mismatched expectations and caregiver burden complicate communication and planning.
  • Clinician perceptions that dementia adversely affects surgical outcomes are widespread but seldom grounded in explicit evidence or guidelines.
  • Improved EHR interoperability, routine caregiver inclusion, and integration of dementia specialists can enhance surgical decision-making for patients living with dementia (PLWD).

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This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

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