"Dread to treat" patients in cardiac surgery: Global strategies for interacting with cardiothoracic patients with substance use disorders

J Card Surg. 2019 Dec;34(12):1427-1429. doi: 10.1111/jocs.14271. Epub 2019 Oct 14.

Abstract

Patients with substance use disorders (SUDs) who undergo valve repair or replacement are often readmitted to the hospital after discharge secondary to recidivism. These "dread to treat" patients pose a unique dilemma for cardiac surgeons who often must make the extremely difficult decision of whether to perform a valve replacement in a recidivist patient with SUDs. This editorial focuses on illuminating strategies which surgeons can administer to patients with SUDs to improve quality of care and reduce provider distress.

Keywords: behavioral interventions; intravenous drug abuse; substance use disorders; surgeon wellness; valve repair/replacement.

Publication types

  • Editorial

MeSH terms

  • Endocarditis / complications
  • Endocarditis / surgery*
  • Heart Valve Diseases / complications
  • Heart Valve Diseases / surgery*
  • Heart Valve Prosthesis Implantation* / adverse effects
  • Heart Valves / surgery*
  • Humans
  • Patient Readmission
  • Physician's Role*
  • Substance Abuse, Intravenous / complications
  • Substance-Related Disorders / complications*
  • Substance-Related Disorders / rehabilitation
  • Thoracic Surgery