Shared decision making

Second opinion in lower limb total joint arthroplasty: do surgeons agree on surgical management? – Sascha Karunaratne et al.

2024-08-02T11:59:45+10:00Hip, Knee, Musculoskeletal, Osteoarthritis, Publications, Shared decision making, Surgery, Treatment|

Lower limb total joint arthroplasty (TJA) is usually offered to patients to alleviate symptoms of their hip or knee osteoarthritis when conservative management fails. In other orthopaedic conditions, second opinions have been found to result in up to half of the patients initially recommended for [...]

Use of digital patient decision-support tools for atrial fibrillation treatments: a systematic review and meta-analysis – Aileen Zeng et al.

2024-07-30T12:15:28+10:00Cardiac arrhythmia, Cardiovascular disease, Decision aids, Publications, Shared decision making, Treatment|

Atrial fibrillation (AF) is the most common cardiac arrhythmia and a key risk factor for embolic stroke and heart failure, with an increasing global burden as the population continues to age. AF treatment involves stroke prevention, symptom management, and cardiovascular and comorbidity optimisation. Treatment decisions [...]

Mammography Screening Preferences Among Screening-Eligible Women in Their 40s : A National U.S. Survey – Laura D Scherer et al.

2024-07-30T12:06:55+10:00Breast cancer, Cancer, Decision aids, Publications, Screening, Shared decision making, Women's health|

The U.S. Preventive Services Task Force (USPSTF) recently changed its recommendation for mammography screening from informed decision making to biennial screening for women aged 40 to 49 years. Although many women welcome this change, some may prefer not to be screened at age 40 years. [...]

A Decision Aid for Patients Considering Surgery for Sciatica: Codesign and User-Testing With Patients and Clinicians – Julie Ayre et al.

2024-07-30T12:06:25+10:00Decision aids, Health literacy, Musculoskeletal, Pain, Publications, Shared decision making, Surgery, Treatment|

Surgery can help patients with leg pain caused by sciatica recover faster, but by 12 months outcomes are similar to nonsurgical management. For many the decision to have surgery may require reflection, and patient decision aids are an evidence-based clinical tool that can help guide [...]

Development of a patient decision aid for children and adolescents following anterior cruciate ligament rupture: an international mixed-methods study – Andrew R Gamble et al.

2024-06-04T12:31:31+10:00Clinical guidelines, Decision aids, Health literacy, Knee, Musculoskeletal, Publications, Shared decision making, Surgery, Treatment|

Our aim was to develop and user-test a patient decision aid for children and adolescents following ACL rupture to be used with parents and health professionals that presents evidence-based information on treatment options. Patient decision aids are resources that present balanced information on the benefits [...]

Establishing a hierarchy of total knee arthroplasty patients’ goals and its congruity to health professionals’ perceptions: a cohort study – Sascha Karunaratne et al.

2024-04-07T16:49:13+10:00Knee, Musculoskeletal, Osteoarthritis, Pain, Publications, Risk, Shared decision making, Surgery, Treatment|

This study established a hierarchy of the goals most important to patients, identifying key goals as improving mobility, reducing pain, and improving daily tasks. Health professionals involved in the recommendation of knee arthroplasty were generally found to be able to identify what patients wanted to [...]

Randomized Trial of Information for Older Women About Cessation of Breast Cancer Screening Invitations – Jenna Smith et al.

2024-04-07T15:44:27+10:00Ageing, Breast cancer, Cancer, Decision aids, Health literacy, Overdiagnosis, Publications, Screening, Shared decision making, Women's health|

Older women receive no information about why Australia’s breast screening program (BreastScreen) invitations cease after 74 years. We tested how providing older women with the rationale for breast screening cessation impacted informed choice (adequate knowledge; screening attitudes aligned with intention).

Factors influencing the implementation of early discharge hospital at home and admission avoidance hospital at home: a qualitative evidence synthesis – Jason A Wallis et al.

2024-04-07T12:50:24+10:00Ageing, Emergency Department, Health professionals, Health system, Publications, Shared decision making, Virtual Care/Telehealth|

Worldwide there is an increasing demand for Hospital at Home as an alternative to hospital admission. Although there is a growing evidence base on the effectiveness and cost‐effectiveness of Hospital at Home, health service managers, health professionals and policy makers require evidence on how to [...]

Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney – Sumathy Ravi et al.

2024-04-05T15:56:55+11:00COVID-19, Diabetes, Primary Care, Publications, Shared decision making, Virtual Care/Telehealth|

Integrated care models such as this Community Diabetes Clinic can be feasible when enabled by virtual care. This case study demonstrated a promising integrated model that was acceptable to both health providers and patient with improved clinical outcomes. Future research could investigate the feasibility of [...]

Cutting back on low-value healthcare practices supports sustainable kidney care – Scott McAlister et al.

2024-04-05T15:12:07+11:00Carbon footprint, Carbon neutral, Climate change, Ethical considerations, Kidney, Low-value care, Publications, Shared decision making, Sustainable health care|

July 2023 marked the hottest month on record, underscoring the urgent need for action on climate change. The imperative to reduce carbon emissions extends to all sectors, including health care, with it being responsible for 5.5% of global emissions. In decarbonizing health care, although much [...]

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