For decades, clinicians and researchers have implemented effective measures to reduce, diagnose, and treat CVD. This includes implementing public education campaigns aimed at improving awareness of the potential preventability of CVDs and accessibility to management. Cardiovascular disease risk calculators to estimate individualized risk have also played a [...]
Although placebo-controlled trials are considered the gold standard for evaluating the efficacy of healthcare interventions, they can be perceived to be controversial and challenging to conduct for surgical treatments. The SUcceSS trial is the first placebo-controlled trial of lumbar decompression surgery for symptomatic lumbar canal [...]
People on the kidney waitlist are less informed about potential suspensions. Disparities may exist among those who are suspended and who return to the waitlist. We evaluated the patient journey after entering the waitlist, including suspensions and outcomes, and factors associated with these transitions.
In a therapeutic partnership, physicians rely on patients to describe their health conditions, join in shared decision-making, and engage with supported self-management activities. In shared care, the patient, primary care, and specialist services partner together using agreed processes and outputs for the patient to be [...]
The purpose of our research was to explore how parents and their adolescent children make decisions about the human papillomavirus (HPV) vaccine, and to inform future interventions that aim to facilitate inclusive decision-making processes.
Lung cancer screening (LCS) programs are being designed and implemented globally. Early data suggests that the psychosocial impacts of LCS are influenced by program factors, but evidence synthesis is needed. This systematic review aimed to elucidate the impact of service-level factors on psychosocial outcomes to [...]
Reducing low-value health services is a complex issue, with significant clinical and health policy implications. This is the first randomized study to demonstrate that the consumer Choosing Wisely questions and a video intervention to promote question asking and engagement in SDM may improve participants’ intention [...]
Researchers are moving away from a smallest worthwhile effect threshold and characterising the magnitude of effect as (albeit arbitrary) small, moderate or large, which then leaves the patient to decide whether a small, moderate or large effect is worthwhile for them. In the absence of [...]
Uncertainty is intrinsic to clinical practice, affecting both trainees and experienced clinicians. As Sir William Osler wrote: “Medicine is the science of uncertainty and the art of probability”. Limitations in knowledge, complexities of care, and variation in patient preferences contribute to uncertainty. Personal factors such as [...]
Different studies showed that when patients are better informed about the benefits and harms of interventions (eg, surgeries, screening tests, medications), they tend to decline low-value care. These findings might explain why SDM has been promoted to reduce low-value care. Focusing on the conversations between [...]