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Exploring patient involvement in decision making for vascular procedures.

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Patients want to be more involved in treatment decisions for vascular procedures. Many feel their treatments are unsuccessful, highlighting a need for better shared decision-making and information.

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Area of Science:

  • Vascular Surgery
  • Patient-Centered Care
  • Health Outcomes Research

Background:

  • Patient engagement in healthcare, particularly in treatment decisions, is crucial for patient-centered care.
  • Current patient involvement in treatment choices for vascular procedures is not well-quantified.
  • Understanding patients' desired roles and information needs is essential for improving care.

Purpose of the Study:

  • To explore patients' desired versus experienced roles in treatment decision-making for elective vascular procedures.
  • To characterize patient perceptions of treatment outcomes.
  • To identify key sources of health information utilized by patients.

Main Methods:

  • A prospective study involving patients undergoing elective vascular procedures.
  • Utilized a survey with multiple-choice, Likert scale, and open-ended questions.
  • Statistical analysis included chi-squared or Fisher exact tests for categorical data.

Main Results:

  • Most patients (90%) preferred discussing all treatment options over only the provider's recommendation.
  • A significant majority (93%) desired shared decision-making with their provider.
  • Patients undergoing peripheral arterial disease (PAD) and arteriovenous (AV) access procedures reported higher levels of confusion and lower satisfaction with information.
  • Only 54% of patients were offered a choice in their treatment, and 46% considered their first treatment unsuccessful.

Conclusions:

  • Patients desire greater participation in decision-making for vascular procedures.
  • Variable patient involvement and perceived treatment success necessitate improved shared decision-making strategies.
  • Providers are key information sources, but comprehensive discussion of all options is preferred by patients.