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Shared Decision Making in Vascular Surgery: An Exploratory Study.

T B Santema1, F E Stubenrouch1, M J W Koelemay1

  • 1Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|February 6, 2016
PubMed
Summary
This summary is machine-generated.

Shared decision making (SDM) in vascular surgery is limited objectively, despite high patient and surgeon perceptions. Improving SDM requires enhanced awareness and knowledge of the process for better patient-centered care.

Keywords:
Informed consentPhysician–patient relationsShared decision makingVascular surgery

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Area of Science:

  • Medical Decision Making
  • Vascular Surgery
  • Patient-Centered Care

Background:

  • Shared decision making (SDM) involves patients and doctors collaborating on treatment choices using evidence and patient values.
  • Vascular surgery often presents multiple treatment options, making it suitable for SDM.

Purpose of the Study:

  • To assess the degree of shared decision making (SDM) behavior in vascular surgery consultations.

Main Methods:

  • Vascular surgeons and patients in four Dutch hospitals participated in consultations regarding treatment decisions.
  • Patients and surgeons completed subjective SDM questionnaires (SDM Q-9, SDM Q-doc).
  • Objective SDM behavior was evaluated by two independent evaluators using the Observing Patient Involvement (OPTION-12) scale on audiotaped consultations.

Main Results:

  • 54 consultations were analyzed, with high median patient (93%) and surgeon (84%) subjective SDM scores.
  • Objective assessment revealed a low mean OPTION score of 31%.
  • Surgeons infrequently inquired about patient preferences for information, understanding, or involvement in decision-making.

Conclusions:

  • Objective shared decision making (SDM) behavior in vascular surgery is currently limited.
  • Despite suitable conditions for SDM in vascular surgery, its practice requires improvement.
  • Enhancing patient and surgeon awareness and knowledge of SDM is crucial for its effective implementation.