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Shared decision making in endocrinology: present and future directions.

Rene Rodriguez-Gutierrez1, Michael R Gionfriddo2, Naykky Singh Ospina3

  • 1Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, Rochester, MN, USA; Division of Endocrinology, University Hospital "Dr. Jose E. Gonzalez", Autonomous University of Nuevo Leon, Monterrey, Mexico.

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Shared decision making (SDM) involves clinicians and patients discussing treatment options, considering patient values and preferences. Implementing SDM in endocrinology can improve patient knowledge and treatment plan alignment.

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Area of Science:

  • Medicine
  • Endocrinology
  • Health Services Research

Background:

  • Clinical decision-making often involves uncertainty due to limited evidence or unclear patient preferences.
  • Shared decision making (SDM) is a patient-centered approach to address this uncertainty.
  • Decision aids are tools that support SDM by providing evidence-based information.

Purpose of the Study:

  • To describe shared decision making (SDM) in endocrinology.
  • To review the evidence supporting SDM and decision aids.
  • To discuss the benefits and implementation of SDM for endocrinologists and patients.

Main Methods:

  • Review of existing literature on shared decision making and decision aids.
  • Analysis of evidence from clinical trials and practice guidelines.
  • Discussion of the ethical and practical aspects of SDM implementation.

Main Results:

  • Decision aids improve patient knowledge, risk perception accuracy, and decisional comfort.
  • SDM enhances patient participation and promotes treatment plans aligned with patient values.
  • Despite evidence, SDM is not routinely implemented in endocrine practice.

Conclusions:

  • Shared decision making (SDM) is ethically supported and evidence-based for improving patient care in endocrinology.
  • Further research and implementation strategies are needed to integrate SDM into routine endocrine and primary care.
  • Endocrinologists can begin practicing SDM to create patient-centered treatment plans.