Current concepts of shared decision making in orthopedic surgery

Area of Science:

• Orthopedic Surgery
• Healthcare Management
• Patient-Centered Care

Background:

• Shared Decision Making (SDM) is a collaborative process between physicians and patients.
• While promising in healthcare, its application in orthopedic surgery is minimally studied.
• Growing evidence supports SDM's successful implementation in orthopedics.

Purpose of the Study:

• To review the application and impact of Shared Decision Making (SDM) in orthopedic surgery.
• To highlight the benefits of SDM for patient outcomes and satisfaction.
• To explore the role of decision aids in orthopedic treatment planning.

Main Methods:

• Review of current literature on SDM in orthopedic surgery.
• Analysis of patient-reported outcomes and satisfaction metrics.
• Examination of the impact of decision aids and family involvement.

Main Results:

• SDM implementation does not significantly increase office visit length.
• Increased physician listening time correlates with higher patient satisfaction.
• Decision aids enhance patient knowledge, leading to value-consistent choices and potentially reducing unnecessary surgeries.
• Involving family improves postoperative adherence.
• Incorporating patient goals boosts satisfaction, compliance, and outcomes.

Conclusions:

• Shared Decision Making (SDM) is effective in orthopedic surgery, enhancing patient satisfaction, compliance, and outcomes.
• Decision aids and patient-centered communication are crucial for informed choices.
• SDM fosters a more equitable patient-physician relationship, reducing decisional conflict.