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Existing evidence summarization methods cannot guarantee trustworthy patient decision aids.
Michelle D Dannenberg1, Marie-Anne Durand1, Victor M Montori2
1The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, NH, USA.
Journal of Clinical Epidemiology
|June 22, 2018
Summary
Patient decision aid developers lack a standardized evidence summarization process. This raises concerns about the trustworthiness and currency of information influencing patient choices.
Area of Science:
- Health Services Research
- Patient Engagement
- Evidence-Based Practice
Background:
- Patient decision aids (PDAs) are crucial tools for informed healthcare choices.
- Ensuring the trustworthiness and up-to-date nature of PDA evidence is paramount.
- Current methods for evidence summarization in PDA development require evaluation.
Purpose of the Study:
- To assess the evidence summarization processes used by patient decision aid developers.
- To determine if current processes ensure the reliability and timeliness of PDAs.
Main Methods:
- Surveyed 23 organizations developing PDAs, focusing on those with 5+ tools.
- Analyzed responses from 15 eligible organizations regarding their evidence summarization practices.
- Reviewed shared documents for details on evidence synthesis methodologies.
Main Results:
- Most organizations utilize existing systematic reviews and clinical guidelines.
- Only 7 of 15 organizations had documented evidence summarization approaches.
- Documented processes varied in detail, outlining steps like question formation, searches, and appraisals.
Conclusions:
- A standardized approach to evidence summarization for PDAs is currently lacking.
- This variability poses a risk to the quality of information influencing patient decisions.
- Further investigation and standardization of evidence summarization are necessary for trustworthy PDAs.
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