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Area of Science:

  • Medical communication
  • Patient-centered care
  • Surgical decision-making

Background:

  • Shared decision-making (SDM) is crucial for aligning patient goals with evidence-based treatments.
  • Its importance is heightened when invasive surgical procedures are considered.
  • Effective communication is key to mirroring patient goals in treatment choices.

Purpose of the Study:

  • To provide orthopaedic surgeons with an understanding of SDM.
  • To explore how SDM can enhance physician-patient communication.
  • To detail the elements, benefits, indications, and barriers of SDM.

Main Methods:

  • Review of the concept and principles of shared decision-making.
  • Exploration of decision aids as tools to facilitate SDM.
  • Discussion of practical implementation strategies for orthopaedic surgeons.

Main Results:

  • SDM ensures treatment choices reflect patient values and goals.
  • Decision aids are valuable tools for improving SDM.
  • Barriers to SDM implementation exist but can be overcome.

Conclusions:

  • SDM is essential for patient-centered care, especially in surgery.
  • Integrating SDM and decision aids can improve orthopaedic practice.
  • Practical steps are proposed for incorporating SDM into clinical workflows.