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Current Status and Future Prospects for Shared Decision Making Before and After Total Knee Replacement Surgery-A
Geert van der Sluis1, Jelmer Jager2,3,4, Ilona Punt5,6
1Department of Health Strategy and Innovation, Nij Smellinghe Hospital Drachten, Compagnonsplein 1, 9202 NN Drachten, The Netherlands.
International Journal of Environmental Research and Public Health
|January 20, 2021
Summary
Shared decision making (SDM) in total knee replacement (TKR) is under-researched. Current decision aids for TKR surgery do not align with patient needs or SDM principles.
Area of Science:
- Orthopedic Surgery
- Patient Decision Making
- Health Services Research
Background:
- Shared decision making (SDM) is crucial for patient-centered care in orthopedic procedures.
- Understanding patient needs in total knee replacement (TKR) decision-making is essential for effective care.
- Current literature on SDM in TKR is limited.
Purpose of the Study:
- To review the current state of SDM in pre and postoperative care for primary TKR.
- To identify patient decisional needs and preferences regarding TKR.
- To evaluate TKR decision-support interventions in relation to SDM principles.
Main Methods:
- A scoping review of scientific research was conducted.
- Identified studies focused on patient needs, decision support interventions, and SDM elements.
- Synthesized findings from qualitative and quantitative studies.
Main Results:
- 17 articles were included, focusing on the decision to undergo TKR.
- Patient decisions are influenced by personal, external, informational, and outcome-related factors.
- Existing TKR decision aids are not tailored to patient needs and lack clear SDM principles.
Conclusions:
- SDM in TKR care is an understudied area.
- Research on TKR decision-making is limited in scope and relevance to patient needs.
- Improvements are needed in developing TKR decision support aligned with SDM.
