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Updated: Nov 7, 2025

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Shared decision-making in neurosurgery: a scoping review.

Alba Corell1,2, Annie Guo3, Tomás Gómez Vecchio3

  • 1Department of Neurosurgery, Sahlgrenska University Hospital, Blå stråket 5, 41345, Gothenburg, Sweden. alba.corell@vgregion.se.

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|May 4, 2021
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Summary

Shared decision-making (SDM) in neurosurgery is understudied, with limited research on its impact. Decision aids may enhance patient involvement and satisfaction in neurosurgical care.

Keywords:
Decision aidsDecision-makingNeurosurgeryPatient-centered careSharedSpineSurgical oncology

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Area of Science:

  • Neurosurgery
  • Patient-centered care
  • Health decision-making

Background:

  • Neurosurgery offers multiple treatment options with varying risks and benefits.
  • Shared decision-making (SDM) is increasingly recognized but not widely explored in neurosurgery.
  • Patient involvement in neurosurgical decisions requires further investigation.

Purpose of the Study:

  • To conduct a scoping review of the current literature on shared decision-making in neurosurgery.
  • To identify research trends and gaps in SDM within the neurosurgical field.
  • To understand the patient's perspective on SDM in neurosurgical contexts.

Main Methods:

  • A comprehensive literature search was performed in PubMed and Scopus databases.
  • Keywords related to SDM and neurosurgery were used for the search strategy.
  • Included were full-text, peer-reviewed articles from 2000-2021 focusing on adult patients' perspectives on SDM in neurosurgery.

Main Results:

  • Twenty-two articles were identified, focusing on conditions like vestibular schwannomas, spinal surgery, and gliomas.
  • Methods employed included forms, questionnaires, and interviews to assess SDM.
  • Only six articles studied the effects of SDM interventions; others explored influencing factors or decision aids.

Conclusions:

  • The scoping review highlights a relative scarcity of research on SDM in neurosurgery.
  • While SDM shows potential benefits, its impact on treatment, outcomes, and patient satisfaction remains largely unknown.
  • Decision aids are suggested as a valuable tool to support the SDM process in neurosurgery.