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Shared Decision Making in Cardiac Electrophysiology Procedures and Arrhythmia Management
Mina K Chung1, Angela Fagerlin2,3, Paul J Wang4
1Cleveland Clinic, Cleveland, OH (M.K.C., K.M., E.V.S., S.Y.W.).
Circulation. Arrhythmia and Electrophysiology
|December 6, 2021
Summary
Shared decision making (SDM) improves patient care and outcomes in heart rhythm disorders. This review assesses SDM tools and evidence to guide its value and implementation in electrophysiology.
Area of Science:
- Cardiology
- Cardiac Electrophysiology
- Epidemiology
- Shared Decision Making (SDM)
Background:
- Shared decision making (SDM) is promoted to enhance patient care, communication, and outcomes.
- Clinicians question the added workload of SDM documentation without proven clinical benefits.
- SDM is a flexible process, not solely reliant on specific tools.
Purpose of the Study:
- To examine SDM methodology, tools, and evidence in heart rhythm disorders.
- To assess the value and impact of SDM on electrophysiological procedures and arrhythmia management.
- To inform regulatory requirements and identify future research needs.
Main Methods:
- Multidisciplinary expert review (cardiology, electrophysiology, epidemiology, SDM).
- Inclusion of a patient advocate perspective.
- Assessment of existing evidence on SDM outcomes in cardiac arrhythmia patients.
Main Results:
- The review synthesizes current understanding of SDM in cardiac care.
- Identifies variability in SDM processes and challenges in outcome validation.
- Highlights the need for further research to establish definitive clinical benefits.
Conclusions:
- SDM is a valuable process for improving patient-centered care in heart rhythm disorders.
- Further research is needed to validate SDM tools and demonstrate clear clinical outcome improvements.
- Optimizing SDM can enhance patient engagement and decision acceptance in electrophysiology.
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