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Delivering patient-centered care through shared decision making in overactive bladder.
Roshan Paudel1, Giulia I Lane2
1Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Overactive bladder (OAB) treatments involve many decisions based on patient preferences. Shared decision making (SDM) is key for patient-centered care, with emerging tools to support this process.
Area of Science:
- Urology
- Patient-centered care
Background:
- Overactive bladder (OAB) presents numerous treatment decisions for patients.
- Treatment choices are highly preference-sensitive, making shared decision making (SDM) crucial.
Purpose of the Study:
- To provide urologists with methods for eliciting patient preferences.
- To facilitate SDM for improved patient-centered OAB care.
Main Methods:
- Narrative review of OAB treatment outcomes.
- Exploration of prediction tools, patient preferences, and decision aids.
- Proposal of a paradigm for applying Everyday SDM in OAB care.
Main Results:
- OAB therapies show equipoise in outcomes, highlighting the need for SDM.
- Tools for personalized outcome prediction and preference elicitation are developing.
- Few decision aids currently exist to support OAB preference elicitation and SDM.
Conclusions:
- OAB is a preference-sensitive condition, necessitating SDM.
- Everyday SDM offers a personalized and efficient approach to OAB care.
- Implementing SDM promotes patient-centered care for overactive bladder.
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