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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.

Neurourology and Urodynamics
|March 25, 2022
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
discrete choice experimentsoveractive bladder carepatient-centered carepatient-provider communicationpreference elicitationpreference-sensitive conditionshared decision making

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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.