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Optical Coherence Tomography Based Biomechanical Fluid-Structure Interaction Analysis of Coronary Atherosclerosis Progression
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Shared decision making in cardiology: a systematic review and meta-analysis

Panagiota Mitropoulou1, Nicolai Grüner-Hegge2, Johannes Reinhold3,4

  • 1Cardiology Department, University Hospital Southampton NHS Foundation Trust, Southampton, UK.

Heart (British Cardiac Society)
|August 25, 2022
PubMed

Insights

Interventions to improve shared decision making (SDM) in cardiology significantly reduce patient decisional conflict and enhance their knowledge. These findings support patient-centered care in cardiology practice.

Area of Science:

  • Cardiology
  • Health Services Research
  • Patient-Centered Care

Background:

  • Shared decision making (SDM) is crucial for patient-centered care in cardiology.
  • Evaluating interventions that enhance SDM and patient outcomes is essential.
  • Decisional conflict and patient knowledge are key indicators of effective SDM.

Approach:

  • Systematic review and meta-analysis of randomized controlled trials.
  • Searched major electronic databases (Embase, Cochrane, PubMed, Web of Science) up to January 2021.
  • Included 18 studies with 4419 patients, focusing on primary outcomes like decisional conflict and secondary outcomes like patient knowledge.

Key Points:

  • Interventions to improve SDM significantly reduced decisional conflict (SMD -0.211).
  • Interventions also significantly increased patient knowledge (SMD 0.476).
  • These effects were observed when compared to standard care.

Conclusions:

  • Interventions promoting SDM are effective in cardiology.
  • These interventions successfully reduce decisional conflict and improve patient knowledge.
  • Wider implementation of SDM interventions is recommended for patient-centered cardiology practice.
Abstract

Keywords:
meta-analysis

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