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A prospective study of shared decision-making in brain tumor surgery
Severina Leu1,2, Julian Cahill3,4, Paul L Grundy5
1Department of Neurosurgery, Wessex Neurological Centre, University Hospital Southampton, Southampton, Hampshire, UK. severina.leu@unibas.ch.
Acta Neurochirurgica
|December 28, 2022
Summary
Patient satisfaction with shared decision-making (SDM) remained high after its implementation. Staff satisfaction significantly improved following team training and the introduction of SDM, highlighting its value in neuro-oncology.
Area of Science:
- Neuro-oncology
- Healthcare quality improvement
- Patient-centered care
Background:
- Shared decision-making (SDM) is crucial for personalized care and informed consent.
- Implementing SDM as a standard of care is increasingly adopted globally.
- Decision grids are valuable tools for facilitating SDM.
Purpose of the Study:
- To evaluate patient and healthcare staff satisfaction with the SDM process.
- To compare satisfaction levels before and after the official introduction of SDM.
- To present decision grids developed for intracranial tumors.
Main Methods:
- Prospective study in a neuro-oncological center.
- Inclusion of consecutive eligible patients considering treatment for intracranial glioma and metastases.
- Assessment of patient and staff satisfaction with the SDM process before and after implementation.
Main Results:
- Patient satisfaction with SDM remained high (mean CollaboRATE score ~26/27) before and after implementation (p=0.23).
- Healthcare staff attitude towards SDM significantly improved from 61.68% to 90.95% (p<0.001) after introduction.
- Decision grids for three intracranial tumor types were developed and presented.
Conclusions:
- Team training and SDM implementation enhance staff satisfaction.
- Patient satisfaction with SDM is consistently high.
- Decision grids effectively support information conveyance and understanding for SDM in clinical practice.
