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Shared Decision-Making in Athletes Diagnosed With a Cardiovascular Condition: A Scoping Review.
Heidi Corneil1, Kiera Liblik1, Sonu S Varghese1
1Department of Medicine, Queen's University, Kingston, Ontario, Canada.
Current Problems in Cardiology
|May 21, 2023
Summary
Shared decision-making (SDM) in sports cardiology involves athlete-clinician dialogue on treatment and return-to-play. Key benefits include personalized care and patient engagement, despite institutional barriers.
Area of Science:
- Sports Cardiology
- Clinical Decision-Making
- Patient Autonomy
Background:
- Shared decision-making (SDM) is crucial for athletes with cardiovascular conditions.
- Existing literature lacks a comprehensive overview of SDM approaches in sports cardiology.
Purpose of the Study:
- To conduct a scoping review of SDM in sports cardiology.
- To identify current approaches, benefits, and barriers to SDM.
Main Methods:
- Scoping review methodology.
- Screened 6,058 records, including 37 articles.
Main Results:
- SDM defined as dialogue on management, treatment, and return-to-play.
- Benefits: enhanced understanding, personalized plans, holistic care.
- Barriers: institutional pressure, multiple perspectives, provider liability.
Conclusions:
- SDM is essential for athlete autonomy and engagement in sports cardiology.
- Addressing barriers is necessary for effective implementation of SDM.
- Promoting SDM ensures patient-centered cardiovascular care for athletes.
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