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Distributed decision-making for lumbar spine surgery: A qualitative interview study with patients and neurosurgeons
Per Koren Solvang1, Tor Ingebrigtsen2,3, Margreth Grotle1,4
1Oslo Metropolitan University, Norway.
Health (London, England : 1997)
|February 26, 2025
Summary
Patients and surgeons engage in distributed decision-making for lower back pain treatments. Understanding patient diversity and effective communication are crucial for shared decisions on surgery.
Area of Science:
- Neurosurgery
- Orthopedics
- Health Psychology
Background:
- Lower back pain is a major global cause of disability.
- Numerous treatment options exist, necessitating informed decision-making.
- Understanding the patient and surgeon perspectives in treatment selection is vital.
Purpose of the Study:
- To explore the decision-making process for lumbar spinal disorder treatments.
- To understand patient and neurosurgeon views on surgical intervention decisions.
- To apply the theoretical approach of distributed decision-making.
Main Methods:
- Qualitative interview study with patients and spine neurosurgeons.
- Exploration of decision-making regarding surgical treatment for back pain.
- Application of distributed decision-making theory.
Main Results:
- Patients utilize social networks and diverse information sources.
- Surgeons rely on research-based knowledge and clinical experience.
- Effective communication, patient diversity, language, and risk perception significantly influence decisions.
Conclusions:
- Decision-making for back pain treatment is a distributed process.
- Patients act as agents for illness coping within their social networks.
- Surgeons must facilitate dialogue, recognizing patient diversity for effective shared decision-making in surgical interventions.
