Insights of shared decision-making and personalized treatment in orthopedics - A qualitative systematic review

The shift from a paternalistic model to a patient-centered approach in medical decision-making has significantly transformed the doctor-patient relationship, especially in India. The rise of the Internet and patient education resources has empowered patients to actively participate in their healthcare decisions.

A systematic review was registered in PROSPERO [CRD420250652673] and was conducted using PubMed, Scopus, Web of Science (WoS), and Google Scholar, focusing on English-language publications about shared decision-making (SDM) in total joint replacement. Randomized controlled trials, studies on decision-making preferences, and disease-specific decision aids were included. Exclusion criteria encompassed advance directives and lifestyle-related decisions.

SDM models have gained prominence globally, with various nations integrating patient rights and decision-making tools into their healthcare systems. Different patient care models, including paternalistic, informed, and SDM, have been critically examined for their advantages and limitations.

The review highlights the evolving nature of patient involvement in medical decisions, emphasizing the importance of SDM in aligning treatments with patient preferences and values.