Shared Decision Making, Decision Aids and Patient Reported Outcome Measures for Overactive Bladder Care: A Review.

Area of Science:

• Urology
• Health Informatics
• Patient-Centered Care

Background:

• Shared decision making (SDM) is essential for overactive bladder (OAB) treatment.
• SDM involves integrating patient values and preferences into clinical choices.
• Decision aids (DAs) and patient-reported outcomes (PROs) are key components of SDM.

Purpose of the Study:

• To review the literature on SDM for OAB.
• To evaluate the availability and utility of DAs and PROs in OAB care.
• To explore the emerging role of artificial intelligence (AI) in SDM for OAB.

Main Methods:

• A systematic review of 25 articles was conducted.
• Literature search focused on SDM, DAs, PROs, and AI in OAB.
• Analysis included the availability of DAs and the use of PROs and AI tools.

Main Results:

• Physician recommendations are important, but priorities may not align with patient preferences.
• No peer-reviewed DAs for OAB are publicly available; some non-peer-reviewed options exist.
• Numerous PROs are available for OAB, increasingly used in clinical practice.
• AI tools show potential for augmenting SDM but require further validation.

Conclusions:

• Accessible DAs and standardized PROs are needed to improve SDM for OAB.
• AI technologies present opportunities to enhance SDM but require rigorous clinical validation.
• Patient-centered, individualized care for OAB can be optimized through improved SDM tools.