PeriOperative Quality Initiative consensus statement recommendations on the definitions, aims and delivery of shared...

Area of Science:

• Surgery
• Patient Care
• Health Policy

Background:

• Shared decision-making (SDM) is crucial for complex surgical choices, balancing risks and benefits.
• Consistent implementation of SDM in peri-operative care is lacking, especially for patients needing enhanced support.
• This study addresses the need for structured SDM in surgical pathways.

Purpose of the Study:

• To develop clinical practice recommendations for peri-operative shared decision-making.
• To establish criteria for specialized shared decision-making services.
• To support the implementation of SDM for surgical patients.

Main Methods:

• A modified nominal group technique with seven stages was employed.
• International multidisciplinary experts (22) and consumer advisors (3) participated.
• Iterative deliberation, refinement, and anonymous voting were used to reach consensus.

Main Results:

• Universal consensus was achieved on 25 recommendations.
• A definition for 'universal shared decision-making' for all surgical patients was established.
• Referral criteria for 'specialized shared decision-making services' were identified.

Conclusions:

• This is the first consensus statement on peri-operative SDM co-created by consumers and clinicians.
• The recommendations will guide the implementation of SDM for patients considering surgery.
• This work enhances patient involvement in surgical treatment decisions.