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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
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Shared Decision-Making in Vascular Surgery: A Mixed-Methods Systematic Review.

Ekin Inal1, Houssam Farres1, Camilo Polania-Sandoval1

  • 1Division of Vascular and Endovascular Surgery, Mayo Clinic, Jacksonville, FL.

Annals of Vascular Surgery
|May 20, 2026
PubMed
Summary
This summary is machine-generated.

Shared decision-making (SDM) in vascular surgery is inconsistently used, despite patient preference. Interventions are needed to improve SDM implementation and patient care in abdominal aortic aneurysm, peripheral arterial disease, and carotid disease.

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A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
09:33

A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology

Published on: February 7, 2015

Area of Science:

  • Vascular Surgery
  • Health Services Research
  • Patient-Centered Care

Background:

  • Shared decision-making (SDM) is crucial for patient-centered care in complex vascular conditions.
  • Current implementation of SDM in abdominal aortic aneurysm (AAA), peripheral arterial disease (PAD), and carotid artery disease requires evaluation.

Purpose of the Study:

  • To synthesize evidence on the current state of SDM in vascular surgery for AAA, PAD, and carotid disease.
  • To identify gaps and inform future interventions for improving SDM.

Main Methods:

  • A mixed-methods systematic review adhering to PRISMA guidelines.
  • Searched multiple databases (MEDLINE, Embase, etc.) through October 2025.
  • Included quantitative, qualitative, and mixed-methods studies on adult patients with AAA, PAD, or carotid artery disease; risk of bias assessed with MMAT; narrative synthesis due to heterogeneity.

Main Results:

  • Fifty-two studies (26 quantitative, 19 qualitative, 7 mixed-methods) were analyzed.
  • In AAA, observer-rated SDM improved post-intervention, but patient-reported outcomes showed no significant change.
  • PAD showed low observer-rated SDM despite high patient-reported SDM; carotid disease had a preference for SDM but limited reported choice offers.

Conclusions:

  • SDM is inconsistently implemented in vascular surgery, contrasting with patient preferences for involvement.
  • Further SDM interventions are necessary to bridge the gap between patient desire and clinical practice.
  • Improved SDM can enhance patient care in vascular surgery.