Shared decision making when patients consider surgery for lumbar herniated disc: development and test of a patient decision aid.

ABSTRACT:

Background

Shared decision making (SDM) is a systematic approach aimed at improving patient involvement in preference-sensitive health care decisions. Choosing between surgical or non-surgical treatment for lumbar disc herniation, can be difficult as the evidence of a superior treatment is unclear, which makes it a preference-sensitive decision. The objectives of this study was therefore to assess the degree of SDM and afterwards to develop and test a patient decision aid (PtDA) to support SDM during the clinical encounter between surgeon and patient, when patients choose between surgical and non-surgical treatment for Lumbar disc herniation (LDH).

Methods

The study was conducted in four steps. 1) Assessment of the extent to which SDM was practiced in the spine clinic. 2) De

SUBMITTER: Andersen SB 

PROVIDER: S-EPMC6778367 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature