The Learning Curve for Shared Decision-making in Symptomatic Aortic Stenosis.

ABSTRACT:

Importance

Shared decision-making (SDM) is widely advocated for patients with valvular heart disease yet is not integrated into the heart team model for patients with symptomatic aortic stenosis. Decision aids (DAs) have been shown to improve patient-centered outcomes and may facilitate SDM.

Objective

To determine whether the repeated use of a DA by heart teams is associated with greater SDM, along with improved patient-centered outcomes and clinician attitudes about DAs.

Design, setting, and participants

This mixed-methods study included a nonrandomized pre-post intervention and clinician interviews. It was conducted between April 30, 2015, and December 7, 2017, with quantitative analysis performed between January 12, 2017, and May 26, 2017, within 2 academic medical

SUBMITTER: Coylewright M 

PROVIDER: S-EPMC7160688 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature