Assessing the quality of shared decision making for elective orthopedic surgery across a large healthcare system: cross-sectional survey study.

ABSTRACT:

Background

Clinical guidelines recommend engaging patients in shared decision making for common orthopedic procedures; however, limited work has assessed what is occurring in practice. This study assessed the quality of shared decision making for elective hip and knee replacement and spine surgery at four network-affiliated hospitals.

Methods

A cross-sectional sample of 875 adult patients undergoing total hip or knee joint replacement (TJR) for osteoarthritis or spine surgery for lumbar herniated disc or lumbar spinal stenosis was selected. Patients were mailed a survey including measures of Shared Decision Making (SDMP scale) and Informed, Patient-Centered (IPC) decisions. We examined decision-making across sites, surgeons, and conditions, and whether the decision-making me

SUBMITTER: Valentine KD 

PROVIDER: S-EPMC8605511 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature