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Getting better together: New study looks at shared medical decision making
Date:9/26/2013

Rosemont, Ill.Shared decision making refers to a set of principles that can be employed by patients and their physicians to explicitly incorporate patient preferences and values into clinical decision making. Past research shows that patients, who have an enhanced knowledge of their medical conditions and treatment alternatives, demonstrate a reduced anxiety when it comes to medical decision making.

A recent study in the Journal of Bone and Joint Surgery looked at a group of patients with advanced hip and knee osteoarthritis and found that they reached an informed treatment decision after their first visit with an orthopaedic surgeon. Specifically, this study found the use of DVDs, booklets and a health coach helped patients quickly and confidently arrive at a treatment decision.

"Orthopaedics is a type of medicine that embodies preference-sensitive care," said lead author Kevin Bozic, MD, MBA, vice chair of the department of orthopaedic surgery at the University of California, San Francisco and chair of the American Academy of Orthopaedic Surgeons (AAOS) Council on Research and Quality. "This means that for many orthopaedic conditions, there are several treatment options that may be appropriate for a given patient. Since there is no "right answer", patient values and preferences must be taken into account when formulating a treatment plan. This is what shared decision making is all about," Bozic added.

Study Details:

  • One hundred and twenty-three patients with OA of the hip or knee who were considered medically appropriate for hip or knee replacement were randomized to a shared decision making intervention group or usual care group.
  • Patients in the intervention group received a DVD and booklet describing the natural history and treatment alternatives for management of OA of the hip or knee. The booklet explicitly compared the risks and benefits of surgical and non-surgical options in a balanced fashion.
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Contact: Lauren P. Riley
pearson@aaos.org
847-384-4031
American Academy of Orthopaedic Surgeons
Source:Eurekalert

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