Use of decision and communication aids in orthopaedic surgery

"Decision and communication aids can be effective tools for incorporating patients preferences and values into preference-sensitive decisions in orthopaedics."

Patient, surgeon, and healthcare purchaser views on the use of decision and communication aids in orthopaedic surgery: a mixed methods study
KJ Bozic, et al.
BMC Health Services Research, 2014, 14:366

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A meta-analysis of how clinicians use decision aids during clinical encounters

"Clinicians' fidelity to usage instructions of point-of-care decision aids in randomized trials was suboptimal during their initial implementation in practice, which may have underestimated the potential efficacy of decision aids when used as intended."

Peering into the black box: a meta-analysis of how clinicians use decision aids during clinal encounters
KD Wyatt, ME Branda, RT Anderson, LJ Pencille, VM Montori, EP Hess, HH Ting, A LeBlanc
Implementation Science, 2014, 9:26

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An interprofessional shared decision-making and goal-setting decision aid for patients

"Interprofessional shared decision-making regarding priority-setting with the use of a decision aid toolkit may help prioritize care of individuals with multiple comorbid conditions."

Designing and evaluating an interprofessional shared decision-making and goal-setting decision aid for patients with diabetes in clinical care - systematic decision aid development and study protocol
CH Yu, D Stacey, J Sale, S Hall, DM Kaplan, N Ivers, J Resmovitz, FH Leung, BR Shah, SE Straus
Implementation Science, 2014, 9:16

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Embedding patient decision aids in clinical practice

"NHS Kidney Care is promoting the use of the Right Care Shared Decision Making Programme Patient Decision Aids by supporting 24 kidney units across England to embed them into routine care so that all people approaching end stage renal failure receive consistent, comprehensive, high quality information, and engage in and share decisions about their care in the way best suited to them."

Embedding patient decision aids in clinical practice: a survey from NHS Kidney Care
NHS Kidney Care
January 2013

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Decision aids helped to lower hip and knee surgery rates and costs

"In a large observational study, patients who received balanced information on the risks and benefits of orthopedic procedures had 26 percent fewer hip replacement surgeries, 38 percent fewer knee replacement surgeries, and 12 percent to 21 percent lower costs over a six-month period."

Introducing decision aids at Group Health was linked to sharply lower hip and knee surgery rates and costsThe Commonwealth Fund
September 2012

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Communicating risk

"The communication of risk is an important and often difficult aspect of clinical practice. This clinical review aims to provide practising clinicians with a comprehensive and up to date overview of current evidence in this developing area."

Communicating risk
H Ahmed, G Naik, H Willoughby, AGK Edwards
British Medical Journal, 2012, 344:e3996

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Developing a decision aid to guide public sector health policy decisions

"The product of this research will be a working version of a decision aid to support policy
makers in population-based health policy decisions."

Developing a decision aid to guide public sector health policy decisions: a study protocol
P Tso, AJ Culyer, M Brouwers, MJ Dobrow
Implementation Science 2011, 6:46

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