Current Status and Future Prospects for Shared Decision Making before and after Total Knee Replacement Surgery—A Scoping Review
International Journal of Environmental Research and Public Health, vol. 18, pp. 668
Abstract
Background. To gain insight into the current state-of-the-art of shared decision making (SDM) during decisions related to pre and postoperative care process regarding primary total knee replacement (TKR). Methods. A scoping review was performed to synthesize existing scientific research regarding (1) decisional needs and preferences of patients preparing for, undergoing and recovering from TKR surgery, (2) the relation between TKR decision-support interventions and SDM elements (i.e., team talk, option talk, and decision talk), (3) the extent to which TKR decision-support interventions address patients’ decisional needs and preferences. Results. 2526 articles were identified, of which 17 articles met the inclusion criteria. Of the 17 articles, ten had a qualitative study design and seven had a quantitative study design. All included articles focused on the decision whether to undergo TKR surgery or not. Ten articles (all qualitative) examined patients’ decisional needs and preferences. From these, we identified four domains that affected the patients’ decision to undergo TKR: (1) personal factors, (2) external factors, (3) information sources and (4) preferences towards outcome prediction. Seven studies (5) randomized controlled trials and 2 cohort studies) used quantitative analyses to probe the effect of decision aids on SDM and/or clinical outcomes. In general, existing decision aids did not appear to be tailored to patient needs and preferences, nor were the principles of SDM well-articulated in the design of decision aids. Conclusions. SDM in TKR care is understudied; existing research appears to be narrow in scope with limited relevance to established SDM principles and the decisional needs of patients undertaking TKR surgery.
Authors 9
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Geert van der Sluis corresponding
Affiliation as printed
Department of Health Strategy and Innovation, Nij Smellinghe Hospital Drachten, Compagnonsplein 1, 9202 NN Drachten, The Netherlands
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University of Applied Sciences Leiden · Maastricht University · OLVG · Care and Public Health Research Institute
Affiliation as printed
Department of Epidemiology, Care and Public Health Research Institute (CAPHRI), School for Public Health and Primary Care, Maastricht University, Universiteitssingel 40, 6229 ER Maastricht, The Netherlands
Department of Physical Therapy, Onze Lieve Vrouwe Gasthuis (OLVG), Hospital Amsterdam, Oosterpark 9, 1091 AC Amsterdam, The Netherlands
Faculty of Health, University of Applied Sciences Leiden, Zernikedreef 11, 2333 CK Leiden, The Netherlands
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Maastricht University Medical Centre · Maastricht University
Affiliation as printed
Department of Orthopaedics, Maastricht University Medical Centre, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands
Department of Surgery and Trauma Surgery and Research School NUTRIM, Maastricht University and Maastricht University Medical Centre, 6229 HX Maastricht, The Netherlands
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Affiliation as printed
Retired, 0320 Lelystad, The Netherlands
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Radboud University Nijmegen · Radboud University Medical Center · Radboud Institute for Health Sciences
Affiliation as printed
Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Geert Grooteplein 21, 6525 EZ Nijmegen, The Netherlands
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Affiliation as printed
Department of Orthopedics and Traumatology, Nij Smellinghe Hospital Drachten, Compagnonsplein 1, 9202 NN Drachten, The Netherlands
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Affiliation as printed
Department of Anesthesiology, Erasmus Medical Center, Doctor Molewaterplein 40, 3015 GD Rotterdam, The Netherlands
Topsector Life Sciences and Health (Health~Holland), Laan van Nieuw Oost-Indie 334, 2693 CE the Hague, The Netherlands
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Radboud University Nijmegen · Radboud University Medical Center · Radboud Institute for Health Sciences
Affiliation as printed
Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Geert Grooteplein 21, 6525 EZ Nijmegen, The Netherlands
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Radboud University Nijmegen · Radboud University Medical Center · Radboud Institute for Health Sciences
Affiliation as printed
Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Geert Grooteplein 21, 6525 EZ Nijmegen, The Netherlands
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