Article
Health Care Sciences & Services
K. D. Valentine, Ha Vo, Brittney Mancini, Richard D. Urman, Franchesca Arias, Michael J. Barry, Karen R. Sepucha
Summary: This study examined the impact of cognitive impairment on surgical decision making in older adults and evaluated the psychometric properties of the SDM Process scale. The results showed that cognitive status did not significantly affect shared decision making, decisional conflict, and decision regret in older adults.
MEDICAL DECISION MAKING
(2023)
Article
Public, Environmental & Occupational Health
Simon John Stewart, Lisa Roberts, Lucy Brindle
Summary: This study examines how treatment-related preferences expressed by patients with prostate cancer and their partners are organized during clinical consultations. It found that when clinicians did not align with patients' preferences, it caused discordance in the interaction and led to couples silencing themselves. However, two deviant cases were identified where collaboration was maintained. Therefore, clinicians should acknowledge and create opportunities for discussing treatment preferences by recognizing the contributions of patients and their partners.
SOCIAL SCIENCE & MEDICINE
(2023)
Article
Orthopedics
K. D. Valentine, Tom Cha, John C. Giardina, Felisha Marques, Steven J. Atlas, Hany Bedair, Antonia F. Chen, Terence Doorly, James Kang, Lauren Leavitt, Adam Licurse, Todd O'Brien, Thomas Sequist, Karen Sepucha
Summary: This study found variations in shared decision making and decision quality among patients undergoing common elective orthopedic procedures, highlighting the need for improved measurement of shared decision making in different orthopedic conditions.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Critical Care Medicine
Shawn P. E. Nishi, Lisa M. Lowenstein, Tito R. Mendoza, Maria A. Lopez, Laura C. Crocker, Karen Sepucha, Jiangong Niu, Robert J. Volk
Summary: Among patients recently assessed for LCS, the quality of decision-making is highly variable, with patients valuing early cancer detection over concerns about harms. Patients were more likely to receive information on the benefits of LCS than on the risks, and one-third experienced some degree of decisional conflict. However, most patients felt they were adequately involved in the screening decision-making process.
Article
Psychiatry
Zhuo-Ran Chen, Li Zhang, Ya-Wei Chen, Meng-Yang Xu, Hang Jia, Meng-Ying Li, Yu-Han Lou, Ling Lan
Summary: Shared decision-making is a scientific and rational model for decision-making. Whether physicians choose this model is influenced by various factors, and it is unclear whether the strained doctor-patient relationship affects their choice. A survey showed that most physicians perceived the doctor-patient relationship as poor or strained, however, this did not significantly impact their preference for shared decision-making.
FRONTIERS IN PSYCHIATRY
(2022)
Article
Psychiatry
Elizabeth B. B. Matthews, Margot Savoy, Anuradha Paranjape, Diana Washington, Treanna Hackney, Danielle Galis, Yaara Zisman-Ilani
Summary: The study found that underserved patients with depression prefer to have a high level of shared decision making, and desire to play an active role in their treatment. Patients prefer collaborating with doctors during the information sharing process, but also want control over the final decisional outcome. Trust between patients and providers is critical for effective shared decision making.
FRONTIERS IN PSYCHIATRY
(2021)
Article
Anesthesiology
Sara E. Shaw, Gemma Hughes, Rupert Pearse, Ester Avagliano, James R. Day, Mark E. Edsell, Jennifer A. Edwards, Leslie Everest, Timothy J. Stephens
Summary: This study examines the opportunities for shared decision-making about major surgery in older high-risk patients. Three types of consultations were identified, with varying levels of opportunity for shared decision-making. The nature of the presenting problem, comorbidities, clinical pathways, and patient trajectories all influenced the extent to which shared decision-making was available.
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Article
Surgery
Fabienne E. Stubenrouch, Loes J. Peters, Sylvana M. L. de Mik, Peter L. Klemm, Arnoud G. Peppelenbosch, Stella C. W. M. Schreurs, Dick M. Scharn, Dink A. Legemate, Ron Balm, Dirk T. Ubbink
Summary: Introduction of decision support tools improves the level of shared decision making in vascular surgery, increases patient knowledge, and shifts their preference towards more non-surgical treatments.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2022)
Article
Oncology
Cathalijne C. B. Post, Jan Willem M. Mens, Marie A. D. Haverkort, Friederike Koppe, Ina M. Jurgenliemk-Schulz, An Snyers, Ellen M. A. Roeloffzen, Eva E. Schaake, Annerie Slot, Tanja C. Stam, Jannet C. Beukema, Hetty A. van den Berg, Ludy C. H. W. Lutgens, Hans W. Nijman, Cornelis D. de Kroon, Judith R. Kroep, Anne M. Stiggelbout, Carien L. Creutzberg
Summary: The study found a significant difference in the minimally desired survival benefits between patients and clinicians when choosing chemoradiotherapy for high-risk endometrial cancer. Both patients and clinicians considered survival benefits the most important factor during decision making, followed by long-term symptoms. Older patients with comorbidities had lower preference for chemoradiotherapy, while patients with better numeracy skills or previous chemoradiotherapy history had a higher preference.
GYNECOLOGIC ONCOLOGY
(2021)
Article
Medical Informatics
Erica M. Carlisle, Caleb J. Klipowicz, Laura A. Shinkunas, Aaron M. Scherer, Lauris C. Kaldjian
Summary: The study found that in pediatric surgery, parents and surgeons have differences in assessing urgency and complexity, but are similar in decision-making preferences, both preferring more surgeon guidance in emergent clinical scenarios.
BMC MEDICAL INFORMATICS AND DECISION MAKING
(2021)
Article
Clinical Neurology
Michelle Kregel, Natalie Evans, Bonnie Wooten, Craig Campbell, Sandrine de Ribaupierre, Andrea Andrade
Summary: This study explores the decision-making process and confusion faced by families in deciding whether to undergo epilepsy surgery, and proposes the use of shared decision-making (SDM) to assist families in making choices. The results show that majority of the families felt ready for surgery after consultation, while a minority required more information and testing. The SDM process helps families gain more knowledge about the risks, benefits, and treatment options, leading to improved parental decision conflict and satisfaction.
PEDIATRIC NEUROLOGY
(2023)
Article
Psychology, Clinical
Lauren Burns, Ana L. da Silva, Ann John
Summary: Studies indicate that older adults desire involvement in mental health-related clinical decisions, with a preference for shared decision-making. More high-quality research is needed to explore shared decision-making preferences and outcomes in older adults with mental ill-health.
JOURNAL OF MENTAL HEALTH
(2021)
Review
Public, Environmental & Occupational Health
Xuejing Li, Dan Yang, Meiqi Meng, Junqiang Zhao, Yiyi Yin, Hefang Wang, Xiaoyan Zhang, Qian Liu, Mengdi Li, Jianping Liu, Yufang Hao
Summary: Shared decision-making (SDM) is in its early stages in mainland China. There is a lack of comprehensive understanding of decisional needs concepts, and limited research on decision support and decisional outcomes. Uniform standards for developing patient decision aids are lacking. Chinese SDM studies primarily focus on physiological needs.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Health Care Sciences & Services
Jocelyn L. Streid, Katherine C. Lee, Angela M. Bader, Molly P. Jarman, Ronnie A. Rosenthal, Zara Cooper, Charlotta Lindvall
Summary: This study examines the baseline performance of the Geriatric Surgery Verification (GSV) standard for documentation of preoperative goals for older patients and identifies factors associated with standard adherence. The study found that prior to the GSV program implementation, clinicians rarely met the standard for preoperative discussion of patient goals for two major operations. Factors such as gender, type of surgery, and comorbidities were associated with higher likelihood of meeting the standard.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2023)
Article
Mathematics
Dmitry Novikov
Summary: The study considers a general complex model for collective dynamical strategic decision-making, which takes into account both the psychic and behavioral components of agents' activity, and unifies approaches from game theory, social psychology, multi-agent systems theory, and control in organizational systems. Two special models focus on informational control and confrontation, providing formal results on controllability and equilibriums. Interpretations of the general model include conformity, consensus, cognitive dissonance, and other effects, with applications to production systems, multi-agent systems, crowd behavior, online social networks, and voting in small and large groups.
Article
Surgery
O. M. O'Connor, F. A. Burns, V. K. Proctor, S. K. Green, A. E. Sayers, N. J. Smart, M. J. Lee
Summary: This study aimed to survey surgeons on the current trends in the management of acutely symptomatic hernia, including assessment, treatment strategies, and operative decisions. The survey results of 145 respondents showed variations in the assessment and repair techniques for acute hernia. Additional data are needed to guide practice in these areas.
ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND
(2023)
Article
Gastroenterology & Hepatology
Matthew J. Lee, ENiGMA CODE collaborators
Summary: The aim of this study was to develop a core descriptor set for reporting Crohn's anal fistula (CAF) research. Through an international modified Delphi process, a consensus was reached on 37 core descriptors within six domains, which may aid in transparent reporting for future studies.
COLORECTAL DISEASE
(2023)
Article
Gastroenterology & Hepatology
Adele E. Sayers, Matthew J. Lee, Steve R. Brown
Summary: This study compared healing and complication rates between two types of fistula plugs and found that plug B had a significantly higher healing rate compared to plug A (56.5% vs. 12.2%) and a lower incidence of complications.
COLORECTAL DISEASE
(2023)
Article
Gastroenterology & Hepatology
Nyantara Wickramasekera, Emily Strong, Philip Shackley, Tia Callaghan, Matthew Lee, Daniel Hind, Steven Brown
Summary: This study collected patient views on treatment preferences and values for pilonidal sinus disease (PSD) using an online survey and discrete choice experiment. The findings showed that low risk of infection/persistence was the most important factor in treatment decision-making, followed by shorter recovery time. Additionally, patients in different age groups had different trade-offs between treatment recovery time and risk of infection/persistence.
COLORECTAL DISEASE
(2023)
Editorial Material
Gastroenterology & Hepatology
Matthew J. Lee
COLORECTAL DISEASE
(2023)
Article
Gastroenterology & Hepatology
M. J. Lee, A. M. Folan, D. M. Baker, S. Blackwell, R. Wootton, K. Robinson, S. Sebastian, S. R. Brown, G. L. Jones, A. J. Lobo
Summary: This study aims to identify the informational needs of patients with ulcerative colitis (UC). The results showed that patients prefer shared decision-making or patient-led but clinician-informed decision-making when it comes to treatment choices. The study also identified key informational needs related to medical therapy and surgery for UC.
COLORECTAL DISEASE
(2023)
Article
Obstetrics & Gynecology
Francesca Taylor, Rhys Turner-Moore, Allan Pacey, Georgina Jones
Summary: This study investigated whether information on public funding for donor insemination (DI) was available on UK fertility clinic websites, and if so, what information was provided for same-sex couples and single women, and whether the information was easily readable. Data was obtained from the 'Choose a fertility clinic' pages of the Human Fertilisation and Embryology Authority (HFEA) website. Findings showed that only 23 out of 52 clinics mentioned public funding, and the eligibility criteria were unclear for 16 of these clinics. Additionally, the readability of the extracted text did not meet the recommended level for health information.
Review
Surgery
Scarlett S. Strickland, Ella M. Quintela, Matthew J. Wilson, Matthew J. Lee
Summary: Myocardial injury after non-cardiac surgery is associated with high rates of mortality and major adverse cardiac events up to 1 year following surgery, and further research is needed to standardize diagnostic criteria and reporting of outcomes related to myocardial injury.
Article
Gastroenterology & Hepatology
Matthew J. B. Lee, Emily B. Strong, Jon Lund, Dan R. Hind, Steven R. Brown, PITSTOP Management Grp
Summary: This study aimed to assess the current practice of pilonidal sinus treatment. The survey results showed issues with the quality of surgery in the UK, including the use of outdated techniques, lack of consistent treatment plans, potential over or undertreatment, and a lack of evidence-based guidance. Overall, these findings highlight the importance of improving the training system and providing clear guidelines for pilonidal sinus treatment. Rating: 7/10
COLORECTAL DISEASE
(2023)
Article
Gastroenterology & Hepatology
Daniel M. M. Baker, Stephen J. J. Chapman, Benjamin D. D. Thomas, Benjamin J. J. Thompson, Deborah J. J. Hawkins, Robert Arnott, Sue Blackwell, Gabrielle Thorpe, Deena P. P. Harji, Georgina L. L. Jones, Matthew J. J. Lee
Summary: This study aimed to identify core themes and concepts relevant to patients during early gastrointestinal recovery through semi-structured interviews, in order to develop a validated patient-reported outcome measure. Twenty-nine interviews were conducted, resulting in the identification of two overarching themes - "general recovery" and "gastrointestinal symptoms", along with several sub-themes including the impact on life, mental well-being, physical recovery, and specific gastrointestinal symptoms such as abdominal pain, diet changes, and expulsory function. A total of 18 gastrointestinal symptoms were identified, with some lasting several weeks following discharge.
COLORECTAL DISEASE
(2023)
Review
Reproductive Biology
Georgina L. Jones, Anne-Mairead Folan, Bob Phillips, Richard A. Anderson, Jonathan Ives
Summary: In the context of a poor prognosis cancer patients, the ethical implications of offering fertility preservation treatments are discussed in this paper. The central argument in favor of offering such treatments based on respect for autonomy is presented, along with counterarguments. The authors conclude that a defeasible assumption should be adopted in favor of offering fertility preservation to all cancer patients who might benefit from it.
REPRODUCTION AND FERTILITY
(2023)
Review
Obstetrics & Gynecology
Georgina L. Jones, Kirsty Budds, Francesca Taylor, Danielle Musson, Justin Raymer, David Churchman, Stephen H. Kennedy, Crispin Jenkinson
Summary: The Endometriosis Health Profiles (EHPs), including EHP-30 and EHP-5, are tools used to measure the health-related quality of life of women with endometriosis. A systematic review showed that these tools have been widely used in medical and surgical interventions, with most women reporting improvements in HRQoL after treatment.
HUMAN REPRODUCTION UPDATE
(2023)
Review
Gastroenterology & Hepatology
Sudheer K. Vuyyuru, Virginia Solitano, Neeraj Narula, Matthew J. Lee, John K. Macdonald, Jeffrey D. Mccurdy, Siddharth Singh, Christopher Ma, Vipul Jairath
Summary: The study aimed to evaluate the efficacy of medical therapies for fistulizing Crohn's disease. The results showed that anti-tumor necrosis factor agents, oral small molecules, ustekinumab, and mesenchymal stem cell therapy were effective for perianal fistulizing Crohn's disease.
JOURNAL OF CROHNS & COLITIS
(2023)
