Claudia C. Dobler|Manuel Anguita Sánchez|Michael R. Gionfriddo|Neri Alejandro Álvarez?Villalobos|Naykky Singh Ospina|Gabriela Spencer?Bonilla|Björg Thorsteinsdottir|Raed Benkhadra|Patricia J. Erwin|Colin P. West|Juan P. Brito|M. Hassan Murad|Víctor M. Montori
Impact of decision aids used during clinical encounters on clinician outcomes and consultation length: a systematic review
Mayo Clinic|Mayo Clinic in Florida|Center for Innovation|Mayo Clinic in Florida|Universidad Autónoma de Nuevo León|Mayo Clinic in Florida|University of Florida|Mayo Clinic in Florida|Mayo Clinic in Arizona|Mayo Clinic|Mayo Clinic in Arizona|Mayo Clinic|Mayo Clinic in Florida|Mayo Clinic|Mayo Clinic in Florida|Mayo Clinic in Arizona|Mayo Clinic in Florida
background clinicians satisfaction encounter decision aids important component facilitating implementation tools aimed determine impact decision aids supporting shared decision making sdm clinical encounter clinician outcomes methods searched nine databases inception june 2017 randomised clinical trials rcts decision aids used clinical encounters unaided control group eligible inclusion due heterogeneity among included studies used narrative evidence synthesis approach results twentyfive papers met inclusion criteria including 22 rcts 3 qualitative mixedmethods studies nested rct together representing 23 unique trials trials evaluated healthcare decisions cardiovascular prevention treatment n8 treatment diabetes mellitus n3 treatment osteoporosis n2 treatment depression n2 antibiotics treat acute respiratory infections n3 cancer prevention treatment n4 prenatal diagnosis n1 clinician outcomes measured minority studies clinicians satisfaction decision making assessed 8 2 showed statistically significantly greater satisfaction decision aid three trials asked clinicians would recommend decision aid colleagues five asked clinicians would use decision aids future outpatient consultations prolonged decision aid used 9 13 trials overall strength evidence low major risk bias related lack blinding participants andor outcome assessors conclusion decision aids improve clinicians satisfaction medical decision making provide helpful information without affecting length consultation time sdm trials however omit outcomes related clinicians perspective decision making process likelihood using decision aid future