T.B. Santema|Fabienne E. Stubenrouch|Mark J.W. Koelemay|A.C. Vahl|Christine Vermeulen|M.J.T. Visser|Dirk T. Ubbink
Shared Decision Making in Vascular Surgery: An Exploratory Study
Academic Medical Center|Academic Medical Center|Academic Medical Center|OLVG|Amsterdam UMC Location VUmc|Leiden University Medical Center|Academic Medical Center
objectivesshared decision making sdm process patients doctors collaborate choosing suitable treatment option incorporating patient values preferences well best available evidence particularly vascular surgery several conditions seem suitable sdm multiple treatment options objective study assess degree sdm behaviour vascular surgerymethodsvascular surgeons four dutch hospitals selected consultations patients facing treatment decision immediately consultation patients surgeons completed subjective sdm q9 sdm qdoc questionnaires respectively appreciate perceived level sdm behaviour two evaluators independently objectively rated sdm behaviour audiotaped consultations using observing patient involvement option12 scaleresultsnine vascular surgeons three vascular surgeons training conducted 54 consultations patients median sdm q9 score high 93 iqr 79100 1654 296 gave maximum score surgeons median score also high 84 iqr 7392 454 74 gave maximum score contrast mean option score 31 sd 11 surgeons hardly ever asked patients preferred approach receive information whether understood provided information would like involved sdmconclusionscurrently objective sdm behaviour among vascular surgeons limited even though presented disorders allow sdm hence sdm vascular surgical consultations could improved increasing patients surgeons awareness knowledge concept sdm shared decision making sdm process patients doctors collaborate choosing suitable treatment option incorporating patient values preferences well best available evidence particularly vascular surgery several conditions seem suitable sdm multiple treatment options objective study assess degree sdm behaviour vascular surgery vascular surgeons four dutch hospitals selected consultations patients facing treatment decision immediately consultation patients surgeons completed subjective sdm q9 sdm qdoc questionnaires respectively appreciate perceived level sdm behaviour two evaluators independently objectively rated sdm behaviour audiotaped consultations using observing patient involvement option12 scale nine vascular surgeons three vascular surgeons training conducted 54 consultations patients median sdm q9 score high 93 iqr 79100 1654 296 gave maximum score surgeons median score also high 84 iqr 7392 454 74 gave maximum score contrast mean option score 31 sd 11 surgeons hardly ever asked patients preferred approach receive information whether understood provided information would like involved sdm currently objective sdm behaviour among vascular surgeons limited even though presented disorders allow sdm hence sdm vascular surgical consultations could improved increasing patients surgeons awareness knowledge concept sdm