Rita Vought, Victoria Vought, Antonia Sames, Shrey Shah, Amanda Bosland, Marco Petrozzino, Ava Herzog, James K Liu
Analysis of neurosurgery resident research activity in the United States
Journal of neurosurgery
occurrence shared decision making sdm daily practice remains limited various patient characteristics suggested potentially influence extent clinicians involve patients sdm assess associations patient characteristics extent clinicians involve patients sdm conducted secondary analysis data pooled 10 studies comparing care adult patients intervention without control withinencounter sdm conversation tool included studies audiovisual recordings clinical encounters decisions starting reconsidering treatment discussed original studies observing patient involvement decision making 12items option12 item scale used code extent clinicians involved patients sdm clinical encounters conducted multivariable analyses patient characteristics age gender race education marital status number daily medications general health status health literacy independent variables option12 dependent variable included data 1614 patients betweenarm difference option12 scores 77 100 points p 0001 found association patient characteristics option12 score except education level p 0030 association small 28 points least educated contributed mostly significant control arms 65 points subanalyses stroke prevention trial showed positive association age option12 score p 0033 characteristics showed association extent clinicians involved patients sdm without sdm conversation tool clinicians devoted efforts involve patients higher education difference observed tool used sociodemographic patient characteristics show association extent clinicians involve patients shared decision makingclinicians devoted less effort involve patients lower education difference observed shared decisionmaking conversation tool usedsdm conversation tools useful clinicians better involve patients ensure patients get involved equally regardless educational background