Shared Decision Making in Cardiac Electrophysiology Procedures and Arrhythmia Management.

Autor: Chung MK; Cleveland Clinic, Cleveland, OH (M.K.C., K.M., E.V.S., S.Y.W.)., Fagerlin A; University of Utah, Salt Lake City, UT (A.F., R.K.D., E.O., B.A.S.).; Salt Lake City Veterans Affairs Informatics Decision-Enhancement and Analytic Sciences Center for Innovation, Salt Lake City, UT (A.F.)., Wang PJ; Stanford University, Stanford, CA (P.J.W., T.B., Y.L., K.P., R.S.S.)., Ajayi TB; Boston University and Boston Medical Center, Boston, MA (T.B.A., E.J.B.)., Allen LA; University of Colorado, Aurora, CO (L.A.A., M.B., D.D.M.)., Baykaner T; Stanford University, Stanford, CA (P.J.W., T.B., Y.L., K.P., R.S.S.)., Benjamin EJ; Boston University and Boston Medical Center, Boston, MA (T.B.A., E.J.B.)., Branda M; University of Colorado, Aurora, CO (L.A.A., M.B., D.D.M.).; Mayo Clinic, Rochester, MN (M.B., I.G.H., M.K., S.R.M., V.M.M., P.A.N.)., Cavanaugh KL; Vanderbilt University Medical Center, Nashville, TN (K.L.C., G.H.C., D.M.R.)., Chen LY; University of Minnesota, Minneapolis, MN (L.Y.C.)., Crossley GH; Vanderbilt University Medical Center, Nashville, TN (K.L.C., G.H.C., D.M.R.)., Delaney RK; University of Utah, Salt Lake City, UT (A.F., R.K.D., E.O., B.A.S.)., Eckhardt LL; University of Wisconsin-Madison, Madison, WI (L.L.E., M.M.K., K.M.O., J.M.W.)., Grady KL; Northwestern University, Chicago, IL (K.L.G., R.P.)., Hargraves IG; Mayo Clinic, Rochester, MN (M.B., I.G.H., M.K., S.R.M., V.M.M., P.A.N.)., True Hills M; StopAfib.org, Decatur, TX (M.T.H.)., Kalscheur MM; University of Wisconsin-Madison, Madison, WI (L.L.E., M.M.K., K.M.O., J.M.W.)., Kramer DB; Beth Israel Deaconess Medical Center, Boston, MA (D.B.K.)., Kunneman M; Mayo Clinic, Rochester, MN (M.B., I.G.H., M.K., S.R.M., V.M.M., P.A.N.).; Leiden University Medical Center, Leiden, the Netherlands (M.K.)., Lampert R; Yale School of Medicine, New Haven, CT (R.L.)., Langford AT; New York University Langone Health, New York, NY (A.T.L.)., Lewis KB; University of Ottawa, ON, Canada (K.B.L., D.S.)., Lu Y; Stanford University, Stanford, CA (P.J.W., T.B., Y.L., K.P., R.S.S.)., Mandrola JM; Baptist Health Medical Group, Louisville, KY (J.M.M.)., Martinez K; Cleveland Clinic, Cleveland, OH (M.K.C., K.M., E.V.S., S.Y.W.)., Matlock DD; University of Colorado, Aurora, CO (L.A.A., M.B., D.D.M.)., McCarthy SR; Mayo Clinic, Rochester, MN (M.B., I.G.H., M.K., S.R.M., V.M.M., P.A.N.)., Montori VM; Mayo Clinic, Rochester, MN (M.B., I.G.H., M.K., S.R.M., V.M.M., P.A.N.)., Noseworthy PA; Mayo Clinic, Rochester, MN (M.B., I.G.H., M.K., S.R.M., V.M.M., P.A.N.)., Orland KM; University of Wisconsin-Madison, Madison, WI (L.L.E., M.M.K., K.M.O., J.M.W.)., Ozanne E; University of Utah, Salt Lake City, UT (A.F., R.K.D., E.O., B.A.S.)., Passman R; Northwestern University, Chicago, IL (K.L.G., R.P.)., Pundi K; Stanford University, Stanford, CA (P.J.W., T.B., Y.L., K.P., R.S.S.)., Roden DM; Vanderbilt University Medical Center, Nashville, TN (K.L.C., G.H.C., D.M.R.)., Saarel EV; Cleveland Clinic, Cleveland, OH (M.K.C., K.M., E.V.S., S.Y.W.).; St. Luke's Health System, Boise, ID (E.V.S.)., Schmidt MM; U.S. Department of Veterans Affairs, Nashville, TN (M.M.S.)., Sears SF; East Carolina University, Greenville, NC (S.F.S.)., Stacey D; University of Ottawa, ON, Canada (K.B.L., D.S.)., Stafford RS; Stanford University, Stanford, CA (P.J.W., T.B., Y.L., K.P., R.S.S.)., Steinberg BA; University of Utah, Salt Lake City, UT (A.F., R.K.D., E.O., B.A.S.)., Youn Wass S; Cleveland Clinic, Cleveland, OH (M.K.C., K.M., E.V.S., S.Y.W.).; University Hospitals Cleveland Medical Center, Cleveland, OH (S.Y.W.)., Wright JM; University of Wisconsin-Madison, Madison, WI (L.L.E., M.M.K., K.M.O., J.M.W.).
Jazyk: angličtina
Zdroj: Circulation. Arrhythmia and electrophysiology [Circ Arrhythm Electrophysiol] 2021 Dec; Vol. 14 (12), pp. e007958. Date of Electronic Publication: 2021 Dec 06.
DOI: 10.1161/CIRCEP.121.007958
Abstrakt: Shared decision making (SDM) has been advocated to improve patient care, patient decision acceptance, patient-provider communication, patient motivation, adherence, and patient reported outcomes. Documentation of SDM is endorsed in several society guidelines and is a condition of reimbursement for selected cardiovascular and cardiac arrhythmia procedures. However, many clinicians argue that SDM already occurs with clinical encounter discussions or the process of obtaining informed consent and note the additional imposed workload of using and documenting decision aids without validated tools or evidence that they improve clinical outcomes. In reality, SDM is a process and can be done without decision tools, although the process may be variable. Also, SDM advocates counter that the low-risk process of SDM need not be held to the high bar of demonstrating clinical benefit and that increasing the quality of decision making should be sufficient. Our review leverages a multidisciplinary group of experts in cardiology, cardiac electrophysiology, epidemiology, and SDM, as well as a patient advocate. Our goal is to examine and assess SDM methodology, tools, and available evidence on outcomes in patients with heart rhythm disorders to help determine the value of SDM, assess its possible impact on electrophysiological procedures and cardiac arrhythmia management, better inform regulatory requirements, and identify gaps in knowledge and future needs.
Databáze: MEDLINE