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Surgical Informed Consent: A Scoping Review of Physician-facing Decision Support Tools
OBJECTIVES: Physician-facing decision support tools facilitate shared decision-making (SDM) during informed consent, but it is unclear whether they are comprehensive in the domains they measure. In this scoping review, we aimed to (1) identify the physician-facing tools used during SDM; (2) assess t...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health, Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10431347/ https://www.ncbi.nlm.nih.gov/pubmed/37600865 http://dx.doi.org/10.1097/AS9.0000000000000259 |
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author | Melucci, Alexa D. Erlick, Mariah R. Loria, Anthony Russell, Marcia M. Temple, Larissa K. Poles, Gabriela C. |
author_facet | Melucci, Alexa D. Erlick, Mariah R. Loria, Anthony Russell, Marcia M. Temple, Larissa K. Poles, Gabriela C. |
author_sort | Melucci, Alexa D. |
collection | PubMed |
description | OBJECTIVES: Physician-facing decision support tools facilitate shared decision-making (SDM) during informed consent, but it is unclear whether they are comprehensive in the domains they measure. In this scoping review, we aimed to (1) identify the physician-facing tools used during SDM; (2) assess the patient-centered domains measured by these tools; (3) determine whether tools are available for older adults and for use in various settings (elective vs. emergent); and (4) characterize domains future tools should measure. METHODS: Using the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews, Embase, Medline, and Web of Science were queried for articles published between January 2000 and September 2022. Articles meeting inclusion criteria underwent title and abstract review. Eligible studies underwent data abstraction by two reviewers. RESULTS: Of 4365 articles identified, 160 were eligible. Tools to aid in surgical SDM focus on elective procedures (79%) and the outpatient setting (71%). Few tools are designed for older adults (5%) or for nonelective procedures (9%). Risk calculators were most common, followed by risk indices, prognostic nomograms, and communication tools. Of the domains measured, prognosis was more commonly measured (85%), followed by alternatives (28%), patient goals (36%), and expectations (46%). Most tools represented only one domain (prognosis, 33.1%) and only 6.7% represented all four domains. CONCLUSIONS AND IMPLICATIONS: Tools to aid in the surgical SDM process measure short-term prognosis more often than patient-centered domains such as long-term prognosis, patient goals, and expectations. Further research should focus on communication tools, the needs of older patients, and use in diverse settings. |
format | Online Article Text |
id | pubmed-10431347 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer Health, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-104313472023-08-18 Surgical Informed Consent: A Scoping Review of Physician-facing Decision Support Tools Melucci, Alexa D. Erlick, Mariah R. Loria, Anthony Russell, Marcia M. Temple, Larissa K. Poles, Gabriela C. Ann Surg Open Review OBJECTIVES: Physician-facing decision support tools facilitate shared decision-making (SDM) during informed consent, but it is unclear whether they are comprehensive in the domains they measure. In this scoping review, we aimed to (1) identify the physician-facing tools used during SDM; (2) assess the patient-centered domains measured by these tools; (3) determine whether tools are available for older adults and for use in various settings (elective vs. emergent); and (4) characterize domains future tools should measure. METHODS: Using the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews, Embase, Medline, and Web of Science were queried for articles published between January 2000 and September 2022. Articles meeting inclusion criteria underwent title and abstract review. Eligible studies underwent data abstraction by two reviewers. RESULTS: Of 4365 articles identified, 160 were eligible. Tools to aid in surgical SDM focus on elective procedures (79%) and the outpatient setting (71%). Few tools are designed for older adults (5%) or for nonelective procedures (9%). Risk calculators were most common, followed by risk indices, prognostic nomograms, and communication tools. Of the domains measured, prognosis was more commonly measured (85%), followed by alternatives (28%), patient goals (36%), and expectations (46%). Most tools represented only one domain (prognosis, 33.1%) and only 6.7% represented all four domains. CONCLUSIONS AND IMPLICATIONS: Tools to aid in the surgical SDM process measure short-term prognosis more often than patient-centered domains such as long-term prognosis, patient goals, and expectations. Further research should focus on communication tools, the needs of older patients, and use in diverse settings. Wolters Kluwer Health, Inc. 2023-01-30 /pmc/articles/PMC10431347/ /pubmed/37600865 http://dx.doi.org/10.1097/AS9.0000000000000259 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Review Melucci, Alexa D. Erlick, Mariah R. Loria, Anthony Russell, Marcia M. Temple, Larissa K. Poles, Gabriela C. Surgical Informed Consent: A Scoping Review of Physician-facing Decision Support Tools |
title | Surgical Informed Consent: A Scoping Review of Physician-facing Decision Support Tools |
title_full | Surgical Informed Consent: A Scoping Review of Physician-facing Decision Support Tools |
title_fullStr | Surgical Informed Consent: A Scoping Review of Physician-facing Decision Support Tools |
title_full_unstemmed | Surgical Informed Consent: A Scoping Review of Physician-facing Decision Support Tools |
title_short | Surgical Informed Consent: A Scoping Review of Physician-facing Decision Support Tools |
title_sort | surgical informed consent: a scoping review of physician-facing decision support tools |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10431347/ https://www.ncbi.nlm.nih.gov/pubmed/37600865 http://dx.doi.org/10.1097/AS9.0000000000000259 |
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