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Shared decision-making in neurosurgery: a scoping review
BACKGROUND: In modern neurosurgery, there are often several treatment alternatives, with different risks and benefits. Shared decision-making (SDM) has gained interest during the last decade, although SDM in the neurosurgical field is not widely studied. Therefore, the aim of this scoping review was...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Vienna
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8357744/ https://www.ncbi.nlm.nih.gov/pubmed/33942189 http://dx.doi.org/10.1007/s00701-021-04867-3 |
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author | Corell, Alba Guo, Annie Vecchio, Tomás Gómez Ozanne, Anneli Jakola, Asgeir S. |
author_facet | Corell, Alba Guo, Annie Vecchio, Tomás Gómez Ozanne, Anneli Jakola, Asgeir S. |
author_sort | Corell, Alba |
collection | PubMed |
description | BACKGROUND: In modern neurosurgery, there are often several treatment alternatives, with different risks and benefits. Shared decision-making (SDM) has gained interest during the last decade, although SDM in the neurosurgical field is not widely studied. Therefore, the aim of this scoping review was to present the current landscape of SDM in neurosurgery. METHODS: A literature review was carried out in PubMed and Scopus. We used a search strategy based on keywords used in existing literature on SDM in neurosurgery. Full-text, peer-reviewed articles published from 2000 up to the search date February 16, 2021, with patients 18 years and older were included if articles evaluated SDM in neurosurgery from the patient’s perspective. RESULTS: We identified 22 articles whereof 7 covered vestibular schwannomas, 7 covered spinal surgery, and 4 covered gliomas. The other topics were brain metastases, benign brain lesions, Parkinson’s disease and evaluation of neurosurgical care. Different methods were used, with majority using forms, questionnaires, or interviews. Effects of SDM interventions were studied in 6 articles; the remaining articles explored factors influencing patients’ decisions or discussed SDM aids. CONCLUSION: SDM is a tool to involve patients in the decision-making process and considers patients’ preferences and what the patients find important. This scoping review illustrates the relative lack of SDM in the neurosurgical literature. Even though results indicate potential benefit of SDM, the extent of influence on treatment, outcome, and patient’s satisfaction is still unknown. Finally, the use of decision aids may be a meaningful contribution to the SDM process. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-021-04867-3. |
format | Online Article Text |
id | pubmed-8357744 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Vienna |
record_format | MEDLINE/PubMed |
spelling | pubmed-83577442021-08-30 Shared decision-making in neurosurgery: a scoping review Corell, Alba Guo, Annie Vecchio, Tomás Gómez Ozanne, Anneli Jakola, Asgeir S. Acta Neurochir (Wien) Review Article - Neurosurgery general BACKGROUND: In modern neurosurgery, there are often several treatment alternatives, with different risks and benefits. Shared decision-making (SDM) has gained interest during the last decade, although SDM in the neurosurgical field is not widely studied. Therefore, the aim of this scoping review was to present the current landscape of SDM in neurosurgery. METHODS: A literature review was carried out in PubMed and Scopus. We used a search strategy based on keywords used in existing literature on SDM in neurosurgery. Full-text, peer-reviewed articles published from 2000 up to the search date February 16, 2021, with patients 18 years and older were included if articles evaluated SDM in neurosurgery from the patient’s perspective. RESULTS: We identified 22 articles whereof 7 covered vestibular schwannomas, 7 covered spinal surgery, and 4 covered gliomas. The other topics were brain metastases, benign brain lesions, Parkinson’s disease and evaluation of neurosurgical care. Different methods were used, with majority using forms, questionnaires, or interviews. Effects of SDM interventions were studied in 6 articles; the remaining articles explored factors influencing patients’ decisions or discussed SDM aids. CONCLUSION: SDM is a tool to involve patients in the decision-making process and considers patients’ preferences and what the patients find important. This scoping review illustrates the relative lack of SDM in the neurosurgical literature. Even though results indicate potential benefit of SDM, the extent of influence on treatment, outcome, and patient’s satisfaction is still unknown. Finally, the use of decision aids may be a meaningful contribution to the SDM process. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-021-04867-3. Springer Vienna 2021-05-03 2021 /pmc/articles/PMC8357744/ /pubmed/33942189 http://dx.doi.org/10.1007/s00701-021-04867-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Review Article - Neurosurgery general Corell, Alba Guo, Annie Vecchio, Tomás Gómez Ozanne, Anneli Jakola, Asgeir S. Shared decision-making in neurosurgery: a scoping review |
title | Shared decision-making in neurosurgery: a scoping review |
title_full | Shared decision-making in neurosurgery: a scoping review |
title_fullStr | Shared decision-making in neurosurgery: a scoping review |
title_full_unstemmed | Shared decision-making in neurosurgery: a scoping review |
title_short | Shared decision-making in neurosurgery: a scoping review |
title_sort | shared decision-making in neurosurgery: a scoping review |
topic | Review Article - Neurosurgery general |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8357744/ https://www.ncbi.nlm.nih.gov/pubmed/33942189 http://dx.doi.org/10.1007/s00701-021-04867-3 |
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