SynthesisOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2016
Shared Decision Making and Choice for Elective Surgical Care: A Systematic Review.
Synthesis in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
97 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Key targets for activating anaesthesia shared decision-making: a mixed methods systematic review.Anaesthesia · 2026Pooled it
- Analysis of Influencing Factors and Strategies of Implementing Shared Decision-Making Among Patients with Gastrointestinal Cancer: A Systematic Review and Meta-analysis of Qualitative Studies.Annals of surgical oncology · 2025Pooled it
- A Systematic Review of Shared Decision-Making Interventions for Service Users With Serious Mental Illnesses: State of the Science and Future Directions.Psychiatric services (Washington, D.C.) · 2021Pooled it
- Pooled it
- Regret in Surgical Decision Making: A Systematic Review of Patient and Physician Perspectives.World journal of surgery · 2017Pooled it
- Case Study Analysis of a Decision Coaching Intervention for Young Adults with Early Psychosis.Community mental health journal · 2025Trial
- Patient expectations and decisional regret in the management of ventral hernias.Surgical endoscopy · 2025Trial
- The impact of a physician's recommendation and gender on informed decision making: A randomized controlled study in a simulated decision situation.Health expectations : an international journal of public participation in health care and health policy · 2021Trial
- Patient information sources when facing repair of abdominal aortic aneurysm.Journal of vascular surgery · 2020Trial
- "It Depends on the Situation": Variability in How Surgical Oncologists Elicit and Integrate Patient Values.Journal of surgical oncology · 2026Article
- A Tale of Two Pathways: Same-Surgeon Versus Different-Surgeon Resection After Second Surgical Opinion.Journal of surgical oncology · 2026Article
- Does clinical documentation reflect how parents and clinicians share decisions about surgery?BMC medical informatics and decision making · 2026Article
- Patient experiences and outcomes from a novel multidisciplinary preoperative shared decision-making clinic.Anaesthesia and intensive care · 2026Article
- Large Language Model-Assisted Shared Decision-Making (SDM) in Rhinology: A Randomized Controlled Pilot Study.Laryngoscope investigative otolaryngology · 2026Article
- The knowledge-perception nexus: socio-linguistic disparities in surgical informed consent among patients at Ethiopian tertiary hospitals.BMC surgery · 2026Article
- Shared decision making using augmented reality a multicentre pilot randomised controlled trial in orthognathic surgery.NPJ digital medicine · 2026Article
- Patient-centered care in cervical spine surgery - the impact of perceived patient involvement on patient-reported outcomes measures: a Swedish multicenter study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Observational
- Review
- Acceptability among patients of a risk graphic designed to facilitate shared decision making prior to elective abdominal wall hernia repair.Surgical endoscopy · 2026Article
- Measuring patient satisfaction with education using extended reality in orthognathic surgery: Development, validation, and reliability of the 3D orthognathic surgery questionnaire (3DOS-Q).PEC innovation · 2025Article
37 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
objectiveShared decision making (SDM), an integrative patient-provider communication process emphasizing discussion of scientific evidence and patient/family values, may improve quality care delivery, promote evidence-based practice, and reduce overuse of surgical care. Little is known, however, regarding SDM in elective surgical practice. The purpose of this systematic review is to synthesize findings of studies evaluating use and outcomes of SDM in elective surgery. DATA SOURCES: PubMed, Cochrane CENTRAL, EMBASE, CINAHL, and SCOPUS electronic databases. REVIEW
methodsWe searched for English-language studies (January 1, 1990, to August 9, 2015) evaluating use of SDM in elective surgical care where choice for surgery could be ascertained. Identified studies were independently screened by 2 reviewers in stages of title/abstract and full-text review. We abstracted data related to population, study design, clinical dilemma, use of SDM, outcomes, treatment choice, and bias.
resultsOf 10,929 identified articles, 24 met inclusion criteria. The most common area studied was spine (7 of 24), followed by joint (5 of 24) and gynecologic surgery (4 of 24). Twenty studies used decision aids or support tools, including modalities that were multimedia/video (13 of 20), written (3 of 20), or personal coaching (4 of 20). Effect of SDM on preference for surgery was mixed across studies, showing a decrease in surgery (9 of 24), no difference (8 of 24), or an increase (1 of 24). SDM tended to improve decision quality (3 of 3) as well as knowledge or preparation (4 of 6) while decreasing decision conflict (4 of 6).
conclusionSDM reduces decision conflict and improves decision quality for patients making choices about elective surgery. While net findings show that SDM may influence patients to choose surgery less often, the impact of SDM on surgical utilization cannot be clearly ascertained.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.