Evidence map›Paper›PMID 28337730›Full record

ReviewCurrent reviews in musculoskeletal medicine2017

Current concepts of shared decision making in orthopedic surgery.

Kevin Klifto, Christopher Klifto, James Slover

Open access · bronzeAbstract readReview
In one paragraph

Review in Current reviews in musculoskeletal medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
12.8field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 83 citations in OpenAlex.

  1. Article
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  4. Review
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  6. Article
  7. Article
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  9. Article
  10. Article
  11. Statistical Literacy in Hand and Upper-Extremity Patients.Journal of hand surgery global online · 2023
    Article
  12. Hipology 2023: Science, Philosophy, and Craft.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2023
    Review
  13. Article
  14. Article
  15. Eliciting Activity Goals With a Self-Administered Survey Among Patients With Hip or Knee Osteoarthritis.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2022
    Article
  16. Article
  17. Article
  18. When Do Patients Return to Driving After Outpatient Foot and Ankle Surgery?Hawai'i journal of health & social welfare · 2022
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Kevin KliftoPhiladelphia College of Osteopathic Medicine, Philadelphia, USA.
Christopher KliftoNYU Langone Medical Center Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 301 East 17th Street; Suite 213, New York, NY, 10003, USA.
James SloverNYU Langone Medical Center Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 301 East 17th Street; Suite 213, New York, NY, 10003, USA. James.Slover@nyumc.org.
Faculty of 1000 (United States) · USNYU Langone Health · USPhiladelphia College of Osteopathic Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThe Shared Decision Making (SDM) model, a collaborative decision making process between the physician and patient to make an informed clinical decision that enhances the chance of treatment success as defined by each patient's preferences and values, has become a new and promising tool in the healthcare process; however, minimal data exists on its application in the orthopedic surgical specialty. Increasing evidence has demonstrated that this once novel idea can be implemented successfully in the orthopedic setting to improve patient outcomes. RECENT

findingsSDM can be applied without significant increases in the office length. Patients report that a physician that takes the time to listen to them is among the most important factors in their care. When time was focused on the SDM process, there was a direct correlation between the time spent with a patient and patient satisfaction. Patients exposed to a decision aid prior to surgery gained a greater knowledge from baseline to make a higher quality decision that was consistent with their values. Involving family members preoperatively can help all patients adhere to postoperative regimens. Exposing patients to a decision aid can reduce expensive elective surgeries, in favor of non-operative management. Incorporating patient goals into the decision-making process has increased satisfaction, compliance, and outcomes. SDM is a two-way exchange of information that attempts to correct the inequality of power between the patient and physician. Decision-aids are helpful tools that facilitate the decision-making process. Treatment decisions are consistent with patient preferences and values when there may be no "best" therapy. A good patient-physician relationship is essential during the process to reduce decisional conflict and increase overall patient outcomes.

Indexed as

Decision aidsShared decision makingTotal joint replacement

Identifiers

PMID28337730
PMCPMC5435640
OpenAlexW2599514750

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.