ReviewThe Canadian journal of cardiology2018
Shared Decision-Making as the Future of Emergency Cardiology.
Review in The Canadian journal of cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 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
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions to Facilitate Shared Decision-Making Using Decision Aids with Coronary Heart Disease Patients: Systematic Review and Meta-Analysis.Reviews in cardiovascular medicine · 2023Pooled it
- Pooled it
- Shared Decision Making for Syncope in the Emergency Department: A Randomized Controlled Feasibility Trial.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2020Trial
- AMPDECIDE amputation level patient decision aids: a feasibility study.BMC medical informatics and decision making · 2025Article
- Shared Decision-Making on Life-Sustaining Treatment: A Survey of Current Barriers in Practice Among Clinicians Across China.Healthcare (Basel, Switzerland) · 2025Article
- Linking Cardiac Psychology and Cardiovascular Medicine via Self-Determination Theory and Shared Decision-Making.Journal of clinical psychology in medical settings · 2025Review
- Article
- Initial co-ideation phase of a shared decision-making tool aimed at promoting physical activity in primary care: views expressed by patients, academics, and healthcare professionals.Frontiers in public health · 2025Article
- Exploring differences in patient participation in simulated emergency cases in co-located and distributed rural emergency teams - an observational study with a randomized cross-over design.BMC emergency medicine · 2024Observational
- Living with myocardial ischaemia and no obstructive coronary arteries: a qualitative study.Open heart · 2024Article
- At the Heart of Resilience: Empowering Women's Agency in Navigating Cardiovascular Disease.CJC open · 2024Review
- Frequency, compliance, and yield of cardiac testing after high-sensitivity troponin accelerated diagnostic protocol implementation.The American journal of emergency medicine · 2023Article
- The Impact of Shared Decision-Making on the Quality of Decision Making in Aortic Dissection: A before-and-after Comparison Study.Reviews in cardiovascular medicine · 2023Article
- Key elements and checklist of shared decision-making conversation on life-sustaining treatment in emergency: a multispecialty study from China.World journal of emergency medicine · 2023Article
- Use of machine learning to predict medication adherence in individuals at risk for atherosclerotic cardiovascular disease.Smart health (Amsterdam, Netherlands) · 2022Article
- Age differences in the safety and effectiveness of the HEART Pathway accelerated diagnostic protocol for acute chest pain.Journal of the American Geriatrics Society · 2022Article
- Prediction of Successful Pharmacological Cardioversion in Acute Symptomatic Atrial Fibrillation: The Successful Intravenous Cardioversion for Atrial Fibrillation (SIC-AF) Score.Journal of personalized medicine · 2022Article
- Clinicians' perspectives on the implementation of patient decision aids in the emergency department: A qualitative interview study.Journal of the American College of Emergency Physicians open · 2022Article
- Management of Atrial Fibrillation in the Emergency Department.Current cardiology reports · 2021Review
- Shared decision making in surgery: a scoping review of patient and surgeon preferences.BMC medical informatics and decision making · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Shared decision-making is playing an increasingly large role in emergency cardiovascular care. Although there are many challenges to successfully performing shared decision-making in the emergency department, there are numerous clinical scenarios in which it should be used. In this article, we explore new research and emerging decision aids in the following emergency care scenarios: (1) low-risk chest pain; (2) new-onset atrial fibrillation; and (3) moderate-risk syncope. These decision aids are designed to engage patients and facilitate shared decision-making for specific treatment and disposition (admit vs discharge) decisions. We then offer a 3-step, practical approach to performing shared decision-making in the acute care setting, on the basis of broad stakeholder input and previous conceptual work. Step 1 involves simply acknowledging that a clinical decision needs to be made. Step 2 involves a shared discussion about the working diagnosis and the options for care in the context of the patient's values, preferences, and circumstances. The third and final step requires the patient and provider to agree on a plan of action regarding further medical care. The implementation of shared decision-making in emergency cardiology has the potential to shift the paradigm of clinical practice from paternalism toward mutualism and improve the quality and experience of care for our patients.
Indexed as
Identifiers
What OpenQuestion holds
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.