SynthesisInternational health2020
Shared decision making in musculoskeletal pain consultations in low- and middle-income countries: a systematic review.
Synthesis in International health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Everyday living with osteoarthritis in the global South: A qualitative focus group inquiry in Nigeria.Osteoarthritis and cartilage open · 2025Article
- Global assessment of pain care quality for musculoskeletal disorders: Insights from the quality of care index (QCI) from 1990 to 2021.PloS one · 2025Article
- Shared decision-making among older adults with multimorbidity in Kerala's primary care: a qualitative study using the socio-ecological model.Frontiers in public health · 2025Article
- Addressing treatment fatigue, therapeutic inertia, and cognitive dissonance in musculoskeletal pain management in primary care setting.Frontiers in medicine · 2025Article
- The healthcare buffet: preferences in the clinical decision-making process for patients with musculoskeletal pain.The Journal of manual & manipulative therapy · 2022Article
- An Uninformed Decision-Making Process for Cesarean Section: A Qualitative Exploratory Study among the Slum Residents of Dhaka City, Bangladesh.International journal of environmental research and public health · 2022Article
- People's Experience of Shared Decision Making in Musculoskeletal Physiotherapy: A Systematic Review and Thematic Synthesis.Behavioral sciences (Basel, Switzerland) · 2022Review
- Implementation of Best-Evidence Osteoarthritis Care: Perspectives on Challenges for, and Opportunities From, Low and Middle-Income Countries.Frontiers in rehabilitation sciences · 2021Review
- Patients' Involvement in Decision-Making During Healthcare in a Developing Country: A Cross-Sectional Study.Patient preference and adherence · 2021Article
- Educational Attainment, Decision-Making Preferences, and Interest in Evidence-Based Diabetes Prevention among Women with a History of Gestational Diabetes Mellitus.Women's health reports (New Rochelle, N.Y.) · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGlobal populations, especially those in low- and middle-income countries (LMICs), are at an increased risk of musculoskeletal (MSK) pain, a leading cause of years lived with disability. Shared decision making (SDM) in the management of these conditions may drive improvements in healthcare outcomes and quality. This study aimed to synthesize and appraise available evidence regarding SDM in MSK pain consultations in LMICs.
methodsComprehensive literature searches were conducted in 12 databases for primary studies investigating SDM in MSK pain consultations across all healthcare and community settings in LMICs. Study eligibility screening, data extraction and quality appraisal (using the Critical Appraisals Skills Programme tool) were completed by pairs of reviewers. Findings were brought together using thematic synthesis of data from all the primary studies.
resultsSeven studies (mostly moderate quality) were included. There was low awareness of SDM among healthcare professionals (HCPs); however, this is not explicitly practised due to cultural and operational barriers. HCP training and patient empowerment through health literacy were proposed facilitators. The traditional paternalistic approach to treatment poses a key barrier to SDM, decreases adherence to prescribed treatments and raises the risk of poor clinical outcomes.
conclusionsSDM is still a relatively 'foreign concept' within consultations and management of MSK pain patients in LMICs. There is a dearth of research in SDM and patient-centred care. Given the socio-economic impact of MSK pain, further research into the value of SDM in LMIC healthcare settings requires further consideration.
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