ArticlePatient preference and adherence2020
Decision Aid Implementation and Patients' Preferences for Hip and Knee Osteoarthritis Treatment: Insights from the High Value Healthcare Collaborative.
Article in Patient preference and adherence, 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, 15 citations in OpenAlex.
- Innovation Culture Declines Drive Exnovation of Patient Engagement Strategies in Primary Care.Journal of general internal medicine · 2026Article
- Shared decision-making and patient decision aids in knee osteoarthritis: a scoping review.Knee surgery & related research · 2026Review
- Surgeon Alignment With Clinical Practice Guidelines: A Qualitative Analysis of Treatment of Distal Radius Fractures.Hand (New York, N.Y.) · 2026Article
- A mixed-methods study of patient and healthcare professional perceptions of care pathways for knee osteoarthritis.BMC primary care · 2024Article
- The impact of a patient decision aid on treatment choices after anterior cruciate ligament injuries.Journal of experimental orthopaedics · 2023Article
- US practice adoption of patient-engagement strategies and spending for adults with diabetes and cardiovascular disease.Health affairs scholar · 2023Article
- Patient preferences as human factors for health data recommender systems and shared decision making in orthopaedic practice.Frontiers in digital health · 2023Article
- Mammography and Decision Aid Use for Breast Cancer Screening in Older Women.American journal of preventive medicine · 2022Article
- Association between received treatment elements and satisfaction with care for patients with knee osteoarthritis seen in general practice in Denmark.Scandinavian journal of primary health care · 2021Article
- Patient Engagement Approaches in Total Joint Arthroplasty: A Review of Two Decades.Journal of patient experience · 2021Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShared decision making (SDM) research has emphasized the role of decision aids (DAs) for helping patients make treatment decisions reflective of their preferences, yet there have been few collaborative multi-institutional efforts to integrate DAs in orthopedic consultations and primary care encounters.
objectiveIn the context of routine DA implementation for SDM, we investigate which patient-level characteristics are associated with patient preferences for surgery versus medical management before and after exposure to DAs. We explored whether DA implementation in primary care encounters was associated with greater shifts in patients' treatment preferences after exposure to DAs compared to DA implementation in orthopedic consultations.
designRetrospective cohort study.
setting10 High Value Healthcare Collaborative (HVHC) health systems. STUDY
participantsA total of 495 hip and 1343 adult knee osteoarthritis patients who were exposed to DAs within HVHC systems between July 2012 to June 2015.
resultsNearly 20% of knee patients and 17% of hip patients remained uncertain about their treatment preferences after viewing DAs. Older patients and patients with high pain levels had an increased preference for surgery. Older patients receiving DAs from three HVHC systems that transitioned DA implementation from orthopedics into primary care had lower odds of preferring surgery after DA exposure compared to older patients in seven HVHC systems that only implemented DAs for orthopedic consultations.
conclusionPatients' treatment preferences were largely stable over time, highlighting that DAs for SDM largely do not necessarily shift preferences. DAs and SDM processes should be targeted at older adults and patients reporting high pain levels. Initiating treatment conversations in primary versus specialty care settings may also have important implications for engagement of patients in SDM via DAs.
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