ArticleHealth expectations : an international journal of public participation in health care and health policy2020
Shared decision making in surgery: A scoping review of the literature.
Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
What it found
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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
34 citing papers in PubMed, 1 synthesis or guideline 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
- Patient expectations and decisional regret in the management of ventral hernias.Surgical endoscopy · 2025Trial
- Accessibility and Decision-Supportive Quality of Benign Breast Disease Articles on Chinese Hospital WeChat Public Accounts: Nationwide Cross-Sectional Study.JMIR medical informatics · 2026Article
- Health literacy in perioperative care: toward better shared decision-making through navigation and communication design.Journal of anesthesia · 2026Review
- Reliability of a rating rubric to assess quality of preoperative goals of care notes.American journal of surgery · 2026Article
- Communication skill training in surgical residency: insights from Y-SICO (Young-Italian Society of Surgical Oncology).Updates in surgery · 2026Article
- Shared Decision-Making in IPMN of the Pancreas: A Framework for Surgical Decisions Under Uncertainty.Annals of surgical oncology · 2026Review
- Preoperative Risk Assessment and Shared Decision-Making in Older Patients Eligible for Cardiac Surgery: Protocol for a Non-Randomized Prospective Study.Healthcare (Basel, Switzerland) · 2026Article
- The patient perspective on colorectal anastomotic leaks: A qualitative study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- [Oncological operation reports: minimum requirements, legal aspects and future developments].Chirurgie (Heidelberg, Germany) · 2025Review
- The clinical application of shared decision-making in emergency surgery: a scoping review protocol.BMJ open · 2025Article
- Differences of sex development.Nature reviews. Disease primers · 2025Review
- Navigating Power Imbalances and Stigma in Mental Healthcare. Patient-Reported Barriers and Facilitators to Participation in Shared Decision-Making in Mental Health Care, a Qualitative Meta-Summary.Health expectations : an international journal of public participation in health care and health policy · 2025Review
- Generalized Pairwise Comparisons to Support Shared Decision-Making in the CODA Trial.JAMA network open · 2025Article
- Shared Decision-Making Tools Implemented in the Electronic Health Record: Scoping Review.Journal of medical Internet research · 2025Article
- Discrepancies between physician-assessed and patient-reported complications after cystectomy - a prospective analysis.World journal of urology · 2025Observational
- Exploring the Utility of ChatGPT in Cleft Lip Repair Education.Journal of clinical medicine · 2025Article
- Exploring patient perspectives on shared decision making about bariatric surgery in two healthcare systems.Obesity science & practice · 2024Article
- Frailty and decisional regret after elective noncardiac surgery: a multicentre prospective cohort study.British journal of anaesthesia · 2024Article
- Patients' attitudes toward negative appendectomies and surgery for suspected appendicitis: a qualitative interview study.Surgical endoscopy · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShared decision making (SDM) has been increasingly implemented to improve health-care outcomes. Despite the mixed efficacy of SDM to provide better patient-guided care, its use in surgery has not been studied. The aim of this study was to systematically review SDM application in surgery.
designThe search strategy, developed with a medical librarian, included nine databases from inception until June 2019. After a 2-person title and abstract screen, full-text publications were analysed. Data collected included author, year, surgical discipline, location, study duration, type of decision aid, survey methodology and variable outcomes. Quantitative and qualitative cross-sectional studies, as well as RCTs, were included.
resultsA total of 6060 studies were retrieved. A total of 148 were included in the final review. The majority of the studies were in plastic surgery, followed by general surgery and orthopaedics. The use of SDM decreased surgical intervention rate (12 of 22), decisional conflict (25 of 29), and decisional regret (5 of 5), and increased decisional satisfaction (17 of 21), knowledge (33 of 35), SDM preference (13 of 16), and physician trust (4 of 6). Time increase per patient encounter was inconclusive. Cross-sectional studies showed that patients prefer shared treatment and surgical treatment varied less. The results of SDM per type of decision aid vary in terms of their outcome.
conclusionSDM in surgery decreases decisional conflict, anxiety and surgical intervention rates, while increasing knowledge retained decisional satisfaction, quality and physician trust. Surgical patients also appear to prefer SDM paradigms. SDM appears beneficial in surgery and therefore worth promoting and expanding in use.
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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.