Evidence map›Paper›PMID 40244326›Full record

ArticleInternational urogynecology journal2025

Shared Decision-Making (SDM) for Female SUI: Current Practice in Three Western Countries.

Nienke J E Osse, Karine Gontijo-Santos Lima, Marian K Engberts, Hugo W F van Eijndhoven, Wenche M Klerkx, Michiel R de Boer, Philippe D Violette, Laura N Nguyen, Rufus Cartwright, SDM in SUI Group and 2 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in International urogynecology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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

12 authors.

Nienke J E OsseDepartment of Primary- and Long-Term Care, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands. n.j.e.osse@umcg.nl.ORCID 0000-0002-0666-6538
Karine Gontijo-Santos LimaDepartment of Primary- and Long-Term Care, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands.
Marian K EngbertsDepartment of Obstetrics and Gynaecology, Isala Hospital, Dokter Van Heesweg 2, 8025 AB, Zwolle, the Netherlands.ORCID 0000-0001-9968-2862
Hugo W F van EijndhovenDepartment of Obstetrics and Gynaecology, Isala Hospital, Dokter Van Heesweg 2, 8025 AB, Zwolle, the Netherlands.ORCID 0000-0001-6118-5676
Wenche M KlerkxDepartment of Gynaecology, St. Antonius Hospital, Soestwetering 1, 3543 AZ, Utrecht, the Netherlands.ORCID 0000-0002-0406-4760
Michiel R de BoerDepartment of Primary- and Long-Term Care, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands.ORCID 0000-0001-9240-0199
Philippe D VioletteDepartments of Surgery and Health Research Methods Evidence and Impast, McMaster University, 310 Juliana Dr, Woodstock, ON, N4 V 0 A4, Canada.ORCID 0000-0002-6116-5496
Laura N NguyenDivision of Urology, Department of Surgery, McMaster University, 1280 Main St W, Hamilton, ON, L8S 4L8, Canada.ORCID 0000-0002-6114-6084
Rufus CartwrightDepartment of Gynaecology, Chelsea and Westminster NHS Foundation Trust, 369 Fulham Rd, London, SW10 9 NH, UK.ORCID 0000-0001-5501-319X
SDM in SUI Group
Marco H BlankerDepartment of Primary- and Long-Term Care, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands.ORCID 0000-0002-1086-8730
Paul L P BrandDepartment of Medical Education and Faculty Development, Isala Hospital, Dokter Van Heesweg 2, 8025 AB, Zwolle, the Netherlands.ORCID 0000-0002-1743-4193

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDifferent decision-making styles can be used to provide counselling for the multiple reasonable treatment options for patients with stress urinary incontinence (SUI). Shared decision-making (SDM) is currently advocated as the preferred style for preference sensitive decisions, as SDM takes patient preferences into account. This study aimed to map the current decision-making process for SUI in three Western countries.

methodsWe included 124 patients and 18 physicians in a multicentre, prospective study in five hospitals in Canada, the United Kingdom and the Netherlands. We used patient and physician versions of the Control Preference Scale (CPS) questionnaires and examined audio-recordings of consultations with the OPTION-5 instrument to assess the degree of SDM.

resultsMost patients (63%) perceived the decision-making as informative, some (29%) as shared and only a few (8%) as paternalistic. Dutch patients more often perceived the decision-making as informative than UK or Canadian patients. Patients' preferred and perceived decision-making styles matched in 70% of consultations. Patients' and physicians' perceptions of decision-making were the same in 60% of consultations, but their perceptions of SDM use did not match. This also did not match the OPTION-5 scores reflecting the use of SDM. Almost all patients were satisfied with the decision-making they perceived.

conclusionMost patients and physicians prefer and perceive the current decision-making process as informative decision-making. However, patients and physicians have different perceptions of their mutual consultation. This highlights the imprecise concept of SDM for both patients and physicians.

Indexed as

Decision Making, SharedPatient ParticipationUrinary Incontinence, StressAdultAgedCanadaFemaleHumansMiddle AgedNetherlandsPatient PreferencePhysician-Patient RelationsProspective StudiesSurveys and QuestionnairesUnited KingdomMakingMethods studyMixedPatient perceptionsPhysician perceptionsShared decisionStress urinary incontinenceTreatment decision

Identifiers

PMID40244326
PMCPMC12618321

What OpenQuestion holds

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Registered trials

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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.