Evidence map›Paper›PMID 41731621›Full record

ReviewKnee surgery & related research2026

Shared decision-making and patient decision aids in knee osteoarthritis: a scoping review.

Ethan Wang, Amber Stefanski, Tsz King Donald Chow, Angela Spencer, Keniesha Thompson, Sheyna Gifford

Abstract readReview
In one paragraph

Review in Knee surgery & related research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Ethan Wang *Saint Louis University School of Medicine, 1402 S Grand Blvd, St. Louis, MO, 63104, USA. ethan.wang@health.slu.edu.ORCID http://orcid.org/0009-0009-1993-3066
Amber Stefanski *Saint Louis University School of Medicine, 1402 S Grand Blvd, St. Louis, MO, 63104, USA.
Tsz King Donald Chow *Saint Louis University School of Medicine, 1402 S Grand Blvd, St. Louis, MO, 63104, USA.
Angela SpencerSaint Louis University School of Medicine, 1402 S Grand Blvd, St. Louis, MO, 63104, USA.
Keniesha ThompsonSaint Louis University School of Medicine, 1402 S Grand Blvd, St. Louis, MO, 63104, USA.
Sheyna GiffordSaint Louis University School of Medicine, 1402 S Grand Blvd, St. Louis, MO, 63104, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShared decision-making is a collaborative approach that enables clinicians and patients to make informed treatment decisions that align with patient preferences. This study examined current practices of shared decision-making in managing knee osteoarthritis.

methodsA comprehensive search was conducted in Cochrane, CINAHL, ProQuest, Scopus, Ovid MEDLINE, and Web of Science databases through August 2025. EndNote 21 was utilized for de-duplication, and Rayyan was used for screening. Studies were analyzed for the use of patient decision aids, shared decision-making outcome measures, and barriers and factors impacting shared decision-making practices.

resultsOf 4708 records screened, 69 studies were included for analysis, comprising 23 randomized controlled trials, 18 qualitative studies, 9 trial protocols, and 19 other observational designs. A total of 44 studies explicitly described the use of a patient decision aid. Reported outcome domains included decision quality, decisional conflict, satisfaction, regret, and patient-clinician communication. Commonly cited barriers to shared decision-making (SDM) implementation were limited clinician time, lack of awareness of patient decision aids (PDAs), and patient difficulty using digital tools.

conclusionsThe included studies suggest that patient decision aids may be a valuable tool for management of knee osteoarthritis, with studies reporting improvements in patient engagement and informed decision-making. However, variability in shared decision-making implementation and inconsistency in outcome measures highlight the need for further research to evaluate the comparative effectiveness of decision aids in clinical practice.

Indexed as

Knee osteoarthritisPatient decision aidsScoping reviewShared decision-making

Identifiers

PMID41731621
PMCPMC12927214

What OpenQuestion holds

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LicenceCC BY
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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.