Evidence map›Paper›PMID 42425564›Full record

ArticleBMJ open2026

Shared decision making in pain care: a systematic review study protocol of decision aids.

Courtney W Hess, Ashley McDonnell, Om Sahaym, Sahrish Masood, Aliyah Davis, Heather Smyth, Hannah Nguyen, Connie Wong, Ellen A Lipstein, Yaara Zisman-Ilani and 1 more

Abstract read
In one paragraph

Article in BMJ open, 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

11 authors.

Courtney W HessAnesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA cwhess@stanford.edu.ORCID http://orcid.org/0000-0001-5207-7411
Ashley McDonnellAnesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.
Om SahaymAnesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.
Sahrish MasoodAnesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.
Aliyah DavisAnesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.
Heather SmythAnesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.
Hannah NguyenStanford University, Stanford, California, USA.
Connie WongLane Medical Library, Stanford, California, USA.
Ellen A LipsteinPediatrics, Cincinnati Children's, Cincinnati, Ohio, USA.
Yaara Zisman-IlaniDepartment of Rehabilitation Sciences, College of Public Health, Temple University, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0001-6852-2583
Laura SimonsAnesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.ORCID http://orcid.org/0000-0002-3395-9483

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionShared decision making (SDM) in healthcare is an ethical imperative and essential to patient-centred care. SDM is particularly useful when several preference-sensitive treatment options exist and in the setting of chronic conditions or longitudinal management. Chronic pain management embodies these characteristics, yet SDM often remains insufficient in this population. Decision aids are designed to facilitate SDM by helping patients and clinicians understand treatment options, clarify patient values, and guide collaborative decision processes. Despite their importance, the use of decision aids in pain management is inconsistent and their reported effectiveness has been variable. However, the current landscape of decision aids for pain management has not been described. This lack of understanding of what tools exist, how they are structured, what decisions they address and how they were developed makes it difficult to advance implementation efforts or identify meaningful gaps in available resources. As such, the purpose of this systematic review is to identify and characterise decision aids for pain management across the lifespan. Specifically, this review will describe the clinical decisions addressed, decision aid structures and delivery formats, development processes and outcomes used to evaluate the impact of existing decision aids. METHODS AND ANALYSIS: Electronic searches were performed in PubMed, CINAHL and Ovid Embase from inception through January 2026. Studies will be assessed for quality using the Mixed Methods Appraisal Tool. Data will be extracted and presented with the aim of describing the: (a) content and structures of pain-related decision aids, (b) development processes used to create existing pain-related decision aids and (c) outcome measures used to evaluate the impact of decision aids in clinical care. ETHICS AND DISSEMINATION: This review does not require ethics approval. Findings will be disseminated to clinicians, researchers and patients through journal publications, conference presentations and in collaboration with patient partners. PROSPERO REGISTRATION NUMBER: CRD420251085288.

Indexed as

Chronic PainDecision Making, SharedDecision Support TechniquesPain ManagementHumansPatient-Centered CarePatient ParticipationResearch DesignSystematic Reviews as TopicDecision MakingPAIN MANAGEMENTSystematic Review

Identifiers

PMID42425564
PMCPMC13358240

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.