Shared Decision Making Annotated Bibliography

Patient Decision Aids in Knee Replacement Surgery

Jayadev C, Khan T, Coulter A, Beard DJ, Price A. Patient decision aids in knee replacement surgery. The Knee. 2012 Mar 5;(in press corrected proof).

This article discusses the use of patient decision aids in routine clinical practice for patients considering knee replacement surgery. The decision surrounding a diagnosis of knee osteoarthritis is an example of a preference-sensitive decision, meaning there is more than one viable option. Unfortunately, when patients are not fully informed, they are often unsatisfied with the outcome due to unrealistic expectations and a lack of understanding of the potential benefits and harms. The authors describe how implementation of patient decision aids, to support a shared decision making process, may address these issues and improve patient satisfaction, specifically in the context of knee replacement surgery.

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