Decision aids for patients with carotid stenosis.
Carotid artery stenosis
Carotid disease
Decision aid
Patient preferences
Shared decision-making
Journal
Journal of vascular surgery
ISSN: 1097-6809
Titre abrégé: J Vasc Surg
Pays: United States
ID NLM: 8407742
Informations de publication
Date de publication:
03 Nov 2023
03 Nov 2023
Historique:
received:
25
09
2023
revised:
23
10
2023
accepted:
27
10
2023
pubmed:
6
11
2023
medline:
6
11
2023
entrez:
3
11
2023
Statut:
aheadofprint
Résumé
Shared decision-making tools have been underused by clinicians in real-world practice. Changes to the National Coverage Determination by Medicare for carotid stenting greatly expand the coverage for patients, but simultaneously require a shared decision-making interaction that involves the use of a validated tool. Accordingly, our objective was to evaluate the currently available decision aids for carotid stenosis. We conducted a review of the literature for published work on decision aids for the treatment of carotid disease. Four publications met inclusion criteria. We found the format of the decision aid impacted patient comprehension and decision making, although patient characteristics also played a role in the therapeutic decisions made. Notably, none of the available decision aids included the widely adopted transcarotid artery revascularization as an option. Further work is needed in the development of a widespread validated decision aid instrument for patients with carotid stenosis.
Sections du résumé
BACKGROUND
BACKGROUND
Shared decision-making tools have been underused by clinicians in real-world practice. Changes to the National Coverage Determination by Medicare for carotid stenting greatly expand the coverage for patients, but simultaneously require a shared decision-making interaction that involves the use of a validated tool. Accordingly, our objective was to evaluate the currently available decision aids for carotid stenosis.
METHODS
METHODS
We conducted a review of the literature for published work on decision aids for the treatment of carotid disease.
RESULTS
RESULTS
Four publications met inclusion criteria. We found the format of the decision aid impacted patient comprehension and decision making, although patient characteristics also played a role in the therapeutic decisions made. Notably, none of the available decision aids included the widely adopted transcarotid artery revascularization as an option.
CONCLUSIONS
CONCLUSIONS
Further work is needed in the development of a widespread validated decision aid instrument for patients with carotid stenosis.
Identifiants
pubmed: 37923023
pii: S0741-5214(23)02182-1
doi: 10.1016/j.jvs.2023.10.050
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : NHLBI NIH HHS
ID : K08 HL165087
Pays : United States
Informations de copyright
Copyright © 2023 Society for Vascular Surgery. All rights reserved.
Déclaration de conflit d'intérêts
Disclosures None.