The Impact Of Decision Aids On Adults Considering Hip Or Knee Surgery.

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ID: 98027
2020
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Abstract
Trials of decision aids developed for use in shared decision making find that patients engaged in that process tend to choose more conservative treatment for preference-sensitive conditions. Shared decision making is a collaborative process in which clinicians and patients discuss trade-offs and benefits of specific treatment options in light of patients' values and preferences. Decision aids are paper, video, or web-based tools intended to help patients match personal preferences with available treatment options. We analyzed data for 2012-15 about patients within the ten High Value Healthcare Collaborative member systems who were exposed to condition-specific decision aids in the context of consultations for hip and knee osteoarthritis, with the intention that the aids be used to support shared decision making. Compared to matched patients not exposed to the decision aids, those exposed had two-and-a-half times the odds of undergoing hip replacement surgery and nearly twice the odds of undergoing knee replacement surgery within six months of the consultation. These findings suggest that health care systems adopting decision aids developed for use in shared decision making, and used in conjunction with hip and knee osteoarthritis consultations, should not expect reduced surgical utilization.
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hurley2020thehealth Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Hurley, Vanessa B;Rodriguez, Hector P;Kearing, Stephen;Wang, Yue;Leung, Ming D;Shortell, Stephen M;
Journal Health affairs (Project Hope)
Year 2020
DOI
10.1377/hlthaff.2019.00100
URL
Keywords
surgery depression health policy value patient engagement medicaid comorbidity hip osteoarthritis shared decision making knee osteoarthritis access and use systems of care medicaid patients

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