Published online Dec 18, 2015. doi: 10.5312/wjo.v6.i11.864
Peer-review started: May 9, 2015
First decision: June 3, 2015
Revised: September 3, 2015
Accepted: October 20, 2015
Article in press: October 27, 2015
Published online: December 18, 2015
Medical treatment of patients inherently entails the risk of undesired complication or side effects. It is essential to inform the patient about the expected outcomes, but also the possible undesired outcomes. The patients preference and values regarding the potential outcomes should be involved in the decision making process. Even though many orthopaedic surgeons are positive towards shared decision-making, it is minimally introduced in the orthopaedic daily practice and decision-making is still mostly physician based. Decision aids are designed to support the physician and patient in the shared- decision-making process. By using decision aids, patients can learn more about their condition and treatment options in advance to the decision-making. This will reduce decisional conflict and improve participation and satisfaction.
Core tip: In shared decision-making the caregiver provides expertise and evidence, and the patient and caregiver choose diagnostic and treatment options consistent with their values and preferences. To support patients in discussing their health decisions with their treating physician, patient decision aids have been developed. It is thought that empowering patients to participate in the decision making process with the help of decision aids results in increased satisfaction and physical function and reduced decisional conflict, anxiety, and resource utilization.