Publications by authors named "D L Stilwell"
Objective: To assess patient perspectives on the level of shared decision making (SDM) experienced related to bariatric surgery.
Background: Severe obesity is common and has serious health implications. Yet, few eligible patients pursue bariatric surgery.
Objective: Prior research suggests shared decision-making (SDM) could improve patient and health care provider communication about bariatric surgery. The aim of this work was to identify and prioritize barriers to SDM around bariatric surgery to help guide implementation of SDM.
Methods: Two large US health care systems formed multidisciplinary teams to facilitate the implementation of SDM around bariatric surgery.
Article Synopsis
- There is ongoing debate about how diabetes, especially type 2 in postmenopausal women, affects bone quality, potentially linked to poorly controlled blood sugar levels.
- The study investigated how chronic high blood sugar impacts bone turnover, structure, and strength in female Wistar rats, comparing groups that underwent ovariectomy (surgical removal of ovaries) with those that did not.
- Results indicated that hyperglycemic-ovariectomized rats showed improved bone formation and stronger bones, despite some changes in their bone structure, suggesting that chronic high blood sugar might actually have some beneficial effects on bone quality in this specific context.
Background: Patients and clinicians expect patient decision aids to be based on the best available research evidence. Since 2005, this expectation has translated into a quality dimension of the International Patient Decision Aid Standards.
Methods: We reviewed the 2005 standards and the available literature on the evidence base of decision aids as well as searched for parallel activities in which evidence is brought to bear to inform clinical decisions.