AI Article Synopsis
- * A systematic search of literature from January 2007 to November 2024 revealed 15,738 articles, with 50 meeting high-quality inclusion criteria, showing that about 70% of the assessed studies were of good quality.
- * The findings indicate that while interest in SDM is growing, its implementation is hampered by healthcare professionals' limited understanding and patients feeling under-engaged, highlighting a need for more research on professional and systemic factors affecting SDM.
Article Abstract
Objective: This review provides an overview of the literature on shared decision making (SDM) in patients with abdominal aortic aneurysm (AAA) or peripheral artery disease (PAD) and identifies barriers and facilitators.
Methods: A systematic scoping review was conducted in which four databases were systematically searched for the period January 2007 to November 2024. All articles were reviewed by two independent authors and asses for quality using the Mixed Methods Appraisal Tool (MMAT).
Results: The literature search yielded 15,738 articles, of which 50 met the inclusion criteria. Quality assessment via MMAT showed good quality in 70% of studies. Various influencing factors were revealed on SDM in patients, physicians, consult content and the system or organisation of care.
Conclusions: Despite increased attention, implementing SDM in AAA and PAD patients remains challenging due to healthcare professionals' limited understanding of SDM. Patients seek active involvement but often feel inadequately engaged. There is a notable lack of research focusing on health care professionals and systemic influences on SDM.
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| http://dx.doi.org/10.1016/j.avsg.2024.12.011 | DOI Listing |
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