2014
DOI: 10.1186/1471-2474-15-54
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Decision aid for patients considering total knee arthroplasty with preference report for surgeons: a pilot randomized controlled trial

Abstract: BackgroundTo evaluate feasibility and potential effectiveness of a patient decision aid (PtDA) for patients and a preference report for surgeons to reduce wait times and improve decision quality in patients with osteoarthritis considering total knee replacement.MethodsA prospective two-arm pilot randomized controlled trial. Patients with osteoarthritis were eligible if they understood English and were referred for surgical consultation about an initial total knee arthroplasty at a Canadian orthopaedic joint as… Show more

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Cited by 69 publications
(101 citation statements)
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“…In another study, families reported improvement in knowledge gain, satisfaction, and decisional conflict in children with neuromuscular scoliosis [35]. The use of a decision aid compared with usual education for osteoarthritis patients considering total knee arthroplasty demonstrated that patients exposed to a decision aid had higher decision quality based on knowledge (71 vs. 47%, p < 0.0001), and the decision was more consistent with their values for option outcomes (56.4 vs. 25%, p < 0.001) [36].…”
Section: Introductionmentioning
confidence: 99%
“…In another study, families reported improvement in knowledge gain, satisfaction, and decisional conflict in children with neuromuscular scoliosis [35]. The use of a decision aid compared with usual education for osteoarthritis patients considering total knee arthroplasty demonstrated that patients exposed to a decision aid had higher decision quality based on knowledge (71 vs. 47%, p < 0.0001), and the decision was more consistent with their values for option outcomes (56.4 vs. 25%, p < 0.001) [36].…”
Section: Introductionmentioning
confidence: 99%
“…Physicians help educate the patient, and patients relate preferences based on their own values. Incorporating patient preferences can lead to better patient satisfaction, improved decision quality, appropriate utilization of health-care resources by an informed patient, and better outcomes, thereby increasing value for patients [13][14][15] .…”
Section: Value-based Advancements In the United Statesmentioning
confidence: 99%
“…These findings, combined with the patients' clinical data, were summarized in a 1-page report and sent to the surgeon. 5,8 All patients (control and intervention) received clinicspecific written information about the prerehabilitation …”
Section: Interventionmentioning
confidence: 99%
“…[5][6][7] In Canada and the United States, randomized controlled trials (RCTs) evaluating decision aids for patients considering TKA showed that patients who used decision aids were more knowledgeable, had more realistic expectations, achieved better decision quality (i.e., extent that informed decisions were consistent with patient preferences), were more prepared for the surgical consultation, and had reduced decisional conflict (i.e., uncertainty about the best treatment option). [7][8][9] Orthopedic surgeons also reported improved satisfaction and consultation efficiency when their patients were exposed to a decision aid. 9 A Canadian trial showed that decision aids resulted in lower costs and more quality-adjusted life years for patients considering total joint arthroplasty.…”
mentioning
confidence: 99%