More work needed on decision analysis for shared decision-making: A scoping review
Por:
Humphries, B, Leon-Garcia, M, Quispe, END, Canelo-Aybar, C, Valli, C, Pacheco-Barrios, K, Agarwal, A, Mirabi, S, Eckman, MH, Guyatt, G, Bates, SM, Alonso-Coello, P, Xie, F
Publicada:
1 ene 2022
Ahead of Print:
1 nov 2021
Resumen:
Objective: To explore and characterize published evidence on the ways decision analysis has been used to inform shared decision making. Study Design and Setting: For this scoping review, we searched five bibliographic databases (from inception until February 2021), reference lists of included studies, trial registries, a thesis database and websites of relevant interest groups. Studies were eligible if they evaluated the application of decision analysis in a shared decision-making encounter. Pairs of reviewers independently screened and selected studies for inclusion, extracted study information using a data extraction form developed by the research team and assessed risk of bias for all studies with an experimental or quasi-experimental design. Data were narratively synthesized. Results: We identified 27 studies that varied greatly with regard to their patient population, design, content and delivery. A range of outcomes were evaluated to explore the effectiveness and acceptability of decision analytic interventions, with little information about the implementation process. Most studies found that decision analysis was broadly beneficial. Conclusion: Despite the compelling rationale on the potential for decision analysis to support shared decision-making, rigorous randomized controlled trials are needed to confirm these interventions' effectiveness, while qualitative studies should seek to understand their potential implementation. (c) 2021 Elsevier Inc. All rights reserved.
Filiaciones:
Humphries, B:
McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada
Leon-Garcia, M:
Biomed Res Inst Sant Pau IIB Sant Pau, Iberoamer Cochrane Ctr, Barcelona, Spain
Univ Autonoma Barcelona, Dept Pediat Obstet Gynaecol & Prevent Med, Barcelona, Spain
Quispe, END:
Biomed Res Inst Sant Pau IIB Sant Pau, Iberoamer Cochrane Ctr, Barcelona, Spain
Univ Autonoma Barcelona, Dept Pediat Obstet Gynaecol & Prevent Med, Barcelona, Spain
Canelo-Aybar, C:
Biomed Res Inst Sant Pau IIB Sant Pau, Iberoamer Cochrane Ctr, Barcelona, Spain
Univ Autonoma Barcelona, Dept Pediat Obstet Gynaecol & Prevent Med, Barcelona, Spain
CIBER Epidemiol Salud Publ CIBERESP, Barcelona, Spain
Valli, C:
Biomed Res Inst Sant Pau IIB Sant Pau, Iberoamer Cochrane Ctr, Barcelona, Spain
Univ Autonoma Barcelona, Dept Pediat Obstet Gynaecol & Prevent Med, Barcelona, Spain
Pacheco-Barrios, K:
Spaulding Rehabil Hosp, Neuromodulat Ctr, Boston, MA 02115 USA
Spaulding Rehabil Hosp, Ctr Clin Res Learning, Boston, MA 02115 USA
Harvard Med Sch, Massachusetts Gen Hosp, Boston, MA 02115 USA
Univ San Ignacio Loyola, Vicerrectorado Invest, Unidad Invest Generac & Sintesis Evidencias Sal, Lima, Peru
Agarwal, A:
McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada
Univ Toronto, Dept Med, Toronto, ON, Canada
Mirabi, S:
Univ Waterloo, Sch Publ Hlth & Hlth Syst, Waterloo, ON, Canada
Eckman, MH:
Univ Cincinnati, Div Gen Internal Med, Cincinnati, OH 45221 USA
Univ Cincinnati, Ctr Clin Effectiveness, Cincinnati, OH 45221 USA
Guyatt, G:
McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada
McMaster Univ, Dept Med, Hamilton, ON, Canada
Bates, SM:
McMaster Univ, Dept Med, Hamilton, ON, Canada
Alonso-Coello, P:
Biomed Res Inst Sant Pau IIB Sant Pau, Iberoamer Cochrane Ctr, Barcelona, Spain
Xie, F:
McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada
Biomed Res Inst Sant Pau IIB Sant Pau, Iberoamer Cochrane Ctr, Barcelona, Spain
McMaster Univ, Ctr Hlth Econ & Policy Anal, Hamilton, ON, Canada
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