Current Status and Future Prospects for Shared Decision Making before and after Total Knee Replacement Surgery—A Scoping Review

Geert van der Sluis, Jelmer Jager, Ilona Punt, Alexandra Goldbohm, Marjan J. Meinders, Richard Bimmel, Nico L.U. van Meeteren, Maria W. G. Nijhuis- van Der Sanden and Thomas J. Hoogeboom
Additional contact information
Geert van der Sluis: Department of Health Strategy and Innovation, Nij Smellinghe Hospital Drachten, Compagnonsplein 1, 9202 NN Drachten, The Netherlands
Jelmer Jager: Department of Epidemiology, Care and Public Health Research Institute (CAPHRI), School for Public Health and Primary Care, Maastricht University, Universiteitssingel 40, 6229 ER Maastricht, The Netherlands
Ilona Punt: Department of Orthopaedics, Maastricht University Medical Centre, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands
Alexandra Goldbohm: Retired, 0320 Lelystad, The Netherlands
Marjan J. Meinders: Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Geert Grooteplein 21, 6525 EZ Nijmegen, The Netherlands
Richard Bimmel: Department of Orthopedics and Traumatology, Nij Smellinghe Hospital Drachten, Compagnonsplein 1, 9202 NN Drachten, The Netherlands
Nico L.U. van Meeteren: Topsector Life Sciences and Health (Health~Holland), Laan van Nieuw Oost-Indie 334, 2693 CE the Hague, The Netherlands
Maria W. G. Nijhuis- van Der Sanden: Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Geert Grooteplein 21, 6525 EZ Nijmegen, The Netherlands
Thomas J. Hoogeboom: Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Geert Grooteplein 21, 6525 EZ Nijmegen, The Netherlands

IJERPH, 2021, vol. 18, issue 2, 1-36

Abstract: Background . To gain insight into the current state-of-the-art of shared decision making (SDM) during decisions related to pre and postoperative care process regarding primary total knee replacement (TKR). Methods . A scoping review was performed to synthesize existing scientific research regarding (1) decisional needs and preferences of patients preparing for, undergoing and recovering from TKR surgery, (2) the relation between TKR decision-support interventions and SDM elements (i.e., team talk, option talk, and decision talk), (3) the extent to which TKR decision-support interventions address patients’ decisional needs and preferences. Results . 2526 articles were identified, of which 17 articles met the inclusion criteria. Of the 17 articles, ten had a qualitative study design and seven had a quantitative study design. All included articles focused on the decision whether to undergo TKR surgery or not. Ten articles (all qualitative) examined patients’ decisional needs and preferences. From these, we identified four domains that affected the patients’ decision to undergo TKR: (1) personal factors, (2) external factors, (3) information sources and (4) preferences towards outcome prediction. Seven studies (5) randomized controlled trials and 2 cohort studies) used quantitative analyses to probe the effect of decision aids on SDM and/or clinical outcomes. In general, existing decision aids did not appear to be tailored to patient needs and preferences, nor were the principles of SDM well-articulated in the design of decision aids. Conclusions. SDM in TKR care is understudied; existing research appears to be narrow in scope with limited relevance to established SDM principles and the decisional needs of patients undertaking TKR surgery.

Keywords: shared decision making; total knee replacement; patient-centered care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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