Global Healthy Living Foundation, Upper Nyack, NY, USA.
Ann & Robert H Lurie Children's Hospital of Chicago, Chicago, IL, USA.
J Comp Eff Res. 2020 Nov;9(16):1153-1166. doi: 10.2217/cer-2020-0109. Epub 2020 Oct 30.
Research regarding decisions patients make about total knee arthroplasty, apart from having the procedure or not, are limited. Understanding patient decision making and related information needs is essential for shared decision making. Focus groups with an online community-based sample identified decisions about total knee arthroplasty beyond the decision to have the surgery itself. An online survey was used to determine relative importance of five major decisions and evaluate related information available. Patients did not feel they have enough information to make important decisions of surgeon, device type, surgical approach, facility, or timing, for their total knee arthroplasty. Although further research is needed to generalize these findings, physicians should consider these questions during shared decision making with patients considering total knee arthroplasty.
关于患者在决定是否接受全膝关节置换术之外的决策的研究非常有限。了解患者的决策过程和相关信息需求对于共同决策至关重要。本研究通过在线社区的焦点小组确定了全膝关节置换术的决策，这些决策超越了手术本身的决定。在线调查用于确定五个主要决策的相对重要性，并评估相关信息的可用性。患者认为他们没有足够的信息来做出关于全膝关节置换术的重要决策，包括外科医生、器械类型、手术入路、医疗机构或手术时机的选择。尽管需要进一步的研究来推广这些发现，但考虑到全膝关节置换术的患者，医生应该在共同决策中考虑这些问题。
