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Current situation of shared decision making in osteoporosis: A comprehensive literature review of patient decision aids and decision drivers.
Nogués, Xavier; Carbonell, María Cristina; Canals, Laura; Lizán, Luis; Palacios, Santiago.
Afiliación
  • Nogués X; Internal Medicine Department, Instituto de investigación hospital del Mar (IMIM)-Centro de Investigación Biomédica en Red de Fragilidad y Envejecimiento Saludable (CIBERFES) Universitat Autonòma de Barcelona Barcelona Spain.
  • Carbonell MC; Department of Medicine, Atenció Primària Barcelona-Institut Català de la Salut (ICS), Grupo GREMPAL Universidad de Barcelona Barcelona Spain.
  • Canals L; Department of Medicine Amgen Europe Risch-Rotkreuz Switzerland.
  • Lizán L; Department of Outcomes Research Outcomes'10 Castellón de la Plana Spain.
  • Palacios S; Department of Medicine Universitat Jaume I Castellón de la Plana Spain.
Health Sci Rep ; 5(6): e849, 2022 Nov.
Article en En | MEDLINE | ID: mdl-36425899
Background and Aims: Osteoporosis is a systemic skeletal disease characterized by low bone mass and microstructural deterioration of bone tissues, resulting in bone fragility and increased fracture risk. It is the most common bone-related disease in the population. However, the proportion of patients who start treatment but discontinue it during the first year is very high (around 50%). Endeavors are made to promote patient participation in treatment by implementing patient decision aids (PDA), whose function is to help the patient make disease-related decisions. We aim to summarize the characteristics of the currently available PDA for osteoporosis, as well as deciding factors. Methods: Comprehensive review of the literature. Results: Currently, eleven PDAs can be found for osteoporosis. These PDA have different characteristics or options such as information about treatments tailored to patient needs, graphic information of the results (to facilitate understanding), personal histories (learning), tests to check the knowledge acquired, provision of evidence, clinical practice guidelines or a final summary to share with their doctor. Only five of these PDAs can be considered complete since they provide relevant disease information and therapeutic options to the patient, promote patient's reflection and foment patient-physician discussion. Conclusions: This study provides an update on the current state of decision making on osteoporosis and available PDA, which can help engage the patient through shared decision-making by considering, among other things, patient preferences. Physicians should consider PDA, as it may promote adherence and effectiveness of treatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Aspecto: Patient_preference Idioma: En Revista: Health Sci Rep Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Prognostic_studies / Qualitative_research Aspecto: Patient_preference Idioma: En Revista: Health Sci Rep Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos