Time for a paradigm shift in shared decision-making in trauma and emergency surgery? Results from an international survey
Academic Article
Publication Date:
2023
abstract:
Background
Shared decision-making (SDM) between clinicians and patients is one of the pillars of the modern patient-centric philosophy of care. This study aims to explore SDM in the discipline of trauma and emergency surgery, investigating its interpretation as well as the barriers and facilitators for its implementation among surgeons.
Methods
Grounding on the literature on the topics of the understanding, barriers, and facilitators of SDM in trauma and emergency surgery, a survey was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was sent to all 917 WSES members, advertised through the society’s website, and shared on the society’s Twitter profile.
Results
A total of 650 trauma and emergency surgeons from 71 countries in five continents participated in the initiative. Less than half of the surgeons understood SDM, and 30% still saw the value in exclusively engaging multidisciplinary provider teams without involving the patient. Several barriers to effectively partnering with the patient in the decision-making process were identified, such as the lack of time and the need to concentrate on making medical teams work smoothly.
Discussion
Our investigation underlines how only a minority of trauma and emergency surgeons understand SDM, and perhaps, the value of SDM is not fully accepted in trauma and emergency situations. The inclusion of SDM practices in clinical guidelines may represent the most feasible and advocated solutions.
Iris type:
1.1 Articolo in rivista
List of contributors:
Cobianchi, Lorenzo; Dal Mas, Francesca; Agnoletti, Vanni; Ansaloni, Luca; Biffl, Walter; Butturini, Giovanni; Campostrini, Stefano; Catena, Fausto; Denicolai, Stefano; Fugazzola, Paola; Martellucci, Jacopo; Massaro, Maurizio; Previtali, Pietro; Ruta, Federico; Venturi, Alessandro; Woltz, Sarah; Kaafarani, Haytham M.; Loftus, Tyler J.; Aapoäÿlu, Recayi; Abbott, Kenneth Lyle; Abdelmalik, Abubaker; Abebe, Nebyou Seyoum; Abu-Zidan, Fikri; Adam, Yousif Abdallah Yousif; Adamou, Harissou; Adamovich, Dmitry Mikhailovich; Agresta, Ferdinando; Agrusa, Antonino; Akin, Emrah; Alessiani, Mario; Alexandrino, Henrique; Bidoli, Chiara; Ali, Syed Muhammad; Mihai, Vasilescu Alin; Almeida, Pedro Miguel; Al-Shehari, Mohammed Mohammed; Altomare, Michele; Amico, Francesco; Ammendola, Michele; Andreuccetti, Jacopo; Anestiadou, Elissavet; Annicchiarico, Alfredo; Antonelli, Amedeo; Aparicio-Sanchez, Daniel; Ardito, Antonella; Argenio, Giulio; Arvieux, Catherine Claude; Arvieux, Catherine; Askevold, Ingolf Harald; Atanasov, Boyko Tchavdarov; Augustin, Goran; Awad, Selmy Sabry; Bacchiocchi, Giulia; Bagnoli, Carlo; Bahouth, Hany; Baili, Efstratia; Bains, Lovenish; Baiocchi, Gian Luca; Bala, Miklosh; Balaguà©, Carmen; Balalis, Dimitrios; Baldini, Edoardo; Baraket, Oussama; Baral, Suman; Barone, Mirko; Gonzãlez Barranquero, Alberto; Barreras, Jorge Arturo; Bass, Gary Alan; Bayhan, Zulfu; Bellanova, Giovanni; Ben-Ishay, Offir; Bert, Fabrizio; Bianchi, Valentina; Biancuzzi, Helena; Radulescu, Raluca Bievel; Bignell, Mark Brian; Biloslavo, Alan; Bini, Roberto; Bissacco, Daniele; Boati, Paoll; Boddaert, Guillaume; Bogdanic, Branko; Bombardini, Cristina; Bonavina, Luigi; Bonomo, Luca; Bottari, Andrea; Bouliaris, Konstantinos; Brachini, Gioia; Brillantino, Antonio; Brisinda, Giuseppe; Bulanauca, Maloni Mamada; Buonomo, Luis Antonio; Burcharth, Jakob; Buscemi, Salvatore; Calabretto, Francesca; Calini, Giacomo; Calu, Valentin; Campanile, Fabio Cesare; Campo Dall’Orto, Riccardo; Campos-Serra, Andrea; Carvas, Joao Miguel; Cascella, Marco; Pattacini, Gianmaria Casoni; Celentano, Valerio; Centonze, Danilo Corrado; Ceresoli, Marco; Chatzipetris, Dimitrios; Chessa, Antonella; Chiarello, Maria Michela; Chirica, Mircea; Chooklin, Serge; Chouliaras, Christos; Chowdhury, Sharfuddin; Cianci, Pasquale; Cillara, Nicola; Cimbanassi, Stefania; Cioffi, Stefano Piero Bernardo; Colãis-Ruiz, Enrique; Colak, Elif; Conti, Luigi; Coppola, Alessandro; de Sa, Tiago Correia; Costa, Silvia Dantas; Cozza, Valerio; Curro’, Giuseppe; Dabekaussen, Kirsten Felicia Ann-Sophie Aimee; D’Acapito, Fabrizio; Damaskos, Dimitrios; D’Ambrosio, Giancarlo; Das, Koray; Davies, Richard Justin; de Beaux, Andrew Charles; De Lebrusant Fernandez, Sara Patricia; De Luca, Alessandro; De Simone, Belinda; De Stefano, Francesca; Degrate, Luca; Demetrashvili, Zaza; Demetriades, Andreas Kyriacou; Detanac, Dzemail Smail; Dezi, Agnese; Di Buono, Giuseppe; Carlo, Isidoro-D. I.; Di Lascio, Pierpaolo; Di Martino, Marcello; Di Saverio, Salomone; Diaconescu, Bogdan; Diaz, Jose J.; Dibra, Rigers; Dimitrov, Evgeni Nikolaev; Dinuzzi, Vincenza Paola; Dios-Barbeito, Sandra; Diyani, Jehangir Farman Ali; Dogjani, Agron; Domanin, Maurizio; D’Oria, Mario; Munoz-Cruzado, Virginia Duran; East, Barbora; Ekelund, Mikael; Ekwen, Gerald Takem; Elbaih, Adel Hamed; Elhadi, Muhammed; Enninghorst, Natalie; Ernisova, Mairam; Escalera-Antezana, Juan Pablo; Esposito, Sofia; Esposito, Giuseppe; Estaire-Gãmez, Mercedes; Farã, Camilla Nikita; Farre, Roser; Favi, Francesco; Ferrario, Luca; Ferrario di Tor Vajana, Antonjacopo; Filisetti, Claudia; Fleres, Francesco; Fonseca, Vinicius Cordeiro; Forero-Torres, Alexander; Forfori, Francesco; Fortuna, Laura; Fradelos, Evangelos; Fraga, Gustavo P.; Fransvea, Pietro; Frassini, Simone; Frazzetta, Giuseppe; Frigerio, Isabella; Frountzas, Maximos; Gachabayov, Mahir; Galeiras, Rita; Garcãa, Belen Matãas; Garcia Vazquez, Alain; Gargarella, Simone; Garzali, Ibrahim
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