Evaluation of a shared decision-making strategy with online decision aids in surgical and orthopaedic practice: study protocol for the E-valuAID, a multicentre study with a stepped-wedge design
Abstract Background Inguinal hernia repair, gallbladder removal, and knee- and hip replacements are the most commonly performed surgical procedures, but all are subject to practice variation and variable patient-reported outcomes. Shared decision-making (SDM) has the potential to reduce surgery rate...
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| Format: | Article |
| Language: | English |
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BMC
2021-03-01
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| Series: | BMC Medical Informatics and Decision Making |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12911-021-01467-0 |
| _version_ | 1818436162676588544 |
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| author | Floris M. Thunnissen Bernhard W. Schreurs Carmen S. S. Latenstein Marjan J. Meinders Eddy M. Adang Glyn Elwyn Doeke Boersma Bas Bosmans Koop Bosscha Bastiaan L. Ginsel Eric J. Hazebroek Jeroen J. Nieuwenhuis Maarten Staarink Dries Verhallen Marc L. Wagener Femke Atsma Philip R. de Reuver |
| author_facet | Floris M. Thunnissen Bernhard W. Schreurs Carmen S. S. Latenstein Marjan J. Meinders Eddy M. Adang Glyn Elwyn Doeke Boersma Bas Bosmans Koop Bosscha Bastiaan L. Ginsel Eric J. Hazebroek Jeroen J. Nieuwenhuis Maarten Staarink Dries Verhallen Marc L. Wagener Femke Atsma Philip R. de Reuver |
| author_sort | Floris M. Thunnissen |
| collection | DOAJ |
| description | Abstract Background Inguinal hernia repair, gallbladder removal, and knee- and hip replacements are the most commonly performed surgical procedures, but all are subject to practice variation and variable patient-reported outcomes. Shared decision-making (SDM) has the potential to reduce surgery rates and increase patient satisfaction. This study aims to evaluate the effectiveness of an SDM strategy with online decision aids for surgical and orthopaedic practice in terms of impact on surgery rates, patient-reported outcomes, and cost-effectiveness. Methods The E-valuAID-study is designed as a multicentre, non-randomized stepped-wedge study in patients with an inguinal hernia, gallstones, knee or hip osteoarthritis in six surgical and six orthopaedic departments. The primary outcome is the surgery rate before and after implementation of the SDM strategy. Secondary outcomes are patient-reported outcomes and cost-effectiveness. Patients in the usual care cluster prior to implementation of the SDM strategy will be treated in accordance with the best available clinical evidence, physician’s knowledge and preference and the patient’s preference. The intervention consists of the implementation of the SDM strategy and provision of disease-specific online decision aids. Decision aids will be provided to the patients before the consultation in which treatment decision is made. During this consultation, treatment preferences are discussed, and the final treatment decision is confirmed. Surgery rates will be extracted from hospital files. Secondary outcomes will be evaluated using questionnaires, at baseline, 3 and 6 months. Discussion The E-valuAID-study will examine the cost-effectiveness of an SDM strategy with online decision aids in patients with an inguinal hernia, gallstones, knee or hip osteoarthritis. This study will show whether decision aids reduce operation rates while improving patient-reported outcomes. We hypothesize that the SDM strategy will lead to lower surgery rates, better patient-reported outcomes, and be cost-effective. Trial registration: The Netherlands Trial Register, Trial NL8318, registered 22 January 2020. URL: https://www.trialregister.nl/trial/8318 . |
| first_indexed | 2024-12-14T17:04:24Z |
| format | Article |
| id | doaj.art-e1874e5b78d54e11b8a810d02dc273f2 |
| institution | Directory Open Access Journal |
| issn | 1472-6947 |
| language | English |
| last_indexed | 2024-12-14T17:04:24Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Informatics and Decision Making |
| spelling | doaj.art-e1874e5b78d54e11b8a810d02dc273f22022-12-21T22:53:46ZengBMCBMC Medical Informatics and Decision Making1472-69472021-03-0121111010.1186/s12911-021-01467-0Evaluation of a shared decision-making strategy with online decision aids in surgical and orthopaedic practice: study protocol for the E-valuAID, a multicentre study with a stepped-wedge designFloris M. Thunnissen0Bernhard W. Schreurs1Carmen S. S. Latenstein2Marjan J. Meinders3Eddy M. Adang4Glyn Elwyn5Doeke Boersma6Bas Bosmans7Koop Bosscha8Bastiaan L. Ginsel9Eric J. Hazebroek10Jeroen J. Nieuwenhuis11Maarten Staarink12Dries Verhallen13Marc L. Wagener14Femke Atsma15Philip R. de Reuver16Department of Surgery, Radboud University Medical CentreDepartment of Orthopaedics, Radboud University Medical CentreDepartment of Surgery, Radboud University Medical CentreRadboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical CentreDepartment for Health Evidence, Radboud University Medical CentreRadboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical CentreDepartment of Surgery, Jeroen Bosch HospitalDepartment of Orthopaedics, Slingeland HospitalDepartment of Surgery, Jeroen Bosch HospitalDepartment of Orthopaedics, Queen Beatrix HospitalDepartment of Surgery, Rijnstate HospitalDepartment of Orthopaedics, VieCuri HospitalDepartment of Surgery, Van Weel Bethesda HospitalDepartment of Value-Based Health Care, St. Anna HospitalDepartment of Orthopaedics, Rijnstate HospitalRadboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical CentreDepartment of Surgery, Radboud University Medical CentreAbstract Background Inguinal hernia repair, gallbladder removal, and knee- and hip replacements are the most commonly performed surgical procedures, but all are subject to practice variation and variable patient-reported outcomes. Shared decision-making (SDM) has the potential to reduce surgery rates and increase patient satisfaction. This study aims to evaluate the effectiveness of an SDM strategy with online decision aids for surgical and orthopaedic practice in terms of impact on surgery rates, patient-reported outcomes, and cost-effectiveness. Methods The E-valuAID-study is designed as a multicentre, non-randomized stepped-wedge study in patients with an inguinal hernia, gallstones, knee or hip osteoarthritis in six surgical and six orthopaedic departments. The primary outcome is the surgery rate before and after implementation of the SDM strategy. Secondary outcomes are patient-reported outcomes and cost-effectiveness. Patients in the usual care cluster prior to implementation of the SDM strategy will be treated in accordance with the best available clinical evidence, physician’s knowledge and preference and the patient’s preference. The intervention consists of the implementation of the SDM strategy and provision of disease-specific online decision aids. Decision aids will be provided to the patients before the consultation in which treatment decision is made. During this consultation, treatment preferences are discussed, and the final treatment decision is confirmed. Surgery rates will be extracted from hospital files. Secondary outcomes will be evaluated using questionnaires, at baseline, 3 and 6 months. Discussion The E-valuAID-study will examine the cost-effectiveness of an SDM strategy with online decision aids in patients with an inguinal hernia, gallstones, knee or hip osteoarthritis. This study will show whether decision aids reduce operation rates while improving patient-reported outcomes. We hypothesize that the SDM strategy will lead to lower surgery rates, better patient-reported outcomes, and be cost-effective. Trial registration: The Netherlands Trial Register, Trial NL8318, registered 22 January 2020. URL: https://www.trialregister.nl/trial/8318 .https://doi.org/10.1186/s12911-021-01467-0Shared decision-makingDecision aidsCholecystolithiasisInguinal herniaKnee osteoarthritisHip osteoarthritis |
| spellingShingle | Floris M. Thunnissen Bernhard W. Schreurs Carmen S. S. Latenstein Marjan J. Meinders Eddy M. Adang Glyn Elwyn Doeke Boersma Bas Bosmans Koop Bosscha Bastiaan L. Ginsel Eric J. Hazebroek Jeroen J. Nieuwenhuis Maarten Staarink Dries Verhallen Marc L. Wagener Femke Atsma Philip R. de Reuver Evaluation of a shared decision-making strategy with online decision aids in surgical and orthopaedic practice: study protocol for the E-valuAID, a multicentre study with a stepped-wedge design BMC Medical Informatics and Decision Making Shared decision-making Decision aids Cholecystolithiasis Inguinal hernia Knee osteoarthritis Hip osteoarthritis |
| title | Evaluation of a shared decision-making strategy with online decision aids in surgical and orthopaedic practice: study protocol for the E-valuAID, a multicentre study with a stepped-wedge design |
| title_full | Evaluation of a shared decision-making strategy with online decision aids in surgical and orthopaedic practice: study protocol for the E-valuAID, a multicentre study with a stepped-wedge design |
| title_fullStr | Evaluation of a shared decision-making strategy with online decision aids in surgical and orthopaedic practice: study protocol for the E-valuAID, a multicentre study with a stepped-wedge design |
| title_full_unstemmed | Evaluation of a shared decision-making strategy with online decision aids in surgical and orthopaedic practice: study protocol for the E-valuAID, a multicentre study with a stepped-wedge design |
| title_short | Evaluation of a shared decision-making strategy with online decision aids in surgical and orthopaedic practice: study protocol for the E-valuAID, a multicentre study with a stepped-wedge design |
| title_sort | evaluation of a shared decision making strategy with online decision aids in surgical and orthopaedic practice study protocol for the e valuaid a multicentre study with a stepped wedge design |
| topic | Shared decision-making Decision aids Cholecystolithiasis Inguinal hernia Knee osteoarthritis Hip osteoarthritis |
| url | https://doi.org/10.1186/s12911-021-01467-0 |
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