Current situation of shared decision making in osteoporosis: A comprehensive literature review of patient decision aids and decision drivers
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comunitat-uji-handle2:10234/36080
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Title
Current situation of shared decision making in osteoporosis: A comprehensive literature review of patient decision aids and decision driversAuthor (s)
Date
2022Publisher
Wiley Open AccessISSN
2398-8835Bibliographic citation
NOGUÉS, Xavier, et al. Current situation of shared decision making in osteoporosis: A comprehensive literature review of patient decision aids and decision drivers. Health Science Reports, 2022, 5.6: e849.Type
info:eu-repo/semantics/articleVersion
info:eu-repo/semantics/publishedVersionSubject
Abstract
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 ... [+]
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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