{"id":"https://openalex.org/W2918945899","doi":"https://doi.org/10.2106/jbjs.16.01045","title":"Patient Decision Aids Improve Decision Quality and Patient Experience and Reduce Surgical Rates in Routine Orthopaedic Care","display_name":"Patient Decision Aids Improve Decision Quality and Patient Experience and Reduce Surgical Rates in Routine Orthopaedic Care","publication_year":2017,"publication_date":"2017-08-02","ids":{"openalex":"https://openalex.org/W2918945899","doi":"https://doi.org/10.2106/jbjs.16.01045","mag":"2918945899","pmid":"https://pubmed.ncbi.nlm.nih.gov/28763411"},"language":"en","primary_location":{"id":"doi:10.2106/jbjs.16.01045","doi":"https://doi.org/10.2106/jbjs.16.01045","is_oa":false,"landing_page_url":"https://doi.org/10.2106/jbjs.16.01045","pdf_url":null,"source":{"id":"https://openalex.org/S128848949","display_name":"Journal of Bone and Joint Surgery","issn_l":"0021-9355","issn":["0021-9355","1058-2436","1535-1386"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Bone and Joint Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5083365613","display_name":"Karen Sepucha","orcid":"https://orcid.org/0000-0002-3762-3880","observed_orcids":["https://orcid.org/0000-0002-3762-3880"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Karen Sepucha","raw_affiliation_strings":["Harvard Medical School, Boston, Massachusetts","Massachusetts General Hospital, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Massachusetts General Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061398003","display_name":"Steven J. Atlas","orcid":"https://orcid.org/0000-0002-2297-9614","observed_orcids":["https://orcid.org/0000-0002-2297-9614"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Steven J. Atlas","raw_affiliation_strings":["Harvard Medical School, Boston, Massachusetts","Massachusetts General Hospital, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Massachusetts General Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050981927","display_name":"Yuchiao Chang","orcid":"https://orcid.org/0000-0003-1093-3755","observed_orcids":["https://orcid.org/0000-0003-1093-3755"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yuchiao Chang","raw_affiliation_strings":["Harvard Medical School, Boston, Massachusetts","Massachusetts General Hospital, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Massachusetts General Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042018714","display_name":"Janet M. Dorrwachter","orcid":"https://orcid.org/0000-0003-4183-5269","observed_orcids":["https://orcid.org/0000-0003-4183-5269"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Janet Dorrwachter","raw_affiliation_strings":["Harvard Medical School, Boston, Massachusetts","Massachusetts General Hospital, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Massachusetts General Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027451949","display_name":"Andrew A. Freiberg","orcid":"https://orcid.org/0000-0001-6318-0959","observed_orcids":["https://orcid.org/0000-0001-6318-0959"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew Freiberg","raw_affiliation_strings":["Harvard Medical School, Boston, Massachusetts","Massachusetts General Hospital, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Massachusetts General Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040868949","display_name":"Mahima Mangla","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mahima Mangla","raw_affiliation_strings":["Massachusetts General Hospital, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011770179","display_name":"Harry E. Rubash","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Harry E. Rubash","raw_affiliation_strings":["Harvard Medical School, Boston, Massachusetts","Massachusetts General Hospital, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Massachusetts General Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085737871","display_name":"Leigh H. Simmons","orcid":"https://orcid.org/0000-0002-2375-8485","observed_orcids":["https://orcid.org/0000-0002-2375-8485"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Leigh H. Simmons","raw_affiliation_strings":["Harvard Medical School, Boston, Massachusetts","Massachusetts General Hospital, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Massachusetts General Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111088442","display_name":"Thomas Cha","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas Cha","raw_affiliation_strings":["Harvard Medical School, Boston, Massachusetts","Massachusetts General Hospital, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Massachusetts General Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I4210087915"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":15.0088,"has_fulltext":false,"cited_by_count":82,"citation_normalized_percentile":{"value":0.99182415,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"99","issue":"15","first_page":"1253","last_page":"1260"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.9945999979972839,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/patient-decision-aids","display_name":"patient decision aids","score":0.996999979019165},{"id":"https://openalex.org/keywords/shared-decision-making","display_name":"shared decision-making","score":0.9980000257492065},{"id":"https://openalex.org/keywords/hip-osteoarthritis","display_name":"hip osteoarthritis","score":0.8560000061988831},{"id":"https://openalex.org/keywords/knee-osteoarthritis","display_name":"knee osteoarthritis","score":1.0},{"id":"https://openalex.org/keywords/lumbar-disc-herniation","display_name":"lumbar disc herniation","score":0.9980000257492065},{"id":"https://openalex.org/keywords/lumbar-spinal-stenosis","display_name":"lumbar spinal stenosis","score":1.0},{"id":"https://openalex.org/keywords/surgical-rates","display_name":"surgical rates","score":0.8330000042915344},{"id":"https://openalex.org/keywords/patient-knowledge","display_name":"patient knowledge","score":0.8379999995231628},{"id":"https://openalex.org/keywords/patient-experience","display_name":"patient experience","score":0.6079999804496765},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.6690000295639038},{"id":"https://openalex.org/keywords/patient-preferences","display_name":"patient preferences","score":0.414000004529953},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.3059999942779541},{"id":"https://openalex.org/keywords/patient-reported-outcomes","display_name":"patient-reported outcomes","score":0.3889999985694885},{"id":"https://openalex.org/keywords/patient-clinician-communication","display_name":"patient-clinician communication","score":0.5350000262260437},{"id":"https://openalex.org/keywords/patient-centered-care","display_name":"patient-centered care","score":0.3529999852180481}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8986794948577881},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.6901786923408508},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.5724076628684998},{"id":"https://openalex.org/C2780033181","wikidata":"https://www.wikidata.org/wiki/Q24962805","display_name":"Decision aids","level":3,"score":0.5219368934631348},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.5122119784355164},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.47811856865882874},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.45105400681495667},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.4505302906036377},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3363412618637085},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.24477019906044006},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.22131797671318054},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.09126678109169006},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003661","descriptor_name":"Decision Support Techniques","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007405","descriptor_name":"Intervertebral Disc Displacement","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D008159","descriptor_name":"Lumbar Vertebrae","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013130","descriptor_name":"Spinal Stenosis","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D014600","descriptor_name":"Utilization Review","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015207","descriptor_name":"Osteoarthritis, Hip","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017060","descriptor_name":"Patient Satisfaction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020370","descriptor_name":"Osteoarthritis, Knee","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D057220","descriptor_name":"Health Literacy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.2106/jbjs.16.01045","doi":"https://doi.org/10.2106/jbjs.16.01045","is_oa":false,"landing_page_url":"https://doi.org/10.2106/jbjs.16.01045","pdf_url":null,"source":{"id":"https://openalex.org/S128848949","display_name":"Journal of Bone and Joint Surgery","issn_l":"0021-9355","issn":["0021-9355","1058-2436","1535-1386"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Bone and Joint Surgery","raw_type":"journal-article"},{"id":"pmid:28763411","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/28763411","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of bone and joint surgery. American volume","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"display_name":"Peace, justice, and strong institutions","score":0.550000011920929,"id":"https://metadata.un.org/sdg/16"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":28,"referenced_works":["https://openalex.org/W578630031","https://openalex.org/W1566155680","https://openalex.org/W1943745580","https://openalex.org/W1964184294","https://openalex.org/W1990304649","https://openalex.org/W2009478572","https://openalex.org/W2028664918","https://openalex.org/W2039559861","https://openalex.org/W2059796825","https://openalex.org/W2082072358","https://openalex.org/W2097396907","https://openalex.org/W2098022420","https://openalex.org/W2110368977","https://openalex.org/W2138887830","https://openalex.org/W2143655903","https://openalex.org/W2149889797","https://openalex.org/W2150510169","https://openalex.org/W2153836018","https://openalex.org/W2158796716","https://openalex.org/W2161736885","https://openalex.org/W2167792025","https://openalex.org/W2168124851","https://openalex.org/W2170132723","https://openalex.org/W2262671496","https://openalex.org/W2316904800","https://openalex.org/W2903095907","https://openalex.org/W2905916649","https://openalex.org/W6685238000"],"related_works":["https://openalex.org/W2099755914","https://openalex.org/W4230772053","https://openalex.org/W7152015224","https://openalex.org/W2913974322","https://openalex.org/W2997545751","https://openalex.org/W2975968769","https://openalex.org/W3184400848","https://openalex.org/W4283462413","https://openalex.org/W2030855008","https://openalex.org/W2793690072"],"abstract_inverted_index":{"BACKGROUND:":[0],"Patient":[1],"decision":[2,29,59,202,329,345,358,375,398,410,453],"aids":[3,30,60,203,346,359,376,399,411],"are":[4,412],"effective":[5],"in":[6,17,36,132,152,191,204,277,283,336,364,407,440],"randomized":[7],"controlled":[8],"trials,":[9],"yet":[10],"little":[11],"is":[12,427],"known":[13],"about":[14,442],"their":[15,281,318],"impact":[16,48,124],"routine":[18,37,408,460],"care.":[19,38],"The":[20,157,313,391],"purpose":[21],"of":[22,49,58,117,129,167,177,234,297,315,433,459],"this":[23,322,446],"study":[24,42,142],"was":[25,43,79,90,107,184,224],"to":[26,45,54,145,148,160,242,259,430],"examine":[27],"whether":[28],"increase":[31,55],"shared":[32,130,272,418,469],"decision-making":[33,131,273],"when":[34,455],"used":[35,406,456],"METHODS:":[39],"A":[40,75],"prospective":[41],"designed":[44],"evaluate":[46],"the":[47,56,82,93,123,133,141,161,170,180,196,205,212,249,266,278,284,304,337,344,365,448],"a":[50,101,150,231,288,401],"quality":[51,83,392],"improvement":[52,84,393],"project":[53,85,394],"use":[57,223],"for":[61,115,169,179,248,265,340,352,371,380],"patients":[62,118,200,316,439],"with":[63,211,226,230,280,287,303,350,378,414,465],"hip":[64],"or":[65,71,328],"knee":[66],"osteoarthritis,":[67],"lumbar":[68,72],"disc":[69],"herniation,":[70],"spinal":[73],"stenosis.":[74],"usual":[76,171,213,250,305,366],"care":[77,172,214,251,306,367,434],"cohort":[78,89,173,207,215,252,307,327,339,368],"enrolled":[80,91],"before":[81],"and":[86,104,121,135,174,253,321,363,420,437,475],"an":[87],"intervention":[88,181,206,267,285,338],"after":[92,100],"project.":[94],"Participants":[95],"were":[96,164,334,463],"surveyed":[97],"1":[98],"week":[99],"specialist":[102],"visit,":[103,134],"surgical":[105,136,422,477],"status":[106],"collected":[108],"at":[109,208,216,308,347,369],"6":[110],"months.":[111],"Regression":[112],"analyses":[113],"adjusted":[114],"clustering":[116],"within":[119],"clinicians":[120],"examined":[122],"on":[125],"knowledge,":[126,416,467],"patient":[127,193,397,452,472],"reports":[128],"rates.":[137,423,478],"With":[138],"550":[139],"surveys,":[140],"had":[143],"80%":[144],"90%":[146],"power":[147],"detect":[149],"difference":[151,187,233],"these":[153],"key":[154],"outcomes.":[155],"RESULTS:":[156],"response":[158],"rates":[159,333],"1-week":[162],"survey":[163],"70.6%":[165],"(324":[166],"459)":[168],"70.2%":[175],"(328":[176],"467)":[178],"cohort.":[182,268],"There":[183,426],"no":[185],"significant":[186],"(p":[188,218,274,360,387],">":[189],"0.05)":[190],"any":[192],"characteristic":[194],"between":[195],"2":[197],"cohorts.":[198],"More":[199],"received":[201,317,343,374],"63.6%":[209],"compared":[210,302,349,377],"27.3%":[217],"=":[219,263,275,361,388],"0.007).":[220],"Decision":[221],"aid":[222,330],"associated":[225,413,464],"higher":[227,471],"knowledge":[228],"scores,":[229],"mean":[232,289],"18.7":[235],"points":[236,255],"(95%":[237,256],"confidence":[238],"interval":[239],"[CI],":[240],"11.4":[241],"26.1":[243],"points;":[244,261],"p":[245,262],"<":[246],"0.001)":[247],"15.3":[254],"CI,":[257],"7.5":[258],"23.0":[260],"0.002)":[264],"Patients":[269],"reported":[270],"more":[271,417,468],"0.009)":[276],"visit":[279],"surgeon":[282],"cohort,":[286],"Shared":[290],"Decision-Making":[291],"Process":[292],"score":[293],"(and":[294],"standard":[295],"deviation)":[296],"66.9":[298],"\u00b1":[299,310],"27.5":[300],"points,":[301],"62.5":[309],"28.6":[311],"points.":[312],"majority":[314],"preferred":[319],"treatment,":[320],"did":[323,355,383],"not":[324,356,384],"differ":[325],"by":[326],"use.":[331],"Surgical":[332],"lower":[335,421,476],"those":[341,353,372,381],"who":[342,354,373,382],"42.3%":[348],"58.8%":[351],"receive":[357,385],"0.023)":[362],"44.3%":[370],"55.7%":[379],"them":[386],"0.45).":[389],"CONCLUSIONS:":[390],"successfully":[395],"integrated":[396],"into":[400],"busy":[402],"orthopaedic":[403,461],"clinic.":[404],"When":[405],"care,":[409,462],"increased":[415,466],"decision-making,":[419,470],"CLINICAL":[424],"RELEVANCE:":[425],"increasing":[428],"pressure":[429],"design":[431],"systems":[432],"that":[435,451],"inform":[436],"involve":[438],"decisions":[441],"elective":[443],"surgery.":[444],"In":[445],"study,":[447],"authors":[449],"found":[450],"aids,":[454],"as":[457],"part":[458],"experience":[473],"ratings,":[474]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":10},{"year":2023,"cited_by_count":10},{"year":2022,"cited_by_count":7},{"year":2021,"cited_by_count":9},{"year":2020,"cited_by_count":12},{"year":2019,"cited_by_count":8},{"year":2018,"cited_by_count":13},{"year":2017,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2019-03-11T00:00:00"}