Shared decision making in cardiology: a systematic review and meta-analysis

Mitropoulou, Panagiota, Grüner-Hegge, Nicolai, Reinhold, Johannes ORCID: and Papadopoulou, Charikleia (2022) Shared decision making in cardiology: a systematic review and meta-analysis. Heart, 109 (1). pp. 34-39. ISSN 1355-6037

[thumbnail of shared decision making in cardiology R2 without tracked changes]
PDF (shared decision making in cardiology R2 without tracked changes) - Accepted Version
Download (264kB) | Preview


Objectives: To evaluate the effectiveness of interventions to improve shared decision making (SDM) in cardiology with particular focus on patient-centred outcomes such as decisional conflict. Methods: We searched Embase (OVID), the Cochrane library, PubMed and Web of Science electronic databases from inception to January 2021 for randomised controlled trials that investigated the effects of interventions to increase SDM in cardiology. The primary outcomes were decisional conflict, decisional anxiety, decisional satisfaction or decisional regret; a secondary outcome was knowledge gained by the patients. Results: Eighteen studies which reported on at least one outcome measure were identified, including a total of 4419 patients. Interventions to increase SDM had a significant effect on reducing decisional conflict (standardised mean difference (SMD) −0.211, 95% CI −0.316 to −0.107) and increasing patient knowledge (SMD 0.476, 95% CI 0.351 to 0.600) compared with standard care. Conclusions: Interventions to increase SDM are effective in reducing decisional conflict and increasing patient knowledge in the field of cardiology. Such interventions are helpful in supporting patient-centred healthcare and should be implemented in wider cardiology practice.

Item Type: Article
Additional Information: Funding Information: JR and CP received funding from the National Institute for Health and Care Research as part of the clinical lecturer scheme.
Uncontrolled Keywords: meta-analysis,cardiology and cardiovascular medicine,3*,maybe 4* ,/dk/atira/pure/subjectarea/asjc/2700/2705
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Centres > Metabolic Health
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 11 Oct 2022 11:32
Last Modified: 19 Oct 2023 03:26
DOI: 10.1136/heartjnl-2022-321050


Downloads per month over past year

Actions (login required)

View Item View Item