Shared Decision Making

ROCHESTER, Minn. — Using a shared decision-making aid to involve patients more in their own care decisions can prevent unnecessary hospitalization or advanced [...]

A position paper issued today by the American Society of Breast Surgeons (ASBrS) recommends against contralateral prophylactic mastectomy (CPM) for average-risk women with breast [...]

Choosing the right antidepressant can be a daunting task. With so many choices and such unpredictability in their individual effects, patients with depression often spend months or years casting about for the right medication, while clinicians are often uneasy or unwilling to offer options other than their preferred prescriptions. A new study from Mayo Clinic shows that a simple series of conversation cards can dramatically improve both the patient’s and their physician’s satisfaction with the discussion on and comfort with the choice of antidepressant. The findings appear in the journal JAMA Internal Medicine. “We worked closely with patients, their families, and clinicians to fully understand what really matters to them when confronted with this situation. We wanted to transform the too-often unavailable evidence into accurate, easily accessible information to be used within the context of each person’s needs and preferences, ultimately creating what we hope to be meaningful conversations,” says Annie LeBlanc, Ph.D., first author and Mayo Clinic health science researcher. Media Contact: Bob Nellis, Mayo Clinic Public Affairs, 507-284-5005, newsbureau@mayo.edu

ROCHESTER, Minn. — Feb. 4, 2014 — Clinicians and patients should use shared decision-making to select individualized treatments based on the new guidelines to prevent cardiovascular disease, according to a commentary by three Mayo Clinic physicians published in this week’s Journal of the American Medical Association. http://www.youtube.com/watch?v=qrtbNWvRnO4 Journalists:  Sound bites with Dr. Montori are available in the downloads.

http://www.youtube.com/watch?v=ufMajZCWM-A Research from Mayo Clinic finds that half of elderly patients who start dialysis after age 75 will die within one year. Lead study author and a health care delivery scholar with the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery Bjorg Thorsteinsdottir, M.D., says, “Many elderly patients and their families feel that they have no choice but to start dialysis, with several expressing regret from having initiated therapy. The goal of our study was to develop evidence about dialysis outcomes to help guide shared decision-making among the patient, family members and care team.” The findings are being presented this week at the American Society of Nephrology’s Kidney Week 2013 in Atlanta. Click here for news release. The graph below shows patients age 75 or older who start dialysis in the intensive care unit have significant risk of dying within one year of hospitalization. Groups starting in other settings fare better.

 

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This week on Mayo Clinic Radio, Victor Montori, M.D., joins us to discuss Shared Decision Making. It's a different way [...]