Time for a paradigm shift in shared decision-making in trauma and emergency surgery? : Results from an international survey
(2023) In World Journal of Emergency Surgery 18(1). p.14-14- Abstract
BACKGROUND: Shared decision-making (SDM) between clinicians and patients is one of the pillars of the modern patient-centric philosophy of care. This study aims to explore SDM in the discipline of trauma and emergency surgery, investigating its interpretation as well as the barriers and facilitators for its implementation among surgeons.
METHODS: Grounding on the literature on the topics of the understanding, barriers, and facilitators of SDM in trauma and emergency surgery, a survey was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was sent to all 917 WSES members, advertised through the society's website, and shared on the society's Twitter... (More)
BACKGROUND: Shared decision-making (SDM) between clinicians and patients is one of the pillars of the modern patient-centric philosophy of care. This study aims to explore SDM in the discipline of trauma and emergency surgery, investigating its interpretation as well as the barriers and facilitators for its implementation among surgeons.
METHODS: Grounding on the literature on the topics of the understanding, barriers, and facilitators of SDM in trauma and emergency surgery, a survey was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was sent to all 917 WSES members, advertised through the society's website, and shared on the society's Twitter profile.
RESULTS: A total of 650 trauma and emergency surgeons from 71 countries in five continents participated in the initiative. Less than half of the surgeons understood SDM, and 30% still saw the value in exclusively engaging multidisciplinary provider teams without involving the patient. Several barriers to effectively partnering with the patient in the decision-making process were identified, such as the lack of time and the need to concentrate on making medical teams work smoothly.
DISCUSSION: Our investigation underlines how only a minority of trauma and emergency surgeons understand SDM, and perhaps, the value of SDM is not fully accepted in trauma and emergency situations. The inclusion of SDM practices in clinical guidelines may represent the most feasible and advocated solutions.
(Less)
- author
- author collaboration
- publishing date
- 2023-02-17
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Humans, Decision Making, Surgeons
- in
- World Journal of Emergency Surgery
- volume
- 18
- issue
- 1
- pages
- 14 - 14
- publisher
- BioMed Central (BMC)
- external identifiers
-
- scopus:85148381069
- pmid:36803568
- ISSN
- 1749-7922
- DOI
- 10.1186/s13017-022-00464-6
- language
- English
- LU publication?
- no
- additional info
- © 2023. The Author(s).
- id
- a137f2ab-f261-4be2-8581-64693bad53f4
- date added to LUP
- 2025-07-15 09:23:42
- date last changed
- 2025-07-18 14:10:59
@article{a137f2ab-f261-4be2-8581-64693bad53f4,
abstract = {{<p>BACKGROUND: Shared decision-making (SDM) between clinicians and patients is one of the pillars of the modern patient-centric philosophy of care. This study aims to explore SDM in the discipline of trauma and emergency surgery, investigating its interpretation as well as the barriers and facilitators for its implementation among surgeons.</p><p>METHODS: Grounding on the literature on the topics of the understanding, barriers, and facilitators of SDM in trauma and emergency surgery, a survey was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was sent to all 917 WSES members, advertised through the society's website, and shared on the society's Twitter profile.</p><p>RESULTS: A total of 650 trauma and emergency surgeons from 71 countries in five continents participated in the initiative. Less than half of the surgeons understood SDM, and 30% still saw the value in exclusively engaging multidisciplinary provider teams without involving the patient. Several barriers to effectively partnering with the patient in the decision-making process were identified, such as the lack of time and the need to concentrate on making medical teams work smoothly.</p><p>DISCUSSION: Our investigation underlines how only a minority of trauma and emergency surgeons understand SDM, and perhaps, the value of SDM is not fully accepted in trauma and emergency situations. The inclusion of SDM practices in clinical guidelines may represent the most feasible and advocated solutions.</p>}},
author = {{Cobianchi, Lorenzo and Dal Mas, Francesca and Agnoletti, Vanni and Ansaloni, Luca and Biffl, Walter and Butturini, Giovanni and Campostrini, Stefano and Catena, Fausto and Denicolai, Stefano and Fugazzola, Paola and Martellucci, Jacopo and Massaro, Maurizio and Previtali, Pietro and Ruta, Federico and Venturi, Alessandro and Woltz, Sarah and Kaafarani, Haytham M and Loftus, Tyler J}},
issn = {{1749-7922}},
keywords = {{Humans; Decision Making; Surgeons}},
language = {{eng}},
month = {{02}},
number = {{1}},
pages = {{14--14}},
publisher = {{BioMed Central (BMC)}},
series = {{World Journal of Emergency Surgery}},
title = {{Time for a paradigm shift in shared decision-making in trauma and emergency surgery? : Results from an international survey}},
url = {{http://dx.doi.org/10.1186/s13017-022-00464-6}},
doi = {{10.1186/s13017-022-00464-6}},
volume = {{18}},
year = {{2023}},
}