What to say and how to say it: effective communication for cardiovascular disease prevention.


Journal Article (Review)

PURPOSE OF REVIEW: Current guidelines for cholesterol treatment emphasize the importance of engaging patients in a risk-benefit discussion prior to initiating statin therapy. RECENT FINDINGS: Although current risk prediction algorithms are well defined, there is less data on how to communicate with patients about cardiovascular disease risk, benefits of treatment, and possible adverse effects. SUMMARY: We propose a four-part model for effective shared decision-making: 1) Assessing patient priorities, perceived risk, and prior experience with cardiovascular risk reduction; 2) Arriving at a recommendation for therapy based on the patient's risk of disease, guideline recommendations, new clinical trial data, and patient preferences; 3) Communicating this recommendation along with risks, benefits, and alternatives to therapy following best practices for discussing numeric risk; and 4) Arriving at a shared decision with the patient with ongoing reassessment as risk factors and patient priorities change.

Full Text

Duke Authors

Cited Authors

  • Navar, AM; Stone, NJ; Martin, SS

Published Date

  • September 2016

Published In

Volume / Issue

  • 31 / 5

Start / End Page

  • 537 - 544

PubMed ID

  • 27428113

Pubmed Central ID

  • 27428113

Electronic International Standard Serial Number (EISSN)

  • 1531-7080

Digital Object Identifier (DOI)

  • 10.1097/HCO.0000000000000322


  • eng

Conference Location

  • United States