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Physicians' perceptions of shared decision-making for implantable cardioverter-defibrillators: Results of a physician survey.

Publication ,  Journal Article
Ali-Ahmed, F; Matlock, D; Zeitler, EP; Thomas, KL; Haines, DE; Al-Khatib, SM
Published in: J Cardiovasc Electrophysiol
November 2019

BACKGROUND: Centers for Medicare and Medicaid Services has mandated the use of shared decision-making (SDM) for implantable cardioverter-defibrillator (ICD) implantation. SDM tools help facilitate quality SDM by presenting patients with balanced evidence-based facts related to risk and benefits. Perceptions of ICD implantation may differ based on patients' sex and race. OBJECTIVE: To determine if and how physicians are incorporating SDM in counseling patients about ICD and if they are aware of sex- and race-based differences in patients' perception of ICDs. METHODS: This was a pilot study involving an online survey targeting attending physicians who implant ICDs. Physicians were randomly selected by a computer-based program; 350 surveys were sent. RESULTS: Of the 124 (35%) respondents to the survey, 102 (84%) met the inclusion criteria, and of those, 99 (97%) were adult electrophysiologists. Most physicians (90, 88%) stated they engaged in SDM during the general consent process. Sixty-three (62%) physicians discuss end of life issues while obtaining general consent. Forty-four (43%) physicians said they use an existing SDM tool with the Colorado SDM tool being the most common (39, 89%). The majority of physicians were unaware of sex- and race-based differences in perceptions related to ICD implantation (sex 64, 63% and race 63, 62%). CONCLUSION: A vast majority of physicians are engaging in SDM; however less than half are using a formal SDM tool, and a minority of physicians were aware of sex- and race-based differences in patients' perception of ICD implantation. Sex- and race-based tools might help address this gap.

Duke Scholars

Published In

J Cardiovasc Electrophysiol

DOI

EISSN

1540-8167

Publication Date

November 2019

Volume

30

Issue

11

Start / End Page

2420 / 2426

Location

United States

Related Subject Headings

  • Sex Factors
  • Risk Factors
  • Risk Assessment
  • Race Factors
  • Pilot Projects
  • Physicians
  • Patient Selection
  • Patient Safety
  • Informed Consent
  • Humans
 

Citation

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MLA
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Ali-Ahmed, F., Matlock, D., Zeitler, E. P., Thomas, K. L., Haines, D. E., & Al-Khatib, S. M. (2019). Physicians' perceptions of shared decision-making for implantable cardioverter-defibrillators: Results of a physician survey. J Cardiovasc Electrophysiol, 30(11), 2420–2426. https://doi.org/10.1111/jce.14178
Ali-Ahmed, Fatima, Daniel Matlock, Emily P. Zeitler, Kevin L. Thomas, David E. Haines, and Sana M. Al-Khatib. “Physicians' perceptions of shared decision-making for implantable cardioverter-defibrillators: Results of a physician survey.J Cardiovasc Electrophysiol 30, no. 11 (November 2019): 2420–26. https://doi.org/10.1111/jce.14178.
Ali-Ahmed F, Matlock D, Zeitler EP, Thomas KL, Haines DE, Al-Khatib SM. Physicians' perceptions of shared decision-making for implantable cardioverter-defibrillators: Results of a physician survey. J Cardiovasc Electrophysiol. 2019 Nov;30(11):2420–6.
Ali-Ahmed, Fatima, et al. “Physicians' perceptions of shared decision-making for implantable cardioverter-defibrillators: Results of a physician survey.J Cardiovasc Electrophysiol, vol. 30, no. 11, Nov. 2019, pp. 2420–26. Pubmed, doi:10.1111/jce.14178.
Ali-Ahmed F, Matlock D, Zeitler EP, Thomas KL, Haines DE, Al-Khatib SM. Physicians' perceptions of shared decision-making for implantable cardioverter-defibrillators: Results of a physician survey. J Cardiovasc Electrophysiol. 2019 Nov;30(11):2420–2426.
Journal cover image

Published In

J Cardiovasc Electrophysiol

DOI

EISSN

1540-8167

Publication Date

November 2019

Volume

30

Issue

11

Start / End Page

2420 / 2426

Location

United States

Related Subject Headings

  • Sex Factors
  • Risk Factors
  • Risk Assessment
  • Race Factors
  • Pilot Projects
  • Physicians
  • Patient Selection
  • Patient Safety
  • Informed Consent
  • Humans