van Dijk LA, Vervest AM, Baas DC, Poolman RW, Haverkamp D. Decision aids can decrease decisional conflict in patients with hip or knee osteoarthritis: Randomized controlled trial. World J Orthop 2021; 12(12): 1026-1035 [PMID: 35036345 DOI: 10.5312/wjo.v12.i12.1026]
Corresponding Author of This Article
Lode A van Dijk, MD, N/A, Department of Orthopedic Surgery, Tergooi Hospital, van Riebeeckweg 212, Hilversum 1213 XZ, Noord-Holland, Netherlands. lvandijk@tergooi.nl
Research Domain of This Article
Orthopedics
Article-Type of This Article
Randomized Controlled Trial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Dec 18, 2021; 12(12): 1026-1035 Published online Dec 18, 2021. doi: 10.5312/wjo.v12.i12.1026
Decision aids can decrease decisional conflict in patients with hip or knee osteoarthritis: Randomized controlled trial
Lode A van Dijk, Antonius MJS Vervest, Dominique C Baas, Rudolf W Poolman, Daniel Haverkamp
Lode A van Dijk, Antonius MJS Vervest, Dominique C Baas, Department of Orthopedic Surgery, Tergooi Hospital, Hilversum 1213 XZ, Noord-Holland, Netherlands
Rudolf W Poolman, Department of Orthopedic Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam 1091 AC, Netherlands
Rudolf W Poolman, Department of Orthopedic Surgery, Leiden University Medical Centre, Leiden 2333 ZA, Netherlands
Daniel Haverkamp, Department of Orthopedic Surgery, Xpert Orthopedie Amsterdam/SCORE (Specialized Center of Orthopedic Research and Education), Amsterdam 1101 EA, Netherlands
Author contributions: Poolman RW and Haverkamp D contributed to the study design; Poolman RW, Haverkamp D and Vervest AMSJ contributed to including patients in the study; van Dijk LA, Vervest AMSJ and Baas DC wrote the first draft of the manuscript; all authors read and approved the final manuscript before submission.
Institutional review board statement: The study was reviewed and approved by the Medical Ethics Committee of Slotervaart Hospital. The METC number is P1263.
Clinical trial registration statement: This study is registered at Nederlands Trial Register. The registration identification number is NL4291 (Old trial number: NTR4435).
Informed consent statement: No additional invasive diagnostic interventions or invasive treatments were performed. For this study a waiver for informed consent was obtained.
Conflict-of-interest statement: There is no conflict-of-interest.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lode A van Dijk, MD, N/A, Department of Orthopedic Surgery, Tergooi Hospital, van Riebeeckweg 212, Hilversum 1213 XZ, Noord-Holland, Netherlands. lvandijk@tergooi.nl
Received: March 20, 2021 Peer-review started: March 20, 2021 First decision: June 7, 2021 Revised: June 21, 2021 Accepted: November 24, 2021 Article in press: November 24, 2021 Published online: December 18, 2021 Processing time: 268 Days and 16.5 Hours
ARTICLE HIGHLIGHTS
Research background
Shared decision making has become more popular over the years. A decision aid (DA) can help the patient and the physician with the shared decision making process in case a diagnosis has multiple treatment options.
Research motivation
To determine if DAs can help in optimizing orthopedic healthcare we provide to patients with hip or knee osteoarthritis (OA).
Research objectives
The objective of this study was to determine the influence of a DA on decisional conflict in patients that require treatment for hip or knee OA.
Research methods
A multi-center unblinded randomized controlled trial was conducted in which we compared decisional conflict in patients with hip or knee OA. The control group was treated with standard care, and the intervention group was treated with standard care and was provided with a DA.
Research results
In the intervention group, we observed a significant decrease in decisional conflict after their first consultation with the physician. At 26 wk the sample was too small for analysis due to excessive loss to follow-up.
Research conclusions
Patients with hip or knee OA choosing treatment seem to have less decisional conflict after their first consultation with their physician when treated with an additional DA.
Research perspectives
In further research we should investigate the cost-effectiveness of decision aids and the satisfaction among physicians.
