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The decision-making threshold and the factors that affect it : a qualitative study of patients' decision-making in knee replacement surgery

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Barlow, Timothy, Scott, Patricia, Thomson, L., Griffin, Damian R. and Realpe, Alba (2018) The decision-making threshold and the factors that affect it : a qualitative study of patients' decision-making in knee replacement surgery. Musculoskeletal Care, 16 (1). pp. 3-12. doi:10.1002/msc.1190

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Official URL: https://doi.org/10.1002/msc.1190

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Abstract

Background

Osteoarthritis is a significant cause of burden to the ageing population and knee replacement is a common operation for treatment of end-stage disease. We aimed to explore these factors to help understand patients' decision-making, which is critical in informing patient-centred care. These can be used to enhance decision-making and dialogue between clinicians and patients, allowing a more informed choice.

Methods

The study consisted of two focus groups, in a patient cohort after total knee replacement followed by more in-depth interviews to further test and explore themes from the focus groups, in patients in either the deliberation stage or the decision-making stage.

Results

Using qualitative research methods (iterative thematic analysis) reviewing decision-making and deliberation phases of making informed choices we found nine key themes that emerged from the study groups.

Conclusions

An awareness of the deliberation phase, the factors that influence it, the stress associated with it, preferred models of care, and the influence of the decision-making threshold will aid useful communication between doctors and patients.

Item Type: Journal Article
Subjects: R Medicine > RD Surgery
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit
Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Total knee replacement -- Patients -- Decision making
Journal or Publication Title: Musculoskeletal Care
Publisher: John Wiley and Sons Ltd
ISSN: 1478-2189
Official Date: March 2018
Dates:
DateEvent
March 2018Published
4 May 2018Available
4 May 2017Accepted
Volume: 16
Number: 1
Page Range: pp. 3-12
DOI: 10.1002/msc.1190
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access

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