학술논문
Time for a paradigm shift in shared decision-making in trauma and emergency surgery? Results from an international survey
Document Type
Academic Journal
Author
Cobianchi, Lorenzo; Dal Mas, Francesca; Agnoletti, Vanni; Ansaloni, Luca; Biffl, Walter; Butturini, Giovanni; Campostrini, Stefano; Catena, Fausto; Denicolai, Stefano; Fugazzola, Paola; Martellucci, Jacopo; Massaro, Maurizio; Previtali, Pietro; Ruta, Federico; Venturi, Alessandro; Woltz, Sarah; Kaafarani, Haytham M.; Loftus, Tyler J.; Aapoäÿlu, Recayi; Abbott, Kenneth Lyle; Abdelmalik, Abubaker; Abebe, Nebyou Seyoum; Abu-Zidan, Fikri; Adam, Yousif Abdallah Yousif; Adamou, Harissou; Adamovich, Dmitry Mikhailovich; Agresta, Ferdinando; Agrusa, Antonino; Akin, Emrah; Alessiani, Mario; Alexandrino, Henrique; Bidoli, Chiara; Ali, Syed Muhammad; Mihai, Vasilescu Alin; Almeida, Pedro Miguel; Al-Shehari, Mohammed Mohammed; Altomare, Michele; Amico, Francesco; Ammendola, Michele; Andreuccetti, Jacopo; Anestiadou, Elissavet; Annicchiarico, Alfredo; Antonelli, Amedeo; Aparicio-Sanchez, Daniel; Ardito, Antonella; Argenio, Giulio; Arvieux, Catherine Claude; Arvieux, Catherine; Askevold, Ingolf Harald; Atanasov, Boyko Tchavdarov; Augustin, Goran; Awad, Selmy Sabry; Bacchiocchi, Giulia; Bagnoli, Carlo; Bahouth, Hany; Baili, Efstratia; Bains, Lovenish; Baiocchi, Gian Luca; Bala, Miklosh; Balaguà[c], Carmen; Balalis, Dimitrios; Baldini, Edoardo; Baraket, oussama; Baral, Suman; Barone, Mirko; Gonzãlez Barranquero, Alberto; Barreras, Jorge Arturo; Bass, Gary Alan; Bayhan, Zulfu; Bellanova, Giovanni; Ben-Ishay, Offir; Bert, Fabrizio; Bianchi, Valentina; Biancuzzi, Helena; Radulescu, Raluca Bievel; Bignell, Mark Brian; Biloslavo, Alan; Bini, Roberto; Bissacco, Daniele; Boati, Paoll; Boddaert, Guillaume; Bogdanic, Branko; Bombardini, Cristina; Bonavina, Luigi; Bonomo, Luca; Bottari, Andrea; Bouliaris, Konstantinos; Brachini, Gioia; Brillantino, Antonio; Brisinda, Giuseppe; Bulanauca, Maloni Mamada; Buonomo, Luis Antonio; Burcharth, Jakob; Buscemi, Salvatore; Calabretto, Francesca; Calini, Giacomo; Calu, Valentin; Campanile, Fabio Cesare; Campo Dall'Orto, Riccardo; Campos-Serra, Andrea; Carvas, Joao Miguel; Cascella, Marco; Pattacini, Gianmaria Casoni; Celentano, Valerio; Centonze, Danilo Corrado; Ceresoli, Marco; Chatzipetris, Dimitrios; Chessa, Antonella; Chiarello, Maria Michela; Chirica, Mircea; Chooklin, Serge; Chouliaras, Christos; Chowdhury, Sharfuddin; Cianci, Pasquale; Cillara, Nicola; Cimbanassi, Stefania; Cioffi, Stefano Piero Bernardo; Colãis-Ruiz, Enrique; Colak, Elif; Conti, Luigi; Coppola, Alessandro; de Sa, Tiago Correia; Costa, Silvia Dantas; Cozza, Valerio; Curro', Giuseppe; Dabekaussen, Kirsten Felicia Ann-Sophie Aimee; D'acapito, Fabrizio; Damaskos, Dimitrios; D'Ambrosio, Giancarlo; Das, Koray; Davies, Richard Justin; de Beaux, Andrew Charles; De Lebrusant Fernandez, Sara Patricia; De Luca, Alessandro; De Simone, Belinda; De Stefano, Francesca; Degrate, Luca; Demetrashvili, Zaza; Demetriades, Andreas Kyriacou; Detanac, Dzemail Smail; Dezi, Agnese; Di Buono, Giuseppe; Carlo, Isidoro-D. I.; Di Lascio, Pierpaolo; Di Martino, Marcello; Di Saverio, Salomone; Diaconescu, Bogdan; Diaz, Jose J.; Dibra, Rigers; Dimitrov, Evgeni Nikolaev; Dinuzzi, Vincenza Paola; Dios-Barbeito, Sandra; Diyani, Jehangir Farman Ali; Dogjani, Agron; Domanin, Maurizio; D'Oria, Mario; Munoz-Cruzado, Virginia Duran; East, Barbora; Ekelund, Mikael; Ekwen, Gerald Takem; Elbaih, Adel Hamed; Elhadi, Muhammed; Enninghorst, Natalie; Ernisova, Mairam; Escalera-Antezana, Juan Pablo; Esposito, Sofia; Esposito, Giuseppe; Estaire-Gãmez, Mercedes; Farã, Camilla Nikita; Farre, Roser; Favi, Francesco; Ferrario, Luca; Ferrario di Tor Vajana, Antonjacopo; Filisetti, Claudia; Fleres, Francesco; Fonseca, Vinicius Cordeiro; Forero-Torres, Alexander; Forfori, Francesco; Fortuna, Laura; Fradelos, Evangelos; Fraga, Gustavo P.; Fransvea, Pietro; Frassini, Simone; Frazzetta, Giuseppe; Frigerio, Isabella; Frountzas, Maximos; Gachabayov, Mahir; Galeiras, Rita; Garcãa, Belen Matãas; Garcia Vazquez, Alain; Gargarella, Simone; Garzali, Ibrahim Umar; Ghannam, Wagih Mommtaz; Ghazi, Faiz Najmuddin; Gillman, Lawrence Marshall; Gioco, Rossella; Giordano, Alessio; Giordano, Luca; Giove, Carlo; Giraudo, Giorgio; Giuffrida, Mario; Capponi, Michela Giulii; Gois, Emanuel; Gomes, Carlos Augusto; Gomes, Felipe Couto; Gonsaga, Ricardo Alessandro Teixeira; Gonullu, Emre; Goosen, Jacques; Goranovic, Tatjana; Gracia-Roman, Raquel; Graziano, Giorgio Maria Paolo; Griffiths, Ewen Alexander; Guagni, Tommaso; Hadzhiev, Dimitar Bozhidarov; Haidar, Muad Gamil; Hamid, Hytham K. S.; Hardcastle, Timothy Craig; Hayati, Firdaus; Healey, Andrew James; Hecker, Andreas; Hecker, Matthias; Garcia, Edgar Fernando Hernandez; hodonou, Adrien Montcho; huaman, Eduardo cancio; Huerta, Martin; Ibrahim, Aini Fahriza; Ibrahim, Basil Mohamed Salabeldin; Ietto, Giuseppe; Inama, Marco; Ioannidis, Orestis; Isik, Arda; Ismail, Nizar; Ismail, Azzain Mahadi Hamid; Jailani, RUHI Fadzlyana; Jang, Ji Young; Kalfountzos, Christos; Kalipershad, Sujala Niatarika Rajsain; Kaouras, Emmanouil; Kaplan, Lewis Jay; Kara, Yasin; Karamagioli, Evika; Karamarkovia, Aleksandar; Katsaros, Ioannis; Kavalakat, Alfie J.; Kechagias, Aristotelis; Kenig, Jakub; Kessel, Boris Juli; Khan, Jim S.; Khokha, Vladimir; Kim, Jae Il; Kirkpatrick, Andrew Wallace; Klappenbach, Roberto; Kobe, Yoshiro; Lymperis, Efstratios Kofopoulos; Kok, Kenneth Yuh Yen; Kong, Victor; Korkolis, Dimitris P.; Koukoulis, Georgios; Kovacevic, Bojan; Kruger, Vitor Favali; Kryvoruchko, Igor A.; Kurihara, Hayato; Kuriyama, Akira; Landaluce-Olavarria, Aitor; Lapolla, Pierfrancesco; Licari, Leo; Lisi, Giorgio; Litvin, Andrey; Lizarazu, Aintzane; Bayo, Heura Llaquet; Lohsiriwat, Varut; Moreira, Claudia Cristina Lopes; Lostoridis, Eftychios; Luna, Agustãn Tovar; Luppi, Davide; V., Gustavo Miguel Machain; Maegele, Marc; Maggiore, Daniele; Magnone, Stefano; Maier, Ronald V.; Major, Piotr; Manangi, Mallikarjuna; manetti, andrea; Mantoglu, Baris; Marafante, Chiara; Mariani, Federico; Marinis, Athanasios; Mariot, EvandroAntonio Sbalcheiro; Marseglia, Giuseppe Roberto; Martãnez-Pãrez, Aleix; Martines, Gennaro; Perez, Aleix Martinez; Martino, Costanza; Mascagni, Pietro; Massalou, Damien; Matãas-Garcãa, Belãn; Mazzarella, Gennaro; Mazzarolo, Giorgio; Melo, Renato Bessa; Mendoza-Moreno, Fernando; Meric, Serhat; Meyer, Jeremy; Miceli, Luca; Michalopoulos, Nikolaos V.; Milana, Flavio; Mingoli, Andrea; Mishra, Tushar S.; Mohamed, Muyed; Mohamed, Musab Isam Eldin Abbas; Mohamedahmed, Ali Yasen; Mohammed, Mohammed Jibreel Suliman; Mohan, Rajashekar; Moore, Ernest E.; Morales-Garcia, Dieter; Muhrbeck, Mãns; Mulita, Francesk; Mustafa, Sami Mohamed Siddig; Muttillo, Edoardo Maria; Naimzada, Mukhammad David; Navsaria, Pradeep H.; Negoi, Ionut; Nespoli, Luca; Nguyen, Christine; Nidaw, Melkamu Kibret; Nigri, Giuseppe; Nikolopoulos, Ioannis; O'Connor, Donal Brendan; Ogundipe, Habeeb Damilola; Oliveri, Cristina; Olmi, Stefano; Ong, Ernest Cun Wang; Orecchia, Luca; Osipov, Aleksei V.; Othman, Muhammad Faeid; Pace, Marco; Pacilli, Mario; Pagani, Leonardo; Palomba, Giuseppe; Pantalone, Desire'; Panyko, Arpad; Paolillo, Ciro; Papa, Mario Virgilio; Papaconstantinou, Dimitrios; Papadoliopoulou, Maria; Papadopoulos, Aristeidis; Papis, Davide; Pararas, Nikolaos; Parreira, Jose Gustavo; Parry, Neil Geordie; Pata, Francesco; Patel, Tapan; Paterson-Brown, Simon; Pavone, Giovanna; Pecchini, Francesca; Pellino, Gianluca; Pelloni, Maria; Peloso, Andrea; del Pozo, Eduardo Perea; Pereira, Rita Goncalves; Pereira, Bruno Monteiro; perez, Aintzane Lizarazu; Perra, Teresa; Perrone, Gennaro; Pesce, Antonio; Petagna, Lorenzo; Petracca, Giovanni; Phupong, Vorapong; Picardi, Biagio; Picciariello, Arcangelo; Piccoli, Micaela; Piccolo, Daniele; Picetti, Edoardo; Pikoulis Pikoulis, Emmanouil; Pintar, Tadeja; Pirozzolo, Giovanni; Piscioneri, Francesco; Podda, Mauro; Porcu, Alberto; Privitera, Francesca; Punzo, Clelia; Quaresima, Silvia; Quiodettis, Martha Alexa; Qvist, Niels; Rahim, Razrim; de Almeida, Filipe Ramalho; Ramely, Rosnelifaizur Bin; Rasa, Huseyin Kemal; Reichert, Martin; Reinisch-Liese, Alexander; Renne, Angela; Riccetti, Camilla; Rodriguez-Luna, Maria Rita; Roizblatt, Daniel; Romanzi, Andrea; Romeo, Luigi; Roscio, Francesco Pietro Maria; Rosnelifaizur, Ramely Bin; Rossi, Stefano; Rubiano, Andres M.; Ruiz-ÃÅ¡car, Elena; Sakakushev, Boris Evgeniev; Salamea, Juan Carlos; Sall, Ibrahima; Samarakoon, Lasitha Bhagya; Sammartano, Fabrizio; Arteaga, Alejandro Sanchez; Sanchez-Cordero, Sergi; Santoanastaso, Domenico Pietro Maria; Sasia, Diego; Sato, Norio; Savchuk, Artem; Sawyer, Robert Grant; Scaioli, Giacomo; Schizas, Dimitrios; Sebastiani, Simone; Seeliger, Barbara; Lohse, Helmut Alfredo Segovia; Seretis, Charalampos; Sermonesi, Giacomo; Serradilla-Martin, Mario; Shelat, Vishal G.; Shlyapnikov, Sergei; Sidiropoulos, Theodoros; Simoes, Romeo Lages; Siragusa, Leandro; Siribumrungwong, Boonying; Slavchev, Mihail; Solaini, Leonardo; soldini, gabriele; Sopuev, Andrey; Soreide, Kjetil; Sovatzidis, Apostolos; Stahel, Philip Frank; Strickland, Matt; Sultan, Mohamed Arif Hameed; Sydorchuk, Ruslan; Sydorchuk, Larysa; Syed, Syed Muhammad Ali Muhammad; Syed, Ali Muhammad; Tallon-Aguilar, Luis; Tamburini, Andrea Marco; Tamini, Nicolò; Tan, Edward C. T. H.; Tan, Jih Huei; Tarasconi, Antonio; Tartaglia, Nicola; Tartaglia, Giuseppe; Tartaglia, Dario; Taylor, John Vincent; Tebala, Giovanni Domenico; Teuben, Michel; Theodorou, Alexis; Tolonen, Matti; Tomasicchio, Giovanni; Toro, Adriana; Torre, Beatrice; Triantafyllou, Tania; Trigiante Trigiante, Giuseppe; Tripepi, Marzia; Trostchansky, Julio; Tsekouras, Konstantinos; Turrado-Rodriguez, Victor; Tutino, Roberta; Uccelli, Matteo; Uchikov, Petar Angelov; Ugarte-Sierra, Bakarne; Ukkonen, Mika Tapani; Vailas, Michail; Vassiliu, Panteleimon G.; Vazquez, Alain Garcia; Vazquez, Rita Galeiras; Verde, Juan Ezequiel; Verde, Juan Manuel; Veroux, Massimiliano; Viganò, Jacopo; Vilallonga, Ramon; Visconti, Diego; Vittori, Alessandro; Waledziak, Maciej; Wannatoop, Tongporn; Widmer, Lukas Werner; Wilson, Michael Samuel James; Wong, Ting Hway; Xenaki, Sofia; Yu, Byungchul; Yule, Steven; Zachariah, Sanoop Koshy; Zacharis, Georgios; Zaghi, Claudia; Zakaria, Andee Dzulkarnaen; Zambrano, Diego A.; Zampitis, Nikolaos; Zampogna, Biagio; Zanghã, Simone; Zapsalis, Konstantinos; Zattoni, Fabio; Zese, Monica; Farre, Silvia Pãrez; Pegoraro, Veronica; Zantedeschi, Maristella; Reitano, Elisa; Pizzocaro, Erica
Source
World Journal of Emergency Surgery. February 17, 2023, Vol. 18 Issue 1
Subject
Language
English
ISSN
1749-7922
Abstract
Author(s): Lorenzo Cobianchi[sup.1,2], Francesca Dal Mas[sup.3], Vanni Agnoletti[sup.4], Luca Ansaloni[sup.1,2], Walter Biffl[sup.5], Giovanni Butturini[sup.6], Stefano Campostrini[sup.7], Fausto Catena[sup.4], Stefano Denicolai[sup.8], Paola Fugazzola[sup.2], Jacopo Martellucci[sup.9], Maurizio Massaro[sup.3], Pietro Previtali[sup.8], Federico Ruta[sup.10], [...]
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. Keywords: Shared decision-making, Clinical decision-making, Patient-centric care, Trauma and emergency surgery, Survey
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. Keywords: Shared decision-making, Clinical decision-making, Patient-centric care, Trauma and emergency surgery, Survey