Does shared decision making results in better health related outcomes for individuals with painful musculoskeletal disorders? A systematic review

摘要: Background: Shared Decision-Making (SDM) is a dynamic process by which the health care professional and patient influence each other in making health-related choices or decisions. SDM strongly embedded today's approaches, advocated as an ideal model since it renders individuals more control towards they choose to receive, has been shown improve outcomes. Objectives: The goal of this systematic review was investigate added-value on clinical outcomes patients with variety musculoskeletal conditions. Data sources: PubMed CINAHL. Study selection: PRISMA guidelines were followed for review. To be considered review, study had meet all following criteria: (1) prospective studies that involved treatment decision-making; (2) randomized controlled trial design; (3) involving faced having make decision; (4) comparing intervention (5) including one outcome measures: well-being, costs, pain disability measures, quality life. appraisal: A priori, we determined perform methodological assessment using Cochrane Risk Bias tool trials. Results: We did not find single looked at true effect reported population pain. Conclusion: For management painful conditions, light current evidence (none), estimate would wise explore effectiveness before forcing its large-scale implementation rehabilitation.