Influence of decision aid on orthopedic elective surgery:a Meta-analysis
ZHAO Wentao
LI Panpan
ZHANG Yuanyuan
XU Shujun
WANG Jian
Abstract：Objective:To systematically review published randomized controlled trials of decision aid in orthopaedic elective surgery and evaluate the effect of decision aid on surgical decision making in orthopaedic patients.Methods:PubMed,the Cochrane Library,EMbase,Scopus,WanFang Database and CNKI were searched,and the references of the included literatures were tracked.Two researchers independently screened the literature,extracted data,and assessed the risk of bias in the included studies.RevMan 5.4 software was used for Meta-analysis.Results:A total of 7 articles were included.The results of Meta-analysis showed that decision aid had no statistical significance on the operation rate(RR=0.96,95％CI 0.84-1.10,P=0.58),but it could improve patient satisfaction(RR=1.21,95％CI 1.01-1.44,P=0.04)and reduce the decision conflict rate of patients(RR=0.53,95％CI 0.38-0.73,P=0.000 1).Conclusion:Under the background of tense doctor-patient relationship and insufficient medical resources,decision aid can make doctor-patient communication effective,improve patient satisfaction,reduce decision conflict rate,and rationally allocate medical resources.
Keywords：orthopedicsdecision supportelective surgerylumbar vertebrajoint replacementMeta-analysisevidence-based nursing
Publication Date：2024-09-30
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 3288-3292 )