Shared decision making in patients with an abdominal aortic aneurysm or peripheral artery disease: a scoping review

Maria-Annette Kooijman; Goudje L van Leeuwen; Richte C L Schuurmann; Barbara L van Leeuwen; Barbara C van Munster; Hanneke van der Wal-Huisman; Jean-Paul P M de Vries

doi:10.1016/j.avsg.2024.12.011

Shared decision making in patients with an abdominal aortic aneurysm or peripheral artery disease: a scoping review

Ann Vasc Surg. 2024 Dec 13:S0890-5096(24)00829-X. doi: 10.1016/j.avsg.2024.12.011. Online ahead of print.

Authors

Maria-Annette Kooijman¹, Goudje L van Leeuwen², Richte C L Schuurmann³, Barbara L van Leeuwen⁴, Barbara C van Munster⁵, Hanneke van der Wal-Huisman⁶, Jean-Paul P M de Vries²

Affiliations

¹ Department of Surgery, Division of Vascular Surgery, University Medical Center of Groningen, University of Groningen, Groningen, the Netherlands. Electronic address: m.a.kooijman@umcg.nl.
² Department of Surgery, Division of Vascular Surgery, University Medical Center of Groningen, University of Groningen, Groningen, the Netherlands.
³ Department of Surgery, Division of Vascular Surgery, University Medical Center of Groningen, University of Groningen, Groningen, the Netherlands; Multi-Modality Medical Imaging group, Technical Medical Center, University of Twente, Enschede, the Netherlands.
⁴ Department of Surgery, Division of Surgical Oncology, University Medical Center of Groningen, Groningen, the Netherlands.
⁵ Department of Geriatric Medicine, University of Groningen, University Medical Center of Groningen, Groningen, The Netherlands; Department of Geriatric Medicine, Martini Hospital, Groningen, The Netherlands.
⁶ Department of Surgery, University of Groningen, University Medical Center of Groningen, Groningen, The Netherlands.

PMID: 39675697
DOI: 10.1016/j.avsg.2024.12.011

Abstract

Objective: This review provides an overview of the literature on shared decision making (SDM) in patients with abdominal aortic aneurysm (AAA) or peripheral artery disease (PAD) and identifies barriers and facilitators.

Methods: A systematic scoping review was conducted in which four databases were systematically searched for the period January 2007 to November 2024. All articles were reviewed by two independent authors and asses for quality using the Mixed Methods Appraisal Tool (MMAT).

Results: The literature search yielded 15,738 articles, of which 50 met the inclusion criteria. Quality assessment via MMAT showed good quality in 70% of studies. Various influencing factors were revealed on SDM in patients, physicians, consult content and the system or organisation of care.

Conclusions: Despite increased attention, implementing SDM in AAA and PAD patients remains challenging due to healthcare professionals' limited understanding of SDM. Patients seek active involvement but often feel inadequately engaged. There is a notable lack of research focusing on health care professionals and systemic influences on SDM.

Keywords: Abdominal aortic aneurysm; Decision Support Techniques; Informed Consent; Peripheral arterial disease; Shared Decision Making.

Publication types

Review