Shared Decision-Making in Vascular Surgery: A Mixed-Methods Systematic Review.
Ann Vasc SurgMay 19, 2026 (epub)
Clinical ResearchVascular Surgery
Ekin Inal, Houssam Farres, Camilo Polania-Sandoval et al.
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In 30 seconds
This mixed-methods systematic review evaluated shared decision-making (SDM) in vascular surgery, focusing on abdominal aortic aneurysm (AAA), peripheral arterial disease (PAD), and carotid disease. Among 52 studies, observer-rated SDM in AAA improved significantly after interventions, with OPTION-5 scores rising from 28.7% to 37.8% (P-value <0.001).
Key findings
- In AAA, OPTION-5 scores increased from 28.7% to 37.8% after SDM interventions (P-value <0.001).
- In PAD, observer-rated SDM was low with a mean OPTION-5 score of 31.0%.
- 93.0% of carotid disease patients preferred SDM, but only 54.0% reported being offered treatment choices.
Why it matters
The findings highlight a significant gap between patient preferences for involvement in care decisions and the actual implementation of shared decision-making in vascular surgery, which may impact patient satisfaction and outcomes.