Factors influencing shared decision-making in microtia reconstruction: A systematic review.
Int J Pediatr OtorhinolaryngolAug 13, 2026 (epub)
Agnes Q Zhu, Sophie E Yu, Kimberly Luu et al.
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In 30 seconds
This systematic review examined factors influencing shared decision-making (SDM) in pediatric microtia reconstruction, analyzing 235 participants including patients, caregivers, and healthcare providers. Key findings revealed that fear of social stigma and negative psychosocial impacts motivated early surgery, while prioritizing patient involvement often delayed it. The convergence score for these themes was 8/10.
Key findings
- Fear of social stigma and negative psychosocial impacts had a convergence score of 8/10, motivating early intervention.
- Patient motivations for surgery were driven by the negative impacts of microtia, with a convergence score of 6/10.
- Patients expressed a desire for involvement in the SDM process, scoring 5/10 on the importance of patient preferences.
Why it matters
Understanding the motivations and priorities of patients and caregivers in microtia reconstruction can enhance clinician-led discussions and improve the shared decision-making process, ultimately leading to more personalized care.