Insights from a conference on implementing comparative effectiveness research through shared decision-making

Mary C. Politi, Marla L. Clayman, Angela Fagerlin, Jamie L. Studts, Victor Manuel Montori

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

For decades, investigators have conducted innovative research on shared decision-making (SDM), helping patients and clinicians to discuss health decisions and balance evidence with patients' preferences for possible outcomes of options. In addition, investigators have developed and used rigorous methods for conducting comparative effectiveness research (CER), comparing the benefits and risks of different interventions in real-world settings with outcomes that matter to patients and other stakeholders. However, incorporating CER findings into clinical practice presents numerous challenges. In March 2012, we organized a conference at Washington University in St Louis (MO, USA) aimed at developing a network of researchers to collaborate in developing, conducting and disseminating research about the implementation of CER through SDM. Meeting attendees discussed conceptual similarities and differences between CER and SDM, challenges in implementing CER and SDM in practice, specific challenges when engaging SDM with unique populations and examples of ways to overcome these challenges. CER and SDM are related processes that emphasize examining the best clinical evidence and how it applies to real patients in real practice settings. SDM can provide one opportunity for clinicians to discuss CER findings with patients and engage in a dialog about how to manage uncertainty about evidence in order to make decisions on an individual patient level. This meeting highlighted key challenges and suggested avenues to pursue such that CER and SDM can be implemented into routine clinical practice.

Original languageEnglish (US)
Pages (from-to)23-32
Number of pages10
JournalJournal of Comparative Effectiveness Research
Volume2
Issue number1
DOIs
StatePublished - Jan 2013

Fingerprint

Comparative Effectiveness Research
Decision Making
Research Personnel
Patient Preference
Research
Uncertainty

Keywords

  • comparative effectiveness research
  • shared decision-making

ASJC Scopus subject areas

  • Health Policy

Cite this

Insights from a conference on implementing comparative effectiveness research through shared decision-making. / Politi, Mary C.; Clayman, Marla L.; Fagerlin, Angela; Studts, Jamie L.; Montori, Victor Manuel.

In: Journal of Comparative Effectiveness Research, Vol. 2, No. 1, 01.2013, p. 23-32.

Research output: Contribution to journalArticle

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