What are the best ways to improve shared decision-making for all patients booked for surgery?

Not Applicable

• Conditions: Any patients requiring surgical treatment; Surgery

• Registration Number: ISRCTN17951423
• Lead Sponsor: niversity of Bristol

Brief Summary

2024 Protocol article in https://doi.org/10.1136/bmjopen-2023-079155 (added 19/01/2024)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2023-07-11
• Last Update Posted: 29 January 2024
• Study Completion: 2026-06-30

Recruitment & Eligibility

• Status: Ongoing
• Sex: All
• Target Recruitment: 130

Inclusion Criteria

All patients over the age of 18 years who have been booked for planned vascular, gastrointestinal, urological, neurosurgical, gynaecological, breast, cardiac and orthopaedic surgical procedures at participating hospitals will be eligible to participate.

Healthcare professionals working in participating Trusts will be eligible for inclusion. Specifically, this includes professionals that
1. Booked eligible patients for surgery
2. Are involved in SDM discussions with eligible patients
3. Have overall responsibility for eligible patients’ care
Professional participants may include surgeons, anaesthetists, nurses, perioperative care physicians and allied health professionals.

Members of the wider community over the age of 18 years will be eligible to take part. Included will be people who are disproportionately affected by poor SDM and outcomes of surgery: those that are economically disadvantaged, from minority ethnic groups, and in older age. Ethnicity is expected to focus on British Asian/South Asian populations as the most common minority group in the UK, however, this will be informed in discussions with stakeholders and patient and public representatives.

Exclusion Criteria

1. Patients under the age of 18 years
2. Without capacity to consent for medical procedures
3. Undergoing unplanned (emergency) surgery or endoscopic procedures

There are no specified exclusion criteria for healthcare professional participants or members of the wider community

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Patients’ experiences of shared decision making measured using the CollaboRATE and SHARED-Q10 at baseline (upon surgery booking) and follow-up (before surgery)

Secondary Outcome Measures

Name	Time	Method
Will be established during the study