JACC: Advances Expert Panel Perspective: Shared Decision-Making in Multidisciplinary Team-Based Cardiovascular Care

Authors

Elizabeth M Perpetua
Roseanne Palmer
Viet T Le
Sana M Al-Khatib
Craig J Beavers
Joshua A Beckman
Biykem Bozkurt
Megan Coylewright
Caroline Lloyd Doherty
Kimberly A Guibone
Marian Hawkey
Patricia A Keegan
James N Kirkpatrick
Jessica Laperle
Sandra B Lauck
Glenn Levine
Brian R Lindman
Michael J Mack
Andrea L Price
Susan Strong
Janet F Wyman
Quentin R Youmans
Martha Gulati

Publication Date

7-1-2024

Journal

Advances - JACC

DOI

10.1016/j.jacadv.2024.100981

PMID

39130036

PMCID

39130036

PubMedCentral® Posted Date

7-3-2024

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

shared decision-making, cardiovascular disease, interventional cardiology, electrophysiology, atherosclerotic cardiovascular disease, prevention, chest pain, heart failure, cardiac imaging, valvular heart disease, structural heart

Abstract

Shared decision-making (SDM) and multidisciplinary team-based care delivery are recommended across several cardiology clinical practice guidelines. However, evidence for benefit and guidance on implementation are limited. Informed consent, the use of patient decision aids, or the documentation of these elements for governmental or societal agencies may be conflated as SDM. SDM is a bidirectional exchange between experts: patients are the experts on their goals, values, and preferences, and clinicians provide their expertise on clinical factors. In this Expert Panel perspective, we review the current state of SDM in team-based cardiovascular care and propose best practice recommendations for multidisciplinary team implementation of SDM.