Cascade of decisions meet personal preferences in sciatica treatment decisions.
Wieteke van DijkMarit A C TankeMarjan J MeindersEva W VerkerkPatrick P T JeurissenGert P WestertPublished in: BMJ open quality (2022)
Dutch sciatica care is characterised by a cascade of decisions preceding surgery. Preferences differ within and between patients and physicians, which adds to the practice variation. To improve decision-making, physicians and patients should invest not necessarily more in the exchange of options or preferences, but in making sure the other understands the rationale behind them.
Keyphrases
- end stage renal disease
- decision making
- primary care
- ejection fraction
- chronic kidney disease
- newly diagnosed
- healthcare
- prognostic factors
- peritoneal dialysis
- minimally invasive
- coronary artery disease
- patient reported outcomes
- health insurance
- coronary artery bypass
- atrial fibrillation
- acute coronary syndrome
- percutaneous coronary intervention
- surgical site infection