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Informed Decision Making for Percutaneous Coronary Intervention for Stable Coronary Disease
Prior studies suggest patients are often misinformed about the anticipated benefits of PCI for stable coronary disease. However, there is little data on patient-provider discussions that may explain discrepancies in patient understanding about the limited benefits of PCI in this setting. Rothberg and colleagues performed a cross-sectional analysis of 59 conversations between providers and patients about PCI. The conversations included 23 cardiologists (all male, 6 interventionalists, median 19 years experience) representing all regions of the United States from 2008 to 2012. Conversations were analyzed for discussion of 7 elements central to shared-decision making: (1) the patient's role in decision making, (2) the clinical issue or nature of the decision, (3) alternatives to PCI, (4) pros and cons of the alternatives, (5) the uncertainties associated with the decision, (6) …
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