{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T11:03:47Z","timestamp":1782990227076,"version":"3.54.5"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004941","name":"Guy's and St Thomas' NHS Foundation Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004941","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Transcatheter aortic valve implantation (TAVI) is an alternative to surgical aortic valve replacement for patients with aortic valve stenosis. The choice between TAVI, surgery, or a conservative approach should be based upon multiple factors including clinical considerations, technical feasibility, and informed patient preference. In this context, engaging patients in a shared decision-making (SDM) process becomes essential, but this practice is generally underused.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>To comply with the European and UK national guidelines, in January 2023 we established a structured SDM pathway in which patients are offered virtual\/physical decision aids and after 1\u2005week are invited to a meeting to reach a shared decision. From December 2022 to June 2023, a custom-developed questionnaire was prospectively administered to 23 patients prior to, and 38 patients after, the implementation of the SDM pathway. The answers to 12 core questions were recorded on a Likert scale (1\u20135). Global satisfaction, as measured by mean Likert score, was significantly higher for the post-SDM group than for the pre-SDM group (4.46 \u00b1 0.14 vs. 3.78 \u00b1 0.30, P &amp;lt; 0.001). The percentage of positive (Likert 4\u20135) responses was significantly higher in the post-SDM group (289\/312, 92.6% vs. 155\/234, 66.2%, P &amp;lt; 0.001). The percentage of negative (Likert 1\u20132) responses was significantly lower in the post-SDM group (5\/312, 1.6% vs. 53\/234, 22.6%, P &amp;lt; 0.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The SDM pathway proved effective in delivering SDM in compliance with national and international guidance. A similar approach leveraging digital technology to minimize cost and enhance patient convenience could be implemented for other treatments and across other institutions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjopen\/oeae095","type":"journal-article","created":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T18:16:23Z","timestamp":1730744183000},"source":"Crossref","is-referenced-by-count":1,"title":["Implementing and evaluating shared decision-making before transcatheter aortic valve implantation with a dedicated pathway and questionnaire"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1039-5435","authenticated-orcid":false,"given":"Ermes","family":"Carulli","sequence":"first","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust, Harefield Hospital, Department of Cardiology, Hill End Rd, Harefield , Uxbridge UB9 6JH ,","place":["UK"]},{"name":"Doctoral School in Translational Medicine, University of Milan , Via 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,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Pottle","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust, Harefield Hospital, Department of Cardiology, Hill End Rd, Harefield , Uxbridge UB9 6JH ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Nagle","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust, Harefield Hospital, Department of Cardiology, Hill End Rd, Harefield , Uxbridge UB9 6JH ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9650-5358","authenticated-orcid":false,"given":"Rebecca","family":"Lane","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust, Harefield Hospital, Department of Cardiology, Hill End Rd, Harefield , Uxbridge UB9 6JH ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navin","family":"Chandra","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust, Harefield Hospital, Department of Cardiology, Hill End Rd, Harefield , Uxbridge UB9 6JH ,","place":["UK"]},{"name":"Frimley Health NHS Foundation Trust , Frimley Park Hospital, Portsmouth Road, Frimley GU16 7U ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8386-2260","authenticated-orcid":false,"given":"Niket","family":"Patel","sequence":"additional","affiliation":[{"name":"Royal Free London NHS Foundation Trust , Pond St, London NW3 2QG ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3004-9089","authenticated-orcid":false,"given":"Rodney","family":"De Palma","sequence":"additional","affiliation":[{"name":"Buckinghamshire Healthcare NHS Trust , Stoke Mandeville Hospital, Mandeville Road, Buckinghamshire, Aylesbury HP21 8AL ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gareth","family":"Barnes","sequence":"additional","affiliation":[{"name":"Ashford and St Peter's Hospitals NHS Foundation Trust , St Peters Hospital, Guildford Road, Chertsey KT16 0PZ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tito","family":"Kabir","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust, Harefield Hospital, Department of Cardiology, Hill End Rd, Harefield , Uxbridge UB9 6JH ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasileios","family":"Panoulas","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust, Harefield Hospital, Department of Cardiology, Hill End Rd, Harefield , Uxbridge UB9 6JH ,","place":["UK"]},{"name":"Imperial College London , Exhibition Road, London SW7 2AZ ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Smith","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust, Harefield Hospital, Department of Cardiology, Hill End Rd, Harefield , Uxbridge UB9 6JH ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Smith","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust, Harefield Hospital, Department of Cardiology, Hill End Rd, Harefield , Uxbridge UB9 6JH ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Clernon","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas' NHS Foundation Trust, Harefield Hospital, Department of Cardiology, Hill End Rd, Harefield , Uxbridge UB9 6JH ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ee 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