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AUA White Paper on Implementation of Shared Decision Making into Urological Practice

Makarov DV, Fagerlin A, Chrouser K, Gore JL, Maranchie J, Nielsen ME, Saigal C, Tessier C. AUA White Paper on Implementation of Shared Decision Making into Urological Practice. American Urological Association Guidelines [Internet]. 2015 Jan 1. Available from:


Introduction: Shared decision making (SDM) is a collaborative approach to care that seeks to improve the quality of medical decisions by helping patients choose options concordant with their values and in accordance with the best available scientific evidence. Methods: A literature review was performed targeting publications between 2003 and 2014 on the topic of SDM and decision aids (DA) for urologic conditions. An expert panel was convened to evaluate this information and create this white paper with the purpose of educating the urologic community on these issues. Results: Shared decision making represents the state of the art in patient counseling. Patients who have engaged in SDM have greater knowledge and satisfaction, as well as greater engagement with care. Numerous organizations make available free resources for SDM, including DAs and tools to evaluate the quality of SDM. Conclusions: Shared decision making is an important component of high-quality health care delivery and future reimbursement models. In appropriate circumstances, urologists should adopt SDM into routine clinical practice.

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