DynaMed Shared Decisions offers a robust collection of shared decision-making aids that enable patients and providers to have meaningful and informed conversations that lead to improved outcomes and higher patient satisfaction.
The decision aids:
Jon Keevil, MD, FACC
Dr. Keevil practiced and taught cardiology for 16 years at the University of Wisconsin where he began creating clinical decision support tools. He is now dedicated to developing tools to help clinicians and patients optimize their decision-making.
Glyn Elwyn, MD, PhD
Dr. Elwyn directs the Patient Engagement Research Program at The Dartmouth Institute for Health Policy and Clinical Practice where he is also a professor. Glyn is a leader in shared decision making and leads an international interdisciplinary team examining its implementation in clinical settings.
Washington State’s legislative stance is that the use of certified decision aid tools reduces legal liability in the state. DynaMed Shared Decisions offers a subset of tools that are certified by the Washington State Health Care Authority.
DynaMed Shared Decisions helps patients take an active and engaged role in their healthcare decision making. The aids—which can be used prior to, during, or after an appointment—encourage patients to explore what matters most to them and select the option that best matches their values, needs and preferences.
All the decision aids are written by clinical experts who continuously monitor the latest evidence and update the content as needed. The editorial process leverages DynaMed’s Systematic Literature Surveillance and Evidence-Based Medicine Methodology. The aids allow healthcare providers to easily educate their patients while eliciting the patient’s values, concerns, and personal preferences, in the process of coming to a decision.
DynaMed Shared Decisions helps healthcare systems:
Meet regulatory requirements
Increase patient engagement and compliance
Reduce the time spent on decision-making
Provide consistent information across clinical products
Minimize the risk of litigation
Enable higher levels of patient and provider satisfaction, contributing to better financial performance
Research shows that shared decision-making and the use of patient decision aids result in more conservative decisions, improved patient adherence and reduced costs. Integrating DynaMed Shared Decisions tools into health plan platforms enables bringing evidence-based care to members and driving patient engagement and satisfaction.
Our ever-growing list of decision aids includes:
Short-Term Low Back Pain Treatment Options
Compares: Self-Care, Physical Therapy, Medicine, and Spinal Manipulation
Herniated Disk in Lower Back: Early Treatment Options
Compares: Self-Care, Physical Therapy or Guided Exercise, and Shots in Your Back (Epidural Injections)
Stenosis of Lower Back (Spinal Narrowing) Treatment Options
Compares: Physical Therapy, Shots in Your Back (Epidural Injections), and Surgery
Hip Osteoarthritis Treatment Options
Compares: Physical Therapy or Guided Exercise, Acetaminophen (Tylenol), and Oral Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)
Knee Osteoarthritis Treatment Options
Compares: Physical Therapy or Guided Exercise, Weight Loss, Medicine (NSAIDs), Shots in Your Knee (Steroid Injections), and Total Knee Replacement Surgery
Anterior Cruciate Ligament (ACL) Injury Treatment Options
Compares: Exercise and Surgery
Depression Treatment Options
Compares: Guided Support, Exercise, Talk Therapy, Medicine (SSRIs), and Talk Therapy Plus Medicine (SSRIs)
Post-Traumatic Stress Disorder (PTSD) Treatment Options
Compares: Talk Therapy, Medicine (SSRIs), and Talk Therapy Plus Medicine (SSRIs)
Opioid Addiction Treatment Options
Compares: Treatment for a Few Weeks Only, Methadone for Many Months, Buprenorphine for Many Months, and Naltrexone for Many Months
Smoking: Options for Quitting
Compares: Quit on Your Own, Counseling, Nicotine Replacement, Bupropion, and Varenicline
Multiple Sclerosis (MS) Overview of Treatment Options to Slow Progression
Compares: Watch and Wait, Oral Medicine, Shots, and Infusions
Multiple Sclerosis (MS) Oral Medicine Options to Slow Progression
Compares: Teriflunomide (Aubagio), Fingolimod (Gilenya), Dimethyl Fumarate (Tecfidera), Siponimod (Mayzent), and Cladribine (Mavenclad)
Multiple Sclerosis (MS) Shot and Infusion Options to Slow Progression
Compares: Interferon Shot, Glatiramer Shot (Copaxone), Alemtuzumab Infusion (Lemtrada), Natalizumab Infusion (Tysabri), and Ocrelizumab Infusion (Ocrevus)
Should I Have Hepatitis C Treatment?
Should I Have Weight-Loss Surgery?
Should I have a PSA (Prostate-Specific Antigen) Test?
Slow-Growing (Low-Risk) Prostate Cancer Treatment Options
Compares: Watch and Wait, Monitor with Tests, Radiation Treatment, Radiation Implants, and Surgery
Medium-Risk Prostate Cancer Treatment Options
Compares: Watch and Wait, Monitor with Tests, Radiation Plus Hormone Treatment, Radiation Implants, Radiation Plus Boost, and Surgery
Fast-Growing (High-Risk) Prostate Cancer Treatment Options
Compares: Watch and Wait, Radiation Plus Hormone Treatment, Radiation Plus Boost, and Surgery
Enlarged Prostate (Benign Prostatic Hypertrophy) Treatment Options
Compares: No Treatment, Lifestyle Changes, Alpha Blockers, 5-Alpha Reductase Inhibitors (5-ARIs), Laser Surgery, Transurethral Microwave Therapy (TUMT), and Transurethral Resection of the Prostate (TURP)
Should I Remove Both My Breasts to Lower My Cancer Risk?
I Have Breast Cancer. Should I Also Remove the Breast Without Cancer?
Breast Reconstruction Options During or After Mastectomy
Compares: No Reconstruction, Immediate Implant (1-Stage), Immediate Implant (2-Stage), Delayed Implant (2-Stage), Immediate Reconstruction Using Skin and Fat (1-Stage), Immediate Reconstruction Using Skin and Fat (2-Stage), and Delayed Reconstruction Using Skin and Fat (1-Stage)
Should I Have Breast Reduction Surgery?
Heavy Menstrual Bleeding Treatment Options
Compares: Combination Hormone Treatment (Pill, Patch, or Ring), Progestin Only Treatment (Pill, Shot, or Implant), Intrauterine Device (IUD) with Progestin, Nonsteroidal Anti-Inflammatory Drugs (NSAIDs), Tranexamic Acid, Endometrial Ablation (Destroy Lining of the Uterus), and Hysterectomy (Surgery to Remove the Uterus)
Uterine Fibroids Treatment Options
Compares: Watch and Wait, Medicine with Hormones, Medicine without Hormones, Embolization (Blocking Blood Flow to Fibroids), Endometrial Ablation (Destroy Lining of Uterus), Myomectomy (Surgery to Remove Fibroids), and Hysterectomy (Surgery to Remove Uterus)
Planning for End-of-Life Decisions
Compares: No Will or Plan, Traditional Will, Living Will (Advance Directive), Healthcare Power of Attorney, and Life-Sustaining Orders
Should I Accept CPR if My Heart Stops?
Nutrition Options Toward the End of Life|
Compares: Food by Mouth Only, Artificial Nutrition Through a Tube, Artificial Nutrition Through Your Veins, and Stop Artificial Nutrition
Should I Stay On or Stop Dialysis?
Online, Interactive Option Grid Patient Decision Aids and Their Effect on User Preferences. Scalia P, Durand M.A, Kremer J, et al. Medical Decision Making (2017). doi:10.1177/0272989X17734538
Much Clearer with Pictures: Using Community-Based Participatory Research to Design and Test a Picture Option Grid for Underserved Patients with Breast Cancer. ― Durand MA, Alam S, Grande SW, Elwyn G. BMJ Open. 2016:6(2) DOI:10.1136/bmjopen-2015-010008
Shared Decision Making: A Model for Clinical Practice. ― Elwyn G, Frosch D, Thomson R, Joseph-Williams N, Lloyd A, Kinnersley P, Cording E, Tomson D, Dodd C, Rollnick S, Edwards A, Barry M. J Gen Intern Med. 2012:27(10);1361-1367. DOI: 10.1007/s11606-012-2077-6
Option Grids: Shared Decision Making Made Easier. ― Elwyn G, Lloyd A, Joseph-Williams N, Cording E, Thomson R, Durand MA, Edwards A. Patient Education and Counseling. 2013:90(2);207–212. DOI: 10.1016/j.pec.2012.06.036
Supporting Shared Decision Making Using an Option Grid for Osteoarthritis of the Knee in an Interface Musculoskeletal Clinic: A Stepped Wedge Trial. ― Elwyn G, Pickles T, Edwards A, Kinsey K, Brain K, Newcombe RG, Firth J, Marrin K, Nye A, Wood F. Patient Education and Counseling. 2016:99(4);571-7. DOI: 10.1016/j.pec.2015.10.011