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Published in last 1 year |  In last 2 years |  In last 3 years |  All Please wait a minute... For Selected: Download Citations EndNote Ris BibTeX Toggle Thumbnails Select Effect of Patient Decision Aids in the Diagnosis and Treatment of Coronary Artery Disease：a Systematic Review GAO Chuan, GAO Ying, ZHOU Yuyu, GUO Xufang, HE Zhong Chinese General Practice    2022, 25 (05): 530-534.   DOI: 10.12114/j.issn.1007-9572.2021.01.042 Abstract （796）   HTML （12）    PDF（pc） （985KB）（620）       Knowledge map    Save Patient decision aid is recognized as an essential tool for shared-decision making. However, it is not clear that its role in shared-decision making in the diagnosis and treatment of coronary artery disease (CAD) . To assess the effect of patient decision aids in the diagnosis and treatment of CAD using a systematic review. Databases of PubMed, Web of Science, EMBase and The Cochrane Library were searched from inception to March 2021 for randomized trials assessing the effect of patient decision aids used in the diagnosis and treatment of CAD patients using a type of searching algorithm consisting of subject headings and free words. The Cochrane risk-of-bias tool for randomized trials (RoB2) was used for assessing risk of bias. Data were extracted, and effects of patient decision aids were summarized. A total of six randomized trials were included, and their qualities were moderate on the whole. Four were published within the past five years; five were conducted in the United States; three focus on the treatment of CAD and another three are about chest pain assessment due to suspected CAD. The effects of patient decision aids were summarized as follows: (1) With the support of a patient decision aid, patients obtained changes in their decision-making behaviors (two studies) , increased CAD-related knowledge (all studies) , reduced decisional conflicts (three studies) , and higher rate of attending decision-making (two studies) . (2) Most of the patient decision aids are web-based, and their contents mainly include information related to CAD, clarifying the pros and cons of treatment schemes for CAD, and personal risk assessments. The effects of patient decision aids are limited in the diagnosis and treatment of CAD, yet they have broad prospect in clinical practice. To promote their application in China, it is suggested to strengthen relevant trainings for clinicians to develop patient decision aids in line with features of Chinese culture and patients. Table and Figures | Reference | Related Articles | Metrics Select Systematic Review of the Spine Patient Outcome Research Trial for Patients with Lumbar Spinal Stenosis ZHOU Yanji, LIU Changxin, LIU Yangang, WANG Xiyou, AN Yi, YUAN Yi, LI Duoduo, YU Changhe Chinese General Practice    2022, 25 (05): 535-541.   DOI: 10.12114/j.issn.1007-9572.2021.01.319 Abstract （1146）   HTML （11）    PDF（pc） （1002KB）（861）       Knowledge map    Save Lumbar spinal stenosis (LSS) is the main cause of severe pain and disability. The long-term prognosis of surgical intervention for LSS is still controversial, and the reoperation rate is high. In 2002, the United States carried out a nearly 10-year multi-center spine patient effectiveness research trial (Spine Patient Outcomes Research Trial, SPORT) , which provided information on the suitability of surgery for lumbar disc herniation, LSS, and degenerative lumbar spondylolisthesis, in order to compare and analyze the clinical efficacy, cost-effectiveness, and prognostic factors of surgery and conservative treatment (non-surgical treatment) . To summarize the results of the Spine Patient Outcome Research Trial (SPORT) on LSS, in order to provide ideas and methods for traditional Chinese medicine to intervene in LSS. PubMed, EMBase, The Cochrane Library, Web of Science database were retrieved by computer. The SPORT studies on surgical versus non-surgical for LSS or LSS subgroup analysis were included and the data was extracted and merged. The methodological quality of randomized controlled trials was evaluated using the Cochrane Collaboration "risk of bias" evaluation tool, and cohort studies or subgroup analysis were evaluated using the NOS scale. A total of 16 studies were included. In the 4-year follow-up, the efficacy of surgical intervention for LSS was significantly better than that of non-surgical therapy (P<0.05) . The difference in efficacy between surgery and non-surgical treatment was gradually reduced during the 8-year follow-up (P>0.05) . The total cost of surgery was more than twice that of non-surgical patients. Baseline ODI score greater than 56 points, elderly patients, and disease duration> 1 year are risk factors for surgical intervention for LSS were therisk factors for surgical intervention in LSS (P<0.05) . Surgical therapy can significantly improve the symptoms of patients with LSS within 4 years, but there is no significant difference between surgical and non-surgical therapy in the long-term effect. As an important part of non-surgical therapy, Chinese medicine can refer to the methodology of the SPORT to establish a clinical research paradigm that conforms to the characteristics of clinical practice of Chinese medicine. Table and Figures | Reference | Related Articles | Metrics