Key PointsQuestionDoes a shared decision support intervention for patients considering destination therapy left ventricular assist device (DT LVAD) improve decision quality compared with usual care? FindingsIn this multicenter randomized stepped-wedgeclinical trial of 248 patients being considered for DT LVAD, compared with patients in the usual care control period, patients enrolled in the intervention period had significantly better knowledge and higher concordance between stated values and patient-reported treatment choice. MeaningAn intervention supporting shared decision making for DT LVAD was associated with improved patient decision quality.
JAMA Internal Medicine – American Medical Association
Published: Apr 26, 2018
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