A Patient‐Centered Approach to Clinical Practice Guidelines in Otolaryngology

Abstract

Patient education is used to engage patients in their own health care and is relevant in most clinical situations. Shared decision making (SDM) is used to engage patients when a choice needs to be made about a diagnostic or therapeutic procedure and the medical evidence does not indicate which choice is best. American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) clinical practice guidelines (CPGs) include multiple action statements that may benefit from patient education or SDM. In this Commentary we discuss patient education and SDM using examples from AAO-HNS CPGs. We believe that use of patient education and decision support materials for SDM will enhance the effectiveness of SDM and improve the uptake of CPG. We issue a call to action for all stakeholders to consider how to put these materials into the hands of our patients.

Who Wrote This Clinical Practice Guideline?

“…It is perhaps more important that a trustworthy CPG developed by a diverse, balanced group of stakeholders will be accepted by patients and will allow for shared decision making between clinicians and well-informed patients. 27…”

“…The GDG composition discussed here will help produce CPGs that are accepted by otolaryngologists as well as other clinicians. It is perhaps more important that a trustworthy CPG developed by a diverse, balanced group of stakeholders will be accepted by patients and will allow for shared decision making between clinicians and well‐informed patients 27 …”

Desarrollo de Herramientas de Ayuda para la Toma de Decisiones Compartida derivadas de las recomendaciones de las Guías de Práctica Clínica

“…Atendiendo a la literatura existente, muchos expertos apuestan por incorporar el modelo de TDC a partir de las recomendaciones de las GPC como una estrategia para el abordaje terapéutico y comunicación de los riesgos y beneficios de las diferentes opciones preventivas, diagnósticas y de tratamiento [43]. No obstante, para impulsar el proceso de TDC en la práctica clínica y su vinculación a las GPC se recomienda el desarrollo de HATD [56].…”

Response to “A Patient‐Centered Approach to Clinical Practice Guidelines in Otolaryngology”

“…The American Academy of Otolaryngology—Head and Neck Surgery Foundation (AAO‐HNSF) agrees with Drs Pynnonen and Hawley's assessment “that the use of patient education and decision support materials for shared decision making (SDM) will enhance the effectiveness of SDM and improve the uptake of CPGs.” 1 …”

“…The American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) agrees with Drs Pynnonen and Hawley's assessment "that the use of patient education and decision support materials for shared decision making (SDM) will enhance the effectiveness of SDM and improve the uptake of CPGs." 1 Over the past several years, systematic review (SR) and clinical practice guideline (CPG) developers have realized the importance of making their findings both accessible and understandable to the public.…”