Factors Affecting Patient Decision-Making Regarding Midshaft Clavicle Fracture Treatment

Pérez, Giancarlo Medina; Tran, Megan; McDonald, Christopher L.; O’Donnell, Ryan; Cruz, Aristides I.

doi:10.7759/cureus.10505

Cited by 3 publications

(1 citation statement)

References 29 publications

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“…By clinicians and patients working together during consultations, it is aimed to respect patient expectations and goals, whilst achieving the ability to integrate care plans that clinicians believe are within the patient's interest. A recent paper looking at shared decision-making regarding the management of mid-shaft clavicle fractures highlighted that 67.6% of patients would prefer to make a shared decision with their doctor [ 1 ]. This can be correlated with a recent review in 2020 whereby 54% of chosen papers that included patients and 75% of papers including surgical opinions both displayed a preference for shared decision-making [ 2 ].…”

Section: Reviewmentioning

confidence: 99%

Less Is More: A Narrative Review of Deciding When Surgical Intervention Should Be Withheld

Stout¹,

Hamer²,

Sharples³

et al. 2022

Cureus

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Decision-making in surgery is one of the great unspoken challenges, an important but markedly challenging skill that takes a lifetime to master. The choice not to operate generally proves a significantly harder conclusion than opting for intervention. Our paper explores the influences which affect a clinician’s decision to operate or not. The challenging situation where patient and clinician disagree on proposed management is also explored. Implications on management are discussed, with constructive communication techniques offered, including the recent COVID-19 pandemic.

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Section: Reviewmentioning

confidence: 99%

Less Is More: A Narrative Review of Deciding When Surgical Intervention Should Be Withheld

Stout¹,

Hamer²,

Sharples³

et al. 2022

Cureus

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Evaluating consensus and uncertainty among treatment options for early-onset scoliosis: new generation and international perspectives

et al. 2023

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Safe and Effective Treatment of Compromised Clavicle Fracture of the Medial and Lateral Third Using Focused Shockwaves

Mittermayr

Haffner

Eder

et al. 2022

JCM

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A delay or failure to heal is the most common possible complication in clavicle fractures, especially in cases primarily treated conservatively. As the current standard therapy, surgical revision achieves good healing results, but is associated with potential surgery-related complications. Shockwave therapy as a non-invasive therapy shows similar reasonable consolidation rates in the non-union of different localizations, but avoids complications. Compromised clavicle fractures in the middle and lateral third treated with focused high-energy shockwave therapy were compared with those treated with surgical revision (ORIF). In addition, a three-dimensional computer simulation for evaluating the pressure distribution during shockwave application accompanied the clinical study. A comparable healing rate in bony consolidation was achieved in both groups. Significantly fewer complications, however, occurred in the shockwave group. The simulations showed safe application in this instance, particularly in avoiding lung tissue affection. When applied correctly, shockwaves represent a safe and promising therapy option for compromised clavicle fractures in the middle and lateral third.

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Factors Affecting Patient Decision-Making Regarding Midshaft Clavicle Fracture Treatment

Cited by 3 publications

References 29 publications

Less Is More: A Narrative Review of Deciding When Surgical Intervention Should Be Withheld

Less Is More: A Narrative Review of Deciding When Surgical Intervention Should Be Withheld

Evaluating consensus and uncertainty among treatment options for early-onset scoliosis: new generation and international perspectives

Safe and Effective Treatment of Compromised Clavicle Fracture of the Medial and Lateral Third Using Focused Shockwaves

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