PCI for stable angina: A missed opportunity for shared decision-making.

Authors:
Michael B Rothberg
Michael B Rothberg
Medicine Institute
United States

Cleve Clin J Med 2018 Feb;85(2):105-121

Vice-Chair for Research, Medicine Institute, and Director, Center for Value-Based Care Research, Cleveland Clinic, Cleveland, OH, USA.

Percutaneous coronary intervention (PCI) continues to be frequently performed for patients with stable coronary artery disease, despite clear evidence that it provides minimal benefit over optimal medical therapy and entails small but not inconsequential risks. Many patients and doctors do not fully understand the risks and benefits of PCI, even when presented with the evidence, and this makes informed consent challenging. The best approach is shared decision-making, with doctor and patient together choosing the best treatment option after considering the evidence and the patient's preferences.

Download full-text PDF

Source
http://dx.doi.org/doi:10.3949/ccjm.85gr.17004DOI Listing

Still can't find the full text of the article?

We can help you send a request to the authors directly.
February 2018
5 Reads

Publication Analysis

Top Keywords

shared decision-making
8
optimal medical
4
decision-making doctor
4
medical therapy
4
therapy entails
4
entails small
4
approach shared
4
benefit optimal
4
minimal benefit
4
disease despite
4
choosing best
4
despite clear
4
clear evidence
4
doctor patient
4
evidence minimal
4
best approach
4
inconsequential risks
4
benefits pci
4
risks benefits
4
pci presented
4

Similar Publications