Implementing Shared Decision-Making for Patients with Aortic Valve - PowerPoint PPT Presentation

Nov 16, 2022 •207 likes •332 views

ANNUAL OCT. 31-NOV. 2, 2017 MEETING ARLINGTON, VA Implementing Shared Decision-Making for Patients with Aortic Valve Disease Susan Strong J. Matthew Brennan, MD MPH Patient Representative Interventional Cardiology Denver, CO Duke

ANNUAL OCT. 31-NOV. 2, 2017 MEETING ARLINGTON, VA Implementing Shared Decision-Making for Patients with Aortic Valve Disease Susan Strong J. Matthew Brennan, MD MPH Patient Representative Interventional Cardiology Denver, CO Duke Triangle Heart Associates Associate Professor of Medicine Duke University School of Medicine #PCORI2017 November 1, 2017
ANNUAL MEETING | #PCORI2017 Overview • Patient’s Perspective: Personalizing the Treatment of Aortic Valve Disease • PCORI ADVICE Study: Developing Decision Aids for Aortic Valve Disease 2
ANNUAL MEETING | #PCORI2017 Aortic Valve Disease: What are the treatment options? Surgical Valve Replacement Transcatheter Valve Replacement (SAVR) (TAVR) 3
ANNUAL MEETING | #PCORI2017 The Counterfactual 4
ANNUAL MEETING | #PCORI2017 PCORI ADVICE Study: Data Sources & Design • Procedural registry data - STS National Database - STS/American College of Cardiology (ACC) Transcatheter Valve Therapy (TVT) Registry • Follow-up: Medicare claims • Observational Study (non-randomized) • Propensity-matched cohort 5
ANNUAL MEETING | #PCORI2017 Exclusions: Clinical Equipoise No TAVR • Age <65 yrs • Age >90 yrs • Endocarditis • Hostile chest • Emergency/Salvage • Aortic Insufficiency Other without stenosis • Centers with <10 TAVR • Moderate/Severe cases Mitral Stenosis • Low risk for SAVR (STS PROM <3%) No SAVR Spectrum of Patient Risk 6
ANNUAL MEETING | #PCORI2017 Assessing Balance Measured Confounders Unmeasured Confounders Propensity Matching Falsification Outcome (UTI) HR 1.45 (1.04-2.02) p=0.028 SAVR TAVR (Nov 2011 – June 2014) 7
ANNUAL MEETING | #PCORI2017 Assessing Balance Urinary Tract Infection SAVR TAVR (Jan 2014 – Q3 2015) 8
ANNUAL MEETING | #PCORI2017 PCORI ADVICE Study: Risk Models (SAVR vs TAVR) 5 Clinical Outcomes Model Parameters 1. Discharge to home • Demographics 2. Death, 1 year • Medical History 3. Stroke, 1 year • Labs Days alive and out of hospital, 1 st year 4. • Testing 5. Alive and better, 1 year • Clinical Status Stroke – 1 year “Alive and Better” Mortality – 1 year 9
ANNUAL MEETING | #PCORI2017 PCORI ADVICE Study: Decision Assistance Tool 10
ANNUAL MEETING | #PCORI2017 Questions? J. Matthew Brennan, MD MPH Interventional Cardiology Duke Triangle Heart Associates Associate Professor of Medicine Duke University School of Medicine j.matthew.brennan@dm.duke.edu November 1, 2017 11

Recommend

MI MI and Shared MI MI and Shared and Shared Decision Making and Shared Decision Making

The project PRECIOUS has received funding from the European Union s Seventh Framework Programme under Grant Agreement n 611366" MI MI and Shared MI MI and Shared and Shared Decision Making and Shared Decision Making Decision Making

412 views • 20 slides

Implementing Shared Decision Making with Low Health Literacy Patients December 9, 2015 1:00

Implementing Shared Decision Making with Low Health Literacy Patients December 9, 2015 1:00 p.m. 2:30 p.m. ET Sponsored by: Agency for Healthcare Research and Quality (AHRQ) 1 The Agency for Healthcare Research and Quality AHRQ is a

852 views • 84 slides

Shared Decision Making in the ED for Patients with Low-Risk Chest Pain: The Chest Pain Choice

Shared Decision Making in the ED for Patients with Low-Risk Chest Pain: The Chest Pain Choice Decision Aid Uli K. Chettipally, MD, MPH. CREST Network Kaiser Permanente PI: Erik P. Hess MD MSc PCORI Funding: Original Research funded through

573 views • 26 slides

THE SHARE COMMUNICATION FRAMEWORK SUPPORTING PHYSICIANS IN SHARED DECISION-MAKING WITH PATIENTS

THE SHARE COMMUNICATION FRAMEWORK SUPPORTING PHYSICIANS IN SHARED DECISION-MAKING WITH PATIENTS TREATED FOR METASTATIC CASTRATION RESISTANT PROSTATE CANCER (mCRPC) Developed by a Scientific Committee Consisting of: Tanya Dorff, Associate

589 views • 43 slides

Objectives At the end of this workshop you will: Understand the key components of shared

Objectives At the end of this workshop you will: Understand the key components of shared decision making (SDM) Build skills and learn about tools to support shared decision making with patients Practice methods of training residents

725 views • 50 slides

Shared Decision Making: Connecting Clinicians and Patients to Improve Patient Outcomes Author

Shared Decision Making: Connecting Clinicians and Patients to Improve Patient Outcomes Author Disclosures James D. Bowen, MD ( Presenter ), Medical Director, Multiple Sclerosis Center, Swedish Neuroscience Institute: Financial support for

579 views • 33 slides

Shared Decision-Making: Bringing Patients into their Healthcare Loop Suresh R. Mulukutla, MD FACC

Shared Decision-Making: Bringing Patients into their Healthcare Loop Suresh R. Mulukutla, MD FACC Director, Interventional Cardiology & HVI Center for Quality, Outcome, and Clinical Research Complexity of Everyday Decisions Normal

872 views • 62 slides

Shared Decision Making for Bariatric Surgery in Patients with Severe Obesity David Arterburn Joe

Shared Decision Making for Bariatric Surgery in Patients with Severe Obesity David Arterburn Joe Nadglowski President/CEO, Obesity Action Coalition Senior Investigator, Kaiser Permanente Washington @JNadglowskiOAC @davearterburn 9/19/19

599 views • 24 slides

When we talk about patient engagement and shared decision-making there are a

When we talk about patient engagement and shared decision-making there are a number of different problems that evolve. 1 First, patients often do not have information they need to make decisions, nor are they involved in the

932 views • 36 slides

Shared Decision Making Workgroup January 25 th , 2019 Agenda Welcome and Introductions

Shared Decision Making Workgroup January 25 th , 2019 Agenda Welcome and Introductions Bree Collaborative Overview Background Past Work Implementation Open Public Meetings Act Review Previous Shared Decision Making

272 views • 25 slides

Lessons learned implementing patient decision support in routine care Dominick L. Frosch, PhD

Lessons learned implementing patient decision support in routine care Dominick L. Frosch, PhD How do we engage patients in making choices about their care? Partners in Medical Decision Making Prescription Strength Information for Better

491 views • 9 slides

in Varied Practice Settings July 15, 2015 12:30 p.m. 2:00 p.m. ET Sponsored by: Agency for

Implementing Shared Decision Making in Varied Practice Settings July 15, 2015 12:30 p.m. 2:00 p.m. ET Sponsored by: Agency for Healthcare Research and Quality (AHRQ) 1 !HRQs SH!RE !pproach to shared decision making SHARE Approach

1.2k views • 78 slides

Making Shared Decision Making Standard Practice in Health Care Harlan M. Krumholz @hmkyale

Making Shared Decision Making Standard Practice in Health Care Harlan M. Krumholz @hmkyale @PCORI #PCORI2017 Shared Decision Making What exactly is shared about it? Assertion Health care professionals seek the best for their

501 views • 39 slides

Shared Decision Making Tools for Lung Cancer Screening May 4, 2016 12:30 p.m. 2:00 p.m. ET

Shared Decision Making Tools for Lung Cancer Screening May 4, 2016 12:30 p.m. 2:00 p.m. ET Sponsored by: Agency for Healthcare Research and Quality (AHRQ) SHARE Approach Webinar Series Webinar 5 Shared Decision Making Tools for Lung

870 views • 66 slides

A Pilot Study Testing the Effectiveness, Feasibility, and Fidelity of Implementing a Shared

A Pilot Study Testing the Effectiveness, Feasibility, and Fidelity of Implementing a Shared Decision Making Visit for Lung Cancer Screening in the Screening Setting Presenter: Lisa M. Lowenstein, PhD, MPH Co-authors: Myrna Cobos Barco Godoy,

546 views • 25 slides

Shared Decision-Making Judy E. Davidson DNP RN FCCM FAAN AKI/CRRT Conference Manchester Hyatt

Shared Decision-Making Judy E. Davidson DNP RN FCCM FAAN AKI/CRRT Conference Manchester Hyatt Hotel March 8, 2017 Slides graciously provided by: Alexander A. Kon, MD, FAAP, FCCM No other disclosures Outline 1. What IS shared decision-making

710 views • 37 slides

Bergen Regional Medical Center DSRIP Project Shared Decision Making: Electronic Self-Assessment

Bergen Regional Medical Center DSRIP Project Shared Decision Making: Electronic Self-Assessment SHARED DECISION MAKING: ELECTRONIC SELF-ASSESSMENT Shared Decision Making Electronic Self Assessment is an effort to better engage our

452 views • 32 slides

Shared Decision-Making in Optimal Care of Psoriasis and Digital Tools: Making It Work in

Shared Decision-Making in Optimal Care of Psoriasis and Digital Tools: Making It Work in Practice Thursday, February 14, 2019 CME Outfitters, LLC, is the accredited provider for this continuing education activity. CME Outfitters, LLC,

944 views • 68 slides

Shared Decision Making for Chronic Conditions and Long-Term Care Planning July 26, 2016 2:30

Shared Decision Making for Chronic Conditions and Long-Term Care Planning July 26, 2016 2:30 p.m. 4:00 p.m. ET Sponsored by: Agency for Healthcare Research and Quality (AHRQ) SHARE Approach Webinar Series Webinar 6 Shared Decision

1.06k views • 65 slides

Shared Decision Making and g Rectal Cancer: Do the two go together ? g The 8 th Princess

Shared Decision Making and g Rectal Cancer: Do the two go together ? g The 8 th Princess Margaret Hospital Conference Developments in Cancer Management: Conquering l Cancer in our Lifetime October 17, 2008 b Erin Kennedy, MD, PhD, FRCSC

583 views • 39 slides

Management of Menopausal Symptoms through the Use of Technology for Shared Decision Making and

Management of Menopausal Symptoms through the Use of Technology for Shared Decision Making and Improved Data Gathering Principal Investigator/Project Lead: Laura Borgelt PharmD, FCCP, BCPS, NCMP University of Colorado Anschutz Medical Campus

226 views • 5 slides

Assessment of factors which influence decision-making regarding medication use in patients with

Assessment of factors which influence decision-making regarding medication use in patients with dementia at the end of life Carmel M. Hughes School of Pharmacy Queens University Belfast Outline of presentation Background Why is this

519 views • 29 slides

DECISION MAKING readysetpresent.com Decision Making Program Objectives ( 1 of 2 ) To examine

DECISION MAKING readysetpresent.com Decision Making Program Objectives ( 1 of 2 ) To examine different decision making models. To maximize creativity and logic in decision making. To acquire decision making tips and techniques that

2.35k views • 175 slides

Decision Making Process for Implementing System-Level Improvements Ron Keren, MD, MPH Vice

Decision Making Process for Implementing System-Level Improvements Ron Keren, MD, MPH Vice President of Quality Childrens Hospital of Philadelphia Professor of Pediatrics and Epidemiology Perelman School of Medicine at the University of

455 views • 13 slides