From the Journals

Shared Decision-Making Is Institution-Driven 

National registry analysis finds institutional factors outweigh patient characteristics 

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A comprehensive analysis of over 147,000 percutaneous left atrial appendage occlusion procedures reveals significant variation in the documentation of shared decision-making (SDM) and the use of patient decision aids (DAs) across different institutions in the U.S. While two-thirds of encounters reflected documented SDM with DAs, findings indicate that institutional factors play a more crucial role than patient demographics in determining these practices. Authors stress the need for institutional investment to standardize and improve the quality of SDM, especially given inconsistencies in real-world application compared to policy requirements.

Original Source(s)

Shared Decision-Making Is Institution-Driven 

National registry analysis finds institutional factors outweigh patient characteristics 

  • by Henry Thomas

  • February 27, 2026

  • 2 min

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