Shared Decision-Making and Patient Decision Aids for Percutaneous Left Atrial Appendage Occlusion

What are the key features associated with reported shared decision-making (SDM) and use of patient decision aids (DAs) for percutaneous left atrial appendage occlusion (pLAAO) in patients with atrial fibrillation?In this cohort study of 147 296 patients who received pLAAO, the observed variance in SDM plus DA reporting was large and was attributable primarily to the institutional level.These findings suggest that whether a patient is reported as having been engaged in SDM and received a DA before pLAAO depends more on the institution performing the procedure than any other factor, underscoring the need for systems-level research to better support patient-centered care.

Corresponding Author: Joshua B. Rager, MD, MA, MS, Regenstrief Institute, 1101 W 10th St, RF 239, Indianapolis, IN 46202 (jbrager@iu.edu).

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