Promoting Shared Decision Making for Severe Aortic Stenosis

Launched by MASSACHUSETTS GENERAL HOSPITAL · Dec 14, 2023

Keywords

ClinConnect Summary

The goal of this study is to promote shared decision making for patients considering treatment for severe aortic stenosis. The main questions it aims to answer are:

* Do patient decision aids and clinician skills training course improve the quality of decisions, and do they work well for different patient populations?
* Are heart clinics able to reach the majority of patients with decision aids before their specialist visit and do the majority of clinicians complete the training course?

This study is a batched stepped wedge cluster randomized trial with 8 sites, about 56 surgeons and inte...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Between 65-85 years of age
• • Language is English or Spanish
• • Diagnosed with severe aortic stenosis defined as (e.g. an aortic valve area \< 1 cm2 or as determined by clinician)
• • Attend a scheduled visit with an Interventional Cardiologist and/or Cardiac Surgeon from the Heart Valve Team at a participating site
• Exclusion Criteria:
• • Prior aortic valve replacement surgery
• • High risk for either SAVR or TAVI (e.g., Society of Thoracic Surgery score \>8% or clinician determined)
• • Prior coronary artery bypass surgery (CABG)
• • End stage renal disease on dialysis
• • Severe lung disease (chronic obstructive pulmonary disease; COPD) requiring home oxygen
• • Advanced Cirrhosis
• • Unable to consent for self (proxy respondents are not allowed)