Medicine:Option grid

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Option Grid is the name for a tool for patients and providers to use together when they are discussing and deciding what best to do about possible options, either treatments or tests.[1][2][3][4] The grid is published in the form of a summary table to enable comparisons between multiple potential treatments or options.[5] The grids do this by using questions that patients frequently ask (FAQs), and are designed for use in face-to-face clinical encounters or to be given to patients to read for a few minutes, ahead of a conversation with a provider.

The key to the grids is the use of frequently asked questions (FAQs) that relate to the most common or most important concerns of patients. It is important to choose these FAQs carefully and to limit them to those that can be considered briefly. These FAQs are based on evidence where possible, and final versions are developed by teams of patients, clinicians, and editors. All Grids are written at a reading level of 10–12 years, in accordance with the plain English campaign guides. The evidence summaries upon which Option Grids are based are available for public review at the official Option Grid website.

Published option grids

A number of option grids exist including:

Cancer

Cardiac

  • Implant an implantable cardioverter defibrillator (ICD) and continue to use medication vs. continue to use medication but do not implant an ICD for patients with heart failure (English)
  • Optimal medical treatment vs. angioplasty (stenting) for stable angina (English & Spanish)
  • Dabigatran vs. warfarin for stroke prevention with non-valvular atrial fibrillation (English)

Crohn's Disease

  • Immunomodulator vs. anti-TNF vs. combination therapy for Crohn’s disease (English)

Epilepsy

Kidney Disease

Mental Health

  • Continuing to stay off paid work vs. taking steps to return to paid work with the help of an employment specialist (English)

Osteoarthritis

Other

  • Managing without injections or surgery vs. injections (epidural steroids) vs. surgery for sciatica from a herniated disc (English)
  • Treatment with antibiotics vs. treatment without antibiotics for a sore throat (English)

Pediatric/Neonatal Health

  • Circumcision vs. no circumcision for newborn boy (English)
  • Grommets (tympanostomy tubes) vs. hearing aid vs. active observation for glue ear (serous otitis media) in child (English)
  • Tonsillectomy vs. active management for tonsillitis in children under 16 (English and Spanish)

Women's & Reproductive Health

  • Having amniocentesis vs. not having amniocentesis for testing for Down’s Syndrome in pregnancy (English & Spanish)
  • Having Down syndrome screening vs. not having Down syndrome screening in pregnancy (English & Spanish)
  • Medication (no hormones) vs. hormonal medication vs. removing the uterus lining vs. removing fibroids vs. removing the uterus for heavy menstrual bleeding (English)

Collaborative

The Option Grid Collaborative is a not-for-profit group of over 90 people, made up of patient representatives, medical experts, and clinicians involved in supporting shared decision making via the creation of Option Grids. The Collaborative welcomes new members who wish to create new Option Grids according to the group’s agreed-upon process, which involves a thorough review of best available evidence and user testing process. Interested members should visit the Official Website in the links below for more information about how to get involved. Collaborative members receive support and guidance for Option Grid development from Dartmouth College throughout the process.

Creative Commons license

The Collaborative operates under a Creative Commons license, which is a type of public copyright license that enables authors to give others the right to collaborate and build upon their work according to guidelines specified by the author. The Collaborative’s specific license, CC-BY-NC-ND, allows others to download the group’s work and share it so long as they credit the source, do not make changes, and do not use it commercially.

See also

References

  1. ↑ Elwyn, G.; Lloyd, A.; Joseph-Williams, N.; Cording, E.; Thomson, R.; Durand, M. A.; Edwards, A. (2013). "Option Grids: Shared decision making made easier". Patient Education and Counseling 90 (2): 207–212. doi:10.1016/j.pec.2012.06.036. PMID 22854227. 
  2. ↑ Elwyn, G.; Frosch, D.; Thomson, R.; Joseph-Williams, N.; Lloyd, A.; Kinnersley, P.; Cording, E.; Tomson, D. et al. (2012). "Shared Decision Making: A Model for Clinical Practice". Journal of General Internal Medicine 27 (10): 1361–1367. doi:10.1007/s11606-012-2077-6. PMID 22618581. 
  3. ↑ Greenhalgh, T. (2013). "Option grids: An idea whose time has come?". British Journal of General Practice 63 (608): 147. doi:10.3399/bjgp13X664315. PMID 23561770. 
  4. ↑ Elwyn, G.; Lloyd, A.; Joseph Williams, N.; Beasley, A.; Tomkinson, A. (September 2012). "Shared decision-making in a multidisciplinary head and neck cancer team: a case study of developing Option Grids". International Journal of Person Centered Medicine 2 (3): 421–426. doi:10.5750/ijpcm.v2i3.262. http://www.ijpcm.org/index.php/IJPCM/article/view/262. 
  5. ↑ Drug and Therapeutics Bulletin (23 July 2013). "An introduction to patient decision aids". BMJ 347: f4147. doi:10.1136/bmj.f4147. PMID 23881944. http://www.bmj.com/content/347/bmj.f4147. 

External links



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