Shared Decision-Making and Patient Decision Aids for Percutaneous Left Atrial Appendage Occlusion
In this cohort study of patients who underwent pLAAO, SDM plus DA reporting was high, but there was large variation between institutions. Patients with Medicare did not have greater odds of reported SDM plus DA, despite the CMS requirement. These findings exhibit the need for further exploration of institutional barriers and facilitators to SDM and DA use for pLAAO.
Authors
- Sanket S. Dhruva (ORCID: https://orcid.org/0000-0003-0674-2032)
- Karl E. Minges (ORCID: https://orcid.org/0000-0002-9063-8272)
- Amneet Sandhu (ORCID: https://orcid.org/0000-0002-6435-5746)
- Paul Varosy
- Chien-Yu Huang
- Erica S. Spatz
- Tanner J. Caverly
- Joshua B. Rager
- Sarah Zimmerman
- James V. Freeman
- Daniel D. Matlock
Institutions
- Regenstrief Institute (US)
- University of California, San Francisco (US)
- University of Michigan (US)
- Yale University (US)
- Geriatric Research Education and Clinical Center (US)
- VA Center for Clinical Management Research (US)
- Yale New Haven Health System (US)
- VA Eastern Colorado Health Care System (US)
- Indiana University School of Medicine
- Indiana University – Purdue University Indianapolis (US)
- University of San Francisco (US)
- University of Colorado Denver (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2026-02-13
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.56937
- Primary Topic
- Patient-Provider Communication in Healthcare
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- American College of Cardiology Foundation