The involvement of anaesthetists and other healthcare professionals with surgeons in shared decision-making for adult patients contemplating surgery: a systematic review and narrative analysis
Authors' conclusion
Some surgical populations, as a function of the complexity of their medical, surgical, or both condition(s), would benefit from multidisciplinary team shared decision-making.
Study context
- Population
- Adult patients contemplating surgery29 studies included
- Comparison
- Multidisciplinary team shared decision-making
Pooled result
As reported in the abstract
- Wide variety of non-surgical healthcare professionals (e.g. anaesthetist, geriatrician, intensivist, specialist nurse, physiotherapist, psychologist, social worker) and others (incl. peer support) participated in perioperative shared decision-making
- Consultations mainly structured sequentially or concomitantly with surgical consultations
- Patients and clinicians generally responded positively to multidisciplinary team shared decision-making
- Where measured, decisional quality improved and decisional conflict reduced
- In high-risk patients, multidisciplinary team shared decision-making more likely to result in non-operative management
- Five features identified: identification of relevant experts, expert multidisciplinary assessment, thorough consideration of alternative treatments, coordinated patient support, additional consultation time
- 8727 citations; 271 full-text review; 29 included
Original publication
The involvement of anaesthetists and other healthcare professionals with surgeons in shared decision-making for adult patients contemplating surgery: a systematic review and narrative analysis. BJA Open. Published 6 March 2026. doi:10.
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