Arquivos de Neuro-Psiquiatria (Sep 2015)

Shared decision-making in the context of unruptured intracranial aneurysms management

  • Luís Henrique de Castro-Afonso,
  • Daniel Giansante Abud

DOI
https://doi.org/10.1590/0004-282X20150118
Journal volume & issue
Vol. 73, no. 9
pp. 791 – 794

Abstract

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Shared decision-making practice has been encouraged in several clinical settings. In this model, clinical decisions are defined by doctors and patients based on the principle of patient autonomy. Shared decisions have been argued as an ethical clinical practice during complex and uncertain clinical situations. The best management of unruptured intracranial aneurysms (UIA) remains controversial. Despite the fact that shared decisions has probably been practiced, as far as we are aware it has not yet been evaluated, nor has it been standardized for patients presenting UIA. We aim to discuss possible roles, pros and cons of shared decision-making on the management of UIA.

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