Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
In 2012, the UK's National Institute of Health and Care Excellence (NICE)1 stated that clinicians should ensure that: ‘Patients are actively involved in shared decision making and supported by healthcare professionals to make fully informed choices about investigations, treatment and care that reflect what is important to them’. The authors of this paper provide a useful means of giving information to patients, which is part of a process with complex technical and philosophical aspects, and suggest how clinicians should behave in the encounter.
What the authors describe is attractive. If patients could weigh up the information and apply it to their circumstances using a personalised information grid, then we clinicians could sit back and let them get on with it. But, let us explore this example further.
Patients come with baggage, including the understandable fear of scary brain surgery—which is a hurdle they have to overcome—rather than continuing medical treatment, which somehow seems easier, especially in the light of limited personal experience (Aunt Maude was never the same again after that unrelated brain operation). Of course, the decision is ultimately a contextualised and emotional one …
Competing interests None.
Provenance and peer review Commissioned; internally peer reviewed.
- Editors' choice
- How to do it
Read the full text or download the PDF:
Other content recommended for you
- Advances in epilepsy surgery
- Long term outcome of temporal lobe epilepsy surgery: analyses of 140 consecutive patients
- Epilepsy surgery
- Surgical treatment of independent bitemporal lobe epilepsy defined by invasive recordings
- Seizure outcome after epilepsy surgery in patients with normal preoperative MRI
- Long-term outcome of lesional posterior cortical epilepsy surgery in adults
- Epilepsy surgery, visual fields, and driving: a study of the visual field criteria for driving in patients after temporal lobe epilepsy surgery with a comparison of Goldmann and Esterman perimetry
- A second chance—reoperation in patients with failed surgery for intractable epilepsy: long-term outcome, neuropsychology and complications
- Vagus nerve stimulation: predictors of seizure freedom
- New drugs for the treatment of epilepsy: a practical approach