Barriers and Facilitators to Shared Decision-making for Frail and Elderly Patients within the Perioperative Setting: A Scoping Review Protocol

Amyn Vogel*, Camille Guinemer, Daniel Fürstenau

*Corresponding author af dette arbejde

Publikation: Working paperForskning

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BACKGROUND: Shared decision-making (SDM) is an approach to enable patient-centeredness and tailored treatment pathways, within the perioperative setting. This could benefit frail and elderly patients, who suffer from multiple health issues and increased surgical vulnerability and postoperative complications, requiring individualized healthcare. However, little is known about facilitators and barriers to implementing SDM into clinical practice for the specific requirements of frail and elderly patients.

The objective is to gain a comprehensive overview of original studies on facilitators and barriers to SDM perceived by clinical healthcare personnel and patients to SDM within the perioperative setting. Our aim is twofold: First, we aim at collecting and understanding facilitators and barriers regarding SDM addressed by elderly and frail patients and clinical healthcare personnel. Second, we aim at understanding the underlying approaches and methods employed in respective studies.

METHODS: We conduct a scoping literature review, based on the databases MEDLINE, Embase, CINAHL, and Web of Science and report results with PRISMA-ScR. We follow the methodological framework developed by Arksey and O'Malley and the recommendations by the Joanna Briggs Institute. Restrictions relate to language: only English, French, and German language articles are considered. We developed a data charting template to organize the data extraction. We decided to conduct a scoping review to better understand key concepts and the implementation of SDM and to identify the evidence for barriers and facilitators of SDM as perceived by patients and clinical healthcare personnel.

DISCUSSION: To our knowledge, this is the first scoping review to address SDM for elderly and frail patients within the perioperative setting. A preliminary search has been conducted. After removing all duplicates, we found 984 results. We assessed that a sufficient body of literature exists to conduct this scoping review.

The scoping review will provide a map of the research on facilitators and barriers perceived by clinical healthcare personnel and patients regarding SDM for perioperative care. The results are meant to support researchers and clinical healthcare personnel, in determining further research initiatives and the implementation of SDM within perioperative care for elderly and frail patients. Research gaps and future directions will be addressed in the forthcoming review.
UdgivelsesstedDurham, NC
UdgiverResearch Square
Antal sider20
StatusUdgivet - 2022


  • Shared decision-making
  • Perioperative care
  • Elderly and frail patients
  • Clinical personnel