Developing a patient decision aid for Achilles tendon rupture management: a mixed-methods study

Review written by Dr Seth O’Neill info

Key Points

  1. No existing patient decision aid is available for Achilles tendon ruptures that adheres to the international standards.
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BACKGROUND & OBJECTIVE

Patient decision aids and their development have been a burgeoning area of research and development. There are international guidelines (International Patient Decision Aids Standards – IPDAS) around the development and testing of patient decision aids, but not one for Achilles tendon Ruptures that adheres to these guidelines.

Achilles tendon ruptures are a significant problem with between 2-35 per 100,000 per annum (1,2). Care commonly splits between Surgery or Conservative care and there is much debate around which is best, leaving patients unsure which to choose – assuming they have an option.

The objective of this study was to develop and user-test a patient decision aid which portrays the benefits and harms of non-surgical management and surgery for Achilles tendon ruptures.

Achilles tendon ruptures are a significant problem with between 2-35 per 100,000 per annum.
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This tool could be given to patients whilst in the waiting room for their post rupture follow up and then be used as a basis for discussion.

METHODS

  • The study used a mixed methods approach to develop and user test the Patient decision aid.
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