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BET 2: Sharing decisions for patients with suspected cardiac chest pain in the emergency department
  1. Abigail Ward1,2,
  2. Richard Body1,2
  1. 1 Department of Emergency, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
  2. 2 Manchester Academic Health Science Centre, University of Manchester, Manchester, UK
  1. Correspondence to Abigail Ward; production.emj{at}


A short-cut review was carried out to establish whether shared decision making used alongside a decision aid can lead to greater patient satisfaction, lower healthcare resource use and non-inferior clinical outcomes in patients with suspected acute coronary syndromes. Four studies were directly relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. The clinical bottom line is that the use of shared decision-making tools in the ED for management of patients with low-risk chest pain appears to be beneficial to the patient and the physician. Use of these shared decision-making tools appears to increase patient knowledge and satisfaction, while decreasing decision conflict and resource use, without causing additional negative outcomes for the patient.

  • emergency departments

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  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.