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. Author manuscript; available in PMC: 2021 Apr 28.
Published in final edited form as: J Am Acad Orthop Surg. 2020 May 15;28(10):419–426. doi: 10.5435/JAAOS-D-19-00146

Table 2.

Mean Preferred Involvement

Decision Mean Preferred Involvement ± SD
1. Who should decide which diagnostic workup tools are used? Examples of diagnostic workup tools include laboratory tests and imaging such as radiographs or MRIs. 2.6 ± 2.24
2. Who should decide which nonsurgical therapies are used? Examples include physical therapy, splinting/bracing treatment, medications such as anti-inflammatories, and injections like steroid injections. 3.76 ± 2.26
3. Who should decide which surgical treatment is used? 3.09 ± 2.33
4. Who should make the decision if I need to see my primary care provider or a specialist before surgery to make sure I am safe for surgery? 3.37 ± 2.85
5. Who should decide which laboratory tests are used before surgery? 2.14 ± 2.63
6. Who should decide when my surgical treatment is scheduled? Examples include time of the day and day of the week. 4.75 ± 2.65
7. Who should decide where my surgery takes place? 3.81 ± 2.70
8. Who should decide whether I use a special soap to clean my skin at home before surgery? 1.77 ± 2.46
9. Who should make the decision if I need to have presurgery antibiotics? 1.56 ± 2.15
10. Who should decide how to position me during surgery? Examples of positioning include on your back or on your stomach. 1.26 ± 2.05
11. Who should decide which implants are used? Examples of implants include plates, screws, and replacements. 2.02 ± 2.33
12. Who should decide which sutures are used to close my incision? Examples of sutures include dissolvable and nondissolvable. 1.29 ± 1.90
13. Who should decide the size of my surgical incision? 1.13 ± 1.98
14. Who should decide which anesthesia is used during my surgery? Examples of anesthesia include asleep during surgery, sedation, and local. 2.37 ± 2.36
15. Who should decide which type of immobilization is used after my surgery? Examples of immobilization include casts and braces. 1.83 ± 2.22
16. Who should decide what type of postsurgery pain medication I receive? 3.35 ± 2.39
17. Who should decide how I do my therapy? Examples include seeing a physical therapist or being taught by my surgeon to do my own exercises. 3.97 ± 2.43
18. Who should decide whether I use virtual care after surgery? 4.30 ± 2.59
19. Who should decide when I can get your surgical site wet after surgery? 1.27 ± 2.03
20. Who should decide when the dressing or splint should be removed after my surgery? Examples include 3 d after the surgery or 2 wk after the surgery. 1.29 ± 1.95
21. Who should decide when I can return to normal activities? Examples of activities include sports. 2.37 ± 2.30
22. Who should decide when I can return to work or school? 3.15 ± 2.53
23. Who should decide whether I get radiographs at my follow-up appointments? 1.56 ± 2.14
24. Who should decide when I stop seeing my surgeon for a follow-up appointments? 2.65 ± 2.50
25. Who should decide when my implant can be removed? 1.58 ± 2.25

Questions were evaluated with a score of 0–10 for each decision, where 0 indicated no patient involvement (fully passive role),1–4 indicated a semipassive role, 5 indicated equally shared involvement between patient and surgeon, 6–9 indicated a semiactive role, and 10 indicated no surgeon involvement (fully active role).