# Improving urinary and sexual dysfunction after prostate surgery using shared decision making

> **NIH NIH F32** · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2020 · $80,358

## Abstract

PROJECT SUMMARY
Shared decision making (SDM) is a concerted effort between clinicians and patients to select care plans that balance
evidence with patient preferences and values. Shared decision making has been identified as a key component of high-
quality health care delivery and has been proposed as a quality metric for physician reimbursement. However, a
disconnect exists between support of SDM by healthcare providers and policymakers, and the implementation of SDM in
practice. Furthermore, there is a lack of measures to assess SDM, which may be impeding its clinical use.
Despite this, SDM has been mandated and recommended at a policy level both nationally and within guideline
statements. In light of this, providing data about real-world use of SDM in urology and developing meaningful measures
of SDM is imperative. The factors that lead to use of decision aids and shared decision making by urologists are largely
unknown and few have studied the association between SDM and urologic outcome measures that are salient to
clinicians and patients.
Using a large, prospectively collected, state-wide database of patient reported outcomes (PRO) linked among patients
who have used a decision aid prior to prostate surgery, we will assess the practice and patient level factors that facilitate
decision aid use and evaluate the link between decision aids and patient reported urologic outcomes. We hypothesize
that both practice factors and patient attributes will influence the likelihood of using a decision aid. We also predict that
those who use a decision aid prior to undergoing prostate surgery will have improved patient reported outcome
measures, as measured by urinary incontinence and erectile dysfunction bother scores on validated instruments.
This proposal will be the first to analyze the results of a large, community based, shared decision making initiative.
Furthermore, it will fill a critical knowledge gap in the link between use of shared decision making and patient reported
outcome measures. In the era of patient centered care, these findings will help inform efforts to implement shared
decision making in urologic practice.

## Key facts

- **NIH application ID:** 10064767
- **Project number:** 1F32DK126232-01
- **Recipient organization:** UNIVERSITY OF MICHIGAN AT ANN ARBOR
- **Principal Investigator:** Giulia Maria Rosa Ippolito
- **Activity code:** F32 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $80,358
- **Award type:** 1
- **Project period:** 2020-07-01 → 2021-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10064767

## Citation

> US National Institutes of Health, RePORTER application 10064767, Improving urinary and sexual dysfunction after prostate surgery using shared decision making (1F32DK126232-01). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10064767. Licensed CC0.

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