236 What is the benefit of shared decision-making? Towards a consensus statement symposium

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Introduction The German health technology assessment (HTA) agency Institute for Quality and Efficiency in Health Care (IQWiG) has recently published a preliminary HTA report on benefits and risks of shared deci-sion- making (SDM). It concludes there is no proven effect of SDM regarding morbidity, mortality, or health related quality of life. Therefore, it did not derive a benefit of SDM. By contrast, the British National Institute for Health and Care Excellence (NICE) came to the opposite conclusion in its SDM guideline 2021. Based on two systematic reviews, it recommends implementa- tion of training for professionals, decision aids, and to embed SDM in organizational culture and prac- tices. Reports from National HTA institutions have major impact on legislation, funding, and adoption of in- terventions such as SDM. Having a consensus on appropriate outcomes and assessment measures is vital for the cause of SDM. The aim of the symposium is to present the considerations of interna-tional players in the last months, to collect further arguments and to adopt a joint statement. Structure Introduction: IQWiG report and its conclusions Presentations of international viewpoints reactions from German professional organizations perspectives of patients and clinicians perspective of the national health services (value based healthcare, quality management, core outcome sets, etc.) ethical and legal perspective methodological viewpoints (logic models, outcome and study type issues) Interactive discussion: shaping the future of SDM outcome definition and assessment Building consensus: Towards an ISDM Society consensus statement Expected Results The symposium results will be transferred into a consensus paper on whether and, if so, how benefit assessment of SDM regarding outcomes and measures should be done. This can inform future bene- fit assessments and provide a solid basis for implementation of SDM. It will also identify research gaps regarding outcome definition and evaluation measures needing attention from the research community.

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