Decision-making in Orthopaedic Oncology: Does Cognitive Bias Affect a Virtual Patient’s Choice Between Limb Salvage and Amputation?

摘要

The local treatment of extremity sarcomas usually is predicated on a decision between limb salvage and amputation. The manner in which surgical options are presented in the context of shared decision-making may influence this decision. In a population of “simulated” patients–survey respondents presented with a mock clinical vignette and then asked to choose between treatments–we assessed cognitive bias by deliberate alteration of the subjective presentation of the same objective information.