Priority 11 from the Heart Surgery PSP

UNCERTAINTY: How can we improve the communication between the medical team and patients/carers regarding the risks and benefits of heart surgery?  (JLA PSP Priority 11)
Overall ranking 11
JLA question ID 0088/11
Explanatory note Communication between caregivers and patients has been rarely investigated in cardiac surgery. Our search identified a recent systematic review comparing telemedicine and usual communication, which contained a subgroup analysis of trials (only 2) conducted in cardiac surgery. More research is needed.
~ How could heart surgery procedures be better explained to patients and their family? Will including patients live or on video chat affect outcomes of multidisciplinary team?  
Evidence

Anderson L, Brown JPR, Clark AM, Dalal H, Rossau HKK, Bridges C, et al. Patient education in the management of coronary heart disease. Cochrane Database of Systematic Reviews. 2017(6).; Flodgren G, Rachas A, Farmer AJ, Inzitari M, Shepperd S. Interactive telemedicine: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2015(9):CD002098. 
Health Research Classification System category Cardiovascular
Extra information provided by this PSP
Original uncertainty examples How could heart surgery procedures be better explained to patients and their family? ~ How will the research ensure patients and their families are fully informed of all risks associated? ~ Will including patients live or on video chat affect outcomes of multidisciplinary team?  
Submitted by 8 x patient,  6 x carers, 5 x healthcare professional, 2 others 
PSP information
PSP unique ID 0088
PSP name Heart Surgery
Total number of uncertainties identified by this PSP. 45  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 11 July 2019