ⓘ Option Grid is the name for a tool for patients and providers to use together when they are discussing and deciding what best to do about possible options, eith ..

                                     

ⓘ Option grid

Option Grid is the name for a tool for patients and providers to use together when they are discussing and deciding what best to do about possible options, either treatments or tests. The grid is published in the form of a summary table to enable comparisons between multiple potential treatments or options. The grids do this by using questions that patients frequently ask, and are designed for use in face-to-face clinical encounters or to be given to patients to read for a few minutes, ahead of a conversation with a provider.

The key to the grids is the use of frequently asked questions FAQs that relate to the most common or most important concerns of patients. It is important to choose these FAQs carefully and to limit them to those that can be considered briefly. These FAQs are based on evidence where possible, and final versions are developed by teams of patients, clinicians, and editors. All Grids are written at a reading level of 10–12 years, in accordance with the plain English campaign guides. The evidence summaries upon which Option Grids are based are available for public review at the official Option Grid website.

                                     

1. Published option grids

A number of option grids exist including:

Crohns Disease

  • Immunomodulator vs. anti-TNF vs. combination therapy for Crohn’s disease English

Kidney Disease

  • Peritoneal dialysis CAPD/APD vs. haemodialysis at the hospital vs. haemodialysis at home vs. transplantation vs. conservative management for chronic kidney disease English & Spanish

Mental Health

  • Continuing to stay off paid work vs. taking steps to return to paid work with the help of an employment specialist English
                                     

1.1. Published option grids Cardiac

  • Dabigatran vs. warfarin for stroke prevention with non-valvular atrial fibrillation English
  • Optimal medical treatment vs. angioplasty stenting for stable angina English & Spanish
  • Implant an implantable cardioverter defibrillator ICD and continue to use medication vs. continue to use medication but do not implant an ICD for patients with heart failure English
                                     

1.2. Published option grids Crohns Disease

  • Immunomodulator vs. anti-TNF vs. combination therapy for Crohn’s disease English
                                     

1.3. Published option grids Epilepsy

  • Sodium valproate Epilim vs. Levetiracetam Keppra vs. Lamotrigine Lamictal for epilepsy treatments when considering pregnancy English
  • Continuing medical treatment without surgery vs. brain surgery, for hippocampal sclerosis in temporal lobe epilepsy English
                                     

1.4. Published option grids Kidney Disease

  • Peritoneal dialysis CAPD/APD vs. haemodialysis at the hospital vs. haemodialysis at home vs. transplantation vs. conservative management for chronic kidney disease English & Spanish
                                     

1.5. Published option grids Mental Health

  • Continuing to stay off paid work vs. taking steps to return to paid work with the help of an employment specialist English


                                     

1.6. Published option grids Osteoarthritis

  • Painkillers vs. joint injections steroids vs. knee replacement surgery for managing knee pain and activity level in osteoarthritis of the knee English
  • Lifestyle and weight loss vs. medication for self-management of osteoarthritis of the knee English and Spanish
  • Non-operative treatment vs. hip replacement surgery for osteoarthritis of the hip English
                                     

1.7. Published option grids Other

  • Managing without injections or surgery vs. injections epidural steroids vs. surgery for sciatica from a herniated disc English
  • Treatment with antibiotics vs. treatment without antibiotics for a sore throat English
                                     

1.8. Published option grids Pediatric/Neonatal Health

  • Circumcision vs. no circumcision for newborn boy English
  • Grommets tympanostomy tubes vs. hearing aid vs. active observation for glue ear serous otitis media in child English
  • Tonsillectomy vs. active management for tonsillitis in children under 16 English and Spanish
                                     

1.9. Published option grids Womens & Reproductive Health

  • Medication no hormones vs. hormonal medication vs. removing the uterus lining vs. removing fibroids vs. removing the uterus for heavy menstrual bleeding English
  • Having Down syndrome screening vs. not having Down syndrome screening in pregnancy English & Spanish
  • Having amniocentesis vs. not having amniocentesis for testing for Down’s Syndrome in pregnancy English & Spanish
                                     

2. Collaborative

The Option Grid Collaborative is a not-for-profit group of over 90 people, made up of patient representatives, medical experts, and clinicians involved in supporting shared decision making via the creation of Option Grids. The Collaborative welcomes new members who wish to create new Option Grids according to the group’s agreed-upon process, which involves a thorough review of best available evidence and user testing process. Interested members should visit the Official Website in the links below for more information about how to get involved. Collaborative members receive support and guidance for Option Grid development from Dartmouth College throughout the process.

                                     

3. Creative Commons license

The Collaborative operates under a Creative Commons license, which is a type of public copyright license that enables authors to give others the right to collaborate and build upon their work according to guidelines specified by the author. The Collaborative’s specific license, CC-BY-NC-ND, allows others to download the group’s work and share it so long as they credit the source, do not make changes, and do not use it commercially.