# Option grid > Mediated Wiki article. Canonical URL: https://mediated.wiki/source/Option_grid > Markdown URL: https://mediated.wiki/source/Option_grid.md > Source: https://en.wikipedia.org/wiki/Option_grid > Source revision: 1342715576 > License: Creative Commons Attribution-ShareAlike 4.0 International (https://creativecommons.org/licenses/by-sa/4.0/) **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.[1][2][3][4] The grid is published in the form of a summary table to enable comparisons between multiple potential treatments or options.[5] The grids do this by using questions that patients frequently ask (FAQs), 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](/source/Plain_English_campaign) guides. The evidence summaries upon which Option Grids are based are available for public review at the official Option Grid website. ## Published option grids A number of option grids exist including: ### Cancer - [Lumpectomy](/source/Lumpectomy) with [radiotherapy](/source/Radiotherapy) vs. [mastectomy](/source/Mastectomy) for [breast cancer](/source/Breast_cancer) (English & Spanish) - [Surgery to remove the ovaries and fallopian tubes](/source/Oophorectomy) vs. no surgery for [ovarian cancer risk](/source/Ovarian_cancer#Risk_factors) *before* menopause (English) - Surgery to remove the ovaries and fallopian tubes vs. no surgery forovarian cancer risk *after* menopause (English) ### Cardiac - Implant an implantable [cardioverter defibrillator (ICD)](/source/ICD_device) and continue to use medication vs. continue to use medication but do not implant an ICD for patients with [heart failure](/source/Heart_failure) (English) - Optimal medical treatment vs. [angioplasty](/source/Angioplasty) (stenting) for [stable angina](/source/Stable_angina) (English & Spanish) - [Dabigatran](/source/Dabigatran) vs. [warfarin](/source/Warfarin) for [stroke](/source/Stroke) prevention with non-valvular [atrial fibrillation](/source/Atrial_fibrillation) (English) ### Crohn's Disease - [Immunomodulator](/source/Immunomodulator) vs. anti-TNF vs. combination therapy for [Crohn's disease](/source/Crohn's_disease) (English) ### Epilepsy - Continuing medical treatment without surgery vs. brain surgery, for [hippocampal sclerosis](/source/Hippocampal_sclerosis) in [temporal lobe epilepsy](/source/Temporal_lobe_epilepsy) (English) - [Sodium valproate](/source/Sodium_valproate) ([Epilim](/source/Epilim)) vs. [Levetiracetam](/source/Levetiracetam) ([Keppra](/source/Keppra)) vs. [Lamotrigine](/source/Lamotrigine) ([Lamictal](/source/Lamictal)) for [epilepsy](/source/Epilepsy) treatments when considering [pregnancy](/source/Pregnancy) (English) ### Kidney Disease - [Peritoneal dialysis](/source/Peritoneal_dialysis) (CAPD/APD) vs. [haemodialysis](/source/Haemodialysis) at the hospital vs. [haemodialysis](/source/Haemodialysis) at home vs. transplantation vs. conservative management for [chronic kidney disease](/source/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) ### Osteoarthritis - Non-operative treatment vs. [hip replacement](/source/Hip_replacement) surgery for [osteoarthritis](/source/Osteoarthritis) of the hip (English) - [Painkillers](/source/Painkillers) vs. joint injections ([steroids](/source/Steroids)) vs. [knee replacement](/source/Knee_replacement) surgery for managing knee pain and activity level in [osteoarthritis](/source/Osteoarthritis) of the knee (English) - Lifestyle and [weight loss](/source/Weight_loss) vs. medication for self-management of [osteoarthritis](/source/Osteoarthritis) of the knee (English and Spanish) ### Other - Managing without injections or surgery vs. injections ([epidural steroids](/source/Sciatica#Epidurals)) vs. [surgery](/source/Sciatica#Surgery) for [sciatica](/source/Sciatica) from a [herniated disc](/source/Herniated_disc) (English) - Treatment with [antibiotics](/source/Antibiotics) vs. treatment without antibiotics for a [sore throat](/source/Sore_throat) (English) - Hearing loss frequently asked questions relating to hearing aids and assistive listening devices (English) ### Pediatric/Neonatal Health - [Circumcision](/source/Circumcision) vs. no circumcision for newborn boy (English) - Grommets ([tympanostomy](/source/Tympanostomy) tubes) vs. hearing aid vs. active observation for glue ear ([serous otitis media](/source/Glue_ear#Otitis_media_with_effusion)) in child (English) - [Tonsillectomy](/source/Tonsillectomy) vs. active management for [tonsillitis](/source/Tonsillitis) in children under 16 (English and Spanish) ### Women's & Reproductive Health - Having [amniocentesis](/source/Amniocentesis) vs. not having amniocentesis for testing for [Down's Syndrome](/source/Down's_Syndrome) in pregnancy (English & Spanish) - Having [Down syndrome screening](/source/Down's_syndrome#diagnosis) vs. not having Down syndrome screening in pregnancy (English & Spanish) - Medication (no hormones) vs. hormonal medication vs. [removing the uterus lining](/source/Endometrial_ablation) vs. removing [fibroids](/source/Uterine_fibroid) vs. [removing the uterus](/source/Hysterectomy) for heavy [menstrual](/source/Menstrual_cycle) bleeding (English) ## Creative Commons license The Collaborative operates under a [Creative Commons license](/source/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. ## See also - [Decision aids](/source/Decision_aids) - [Shared decision making](/source/Shared_decision-making) - [Patient participation](/source/Patient_participation) ## References 1. Elwyn, G.; Lloyd, A.; Joseph-Williams, N.; Cording, E.; Thomson, R.; Durand, M. A.; Edwards, A. (2013). "Option Grids: Shared decision making made easier". *Patient Education and Counseling*. **90** (2): 207–212. [doi:10.1016/j.pec.2012.06.036](https://doi.org/10.1016/j.pec.2012.06.036). [PMID 22854227](https://pubmed.ncbi.nlm.nih.gov/22854227) 1. Elwyn, G.; Frosch, D.; Thomson, R.; Joseph-Williams, N.; Lloyd, A.; Kinnersley, P.; Cording, E.; Tomson, D.; Dodd, C.; Rollnick, S.; Edwards, A.; Barry, M. (2012). "Shared Decision Making: A Model for Clinical Practice". *Journal of General Internal Medicine*. **27** (10): 1361–1367. [doi:10.1007/s11606-012-2077-6](https://doi.org/10.1007/s11606-012-2077-6). [PMC 3445676](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445676). [PMID 22618581](https://pubmed.ncbi.nlm.nih.gov/22618581) 1. Greenhalgh, T. (2013). "Option grids: An idea whose time has come?". *British Journal of General Practice*. **63** (608): 147. [doi:10.3399/bjgp13X664315](https://doi.org/10.3399/bjgp13X664315). [PMC 3582962](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3582962). [PMID 23561770](https://pubmed.ncbi.nlm.nih.gov/23561770) 1. Elwyn, G.; Lloyd, A.; Joseph Williams, N.; Beasley, A.; Tomkinson, A. (September 2012). ["Shared decision-making in a multidisciplinary head and neck cancer team: a case study of developing Option Grids"](http://www.ijpcm.org/index.php/IJPCM/article/view/262). *International Journal of Person Centered Medicine*. **2** (3): 421–426. [doi:10.5750/ijpcm.v2i3.262](https://doi.org/10.5750/ijpcm.v2i3.262) 1. Drug and Therapeutics Bulletin (23 July 2013). ["An introduction to patient decision aids"](http://www.bmj.com/content/347/bmj.f4147). *BMJ*. **347**. [doi:10.1136/bmj.f4147](https://doi.org/10.1136/bmj.f4147). [PMID 23881944](https://pubmed.ncbi.nlm.nih.gov/23881944). [S2CID 7746073](https://api.semanticscholar.org/CorpusID:7746073) ## External links - [Official website](https://web.archive.org/web/20160305001155/http://optiongrid.org/) The official website (archive) - [video example](http://vimeo.com/55088088) of how Option Grid might be used --- Adapted from the Wikipedia article [Option grid](https://en.wikipedia.org/wiki/Option_grid) by Wikipedia contributors ([contributor history](https://en.wikipedia.org/wiki/Option_grid?action=history)). Available under [Creative Commons Attribution-ShareAlike 4.0 International](https://creativecommons.org/licenses/by-sa/4.0/). Changes may have been made.