Trial reportJournal of cancer education : the official journal of the American Association for Cancer Education2018
How Does a Shared Decision-Making (SDM) Intervention for Oncologists Affect Participation Style and Preference Matching in Patients with Breast and Colon Cancer?
Trial report in Journal of cancer education : the official journal of the American Association for Cancer Education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Patients' preferred and perceived level of involvement in decision making for cancer treatment: A systematic review.Psycho-oncology · 2021Pooled it
- Strategies to evaluate healthcare provider trainings in shared decision-making (SDM): a systematic review of evaluation studies.BMJ open · 2019Pooled it
- Interventions for increasing the use of shared decision making by healthcare professionals.The Cochrane database of systematic reviews · 2018Pooled it
- Effectiveness of a patient decision aid for women considering post-mastectomy breast reconstruction: randomized controlled trial.The British journal of surgery · 2025Trial
- Integrating Palliative Care Into Self-management of Breast Cancer: A Pilot Randomized Controlled Trial.Cancer nursingTrial
- Understanding the patient journey: Barriers, facilitators, and expectations in joining a chemotherapy de-escalation trial among premenopausal patients with breast cancer.Breast (Edinburgh, Scotland) · 2026Article
- Shared decision-making in Cervical Cancer Care at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: A mixed-methods study.PloS one · 2026Article
- Article
- A Qualitative Study on the Impact and Feasibility of a Simulation-Based Program for Shared Decision-Making in Non-Small Cell Lung Cancer Care.The Permanente journal · 2024Article
- The mediating effect of shared decision-making in enhancing patient satisfaction with participation in cancer clinical trials.Asia-Pacific journal of oncology nursing · 2023Article
- Blended online learning for oncologists to improve skills in shared decision making about palliative chemotherapy: a pre-posttest evaluation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Effectiveness of Shared Decision-making Training Programs for Health Care Professionals Using Reflexivity Strategies: Secondary Analysis of a Systematic Review.JMIR medical education · 2022Review
- Review
- Patient perspectives on treatment decision-making under clinical uncertainty: chemotherapy treatment decisions among stage II colon cancer patients.Translational behavioral medicine · 2021Article
- Talking about treatment benefits, harms, and what matters to patients in radiation oncology: an observational study.BMC medical informatics and decision making · 2019Observational
- Cost-effectiveness analysis of laparoscopic versus open surgery in colon cancer.Surgical endoscopy · 2018Observational
- Racial and Ethnic Differences in Prostate Cancer Survivors' Perceived Engagement in Treatment Decision-Making.Journal of racial and ethnic health disparities · 2018Article
- Is Mastectomy Oncologically Safer than Breast-Conserving Treatment in Early Breast Cancer?Breast care (Basel, Switzerland) · 2017Review
- Shared decision making in peri-operative medicine: Miles to go in Indian scenario.Journal of anaesthesiology, clinical pharmacologyReview
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aims of this study are to assess patients' preferred and perceived decision-making roles and preference matching in a sample of German breast and colon cancer patients and to investigate how a shared decision-making (SDM) intervention for oncologists influences patients' preferred and perceived decision-making roles and the attainment of preference matches. This study is a post hoc analysis of a randomised controlled trial (RCT) on the effects of an SDM intervention. The SDM intervention was a 12-h SDM training program for physicians in combination with decision board use. For this study, we analysed a subgroup of 107 breast and colon cancer patients faced with serious treatment decisions who provided data on specific questionnaires with regard to their preferred and perceived decision-making roles (passive, SDM or active). Patients filled in questionnaires immediately following a decision-relevant consultation (t1) with their oncologist. Eleven of these patients' 27 treating oncologists had received the SDM intervention within the RCT. A majority of cancer patients (60%) preferred SDM. A match between preferred and perceived decision-making roles was reached for 72% of patients. The patients treated by SDM-trained physicians perceived greater autonomy in their decision making (p < 0.05) with more patients perceiving SDM or an active role, but their preference matching was not influenced. A SDM intervention for oncologists boosted patient autonomy but did not improve preference matching. This highlights the already well-known reluctance of physicians to engage in explicit role clarification.
trial registrationGerman Clinical Trials Register DRKS00000539; Funding Source: German Cancer Aid.
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