ArticleJournal of general internal medicine2020
What Exactly Is Shared Decision-Making? A Qualitative Study of Shared Decision-Making in Lung Cancer Screening.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Key challenges in communication across milestones of cancer care continuum: a systematic review.BMC palliative care · 2026Pooled it
- Pooled it
- Facilitators and Barriers to Lung Cancer Screening during Long COVID: A Global Systematic Review and Meta-Study Synthesis of Qualitative Research.International journal of environmental research and public health · 2024Pooled it
- From conversation to completion: identifying conversation elements to support effective shared decision-making for lung cancer screening in rural primary care.BMC primary care · 2026Article
- Patient and Healthcare Provider Barriers in the LDCT Lung Cancer Screening Continuum.Diagnostics (Basel, Switzerland) · 2026Review
- Updates in Lung Cancer Screening: A Decade of Evidence.Seminars in respiratory and critical care medicine · 2025Review
- Lung cancer screening experiences among patients with a smoking history and primary care providers: a qualitative study.BMC cancer · 2025Article
- Association of Communication With Smoking Attitudes and Behaviors Among Patients Undergoing Lung Cancer Screening: A Longitudinal Cohort Study.CHEST pulmonary · 2025Article
- Patient-clinician discussions on lung cancer screening in the United States before and after 2021 guidelines.Translational behavioral medicine · 2025Article
- Impact of personalized risk scores on shared decision making in left ventricular assist device implantation: Findings from a qualitative study.Patient education and counseling · 2025Article
- Is shared decision making an aspect of palliative care integration? An observation of collaboration between oncologists and palliative care professionals.BMC palliative care · 2024Observational
- Using Telehealth to Increase Lung Cancer Screening Referrals for At-Risk Veterans in Rural Communities.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024Article
- Lung cancer screening provider recommendation and completion in black and White patients with a smoking history in two healthcare systems: a survey study.BMC primary care · 2024Article
- Patient Lung Cancer Screening Decisions and Environmental and Psychosocial Factors.JAMA network open · 2024Article
- Article
- Outcomes of Shared Decision-Making for Low-Dose Screening for Lung Cancer in an Academic Medical Center.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
- Lung cancer screening in rural primary care practices in Colorado: time for a more team-based approach?BMC primary care · 2023Article
- Provider and patient perspectives to improve lung cancer screening with low-dose computed tomography 5 years after Medicare coverage: a qualitative study.BMC primary care · 2022Article
- Barriers of and strategies for shared decision-making implementation in the care of metastatic breast cancer: A qualitative study among patients and healthcare professionals in an Asian country.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Evaluation of benefits and harms of adaptive screening schedules for lung cancer: A microsimulation study.Journal of medical screening · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundShared decision-making (SDM) is widely recommended and required by the Centers for Medicare and Medicaid for patients considering lung cancer screening (LCS).
objectiveWe examined clinicians' communication practices and perceived barriers of SDM for LCS at three medical centers with established screening programs.
designMulticenter qualitative study of clinicians participating in LCS. APPROACH: We performed semi-structured interviews, which were transcribed and analyzed using directed content analysis, guided by a theoretical model of patient-clinician communication.
participantsWe interviewed 24 clinicians including LCS coordinators (2), pulmonologists (3), and primary care providers (17), 4 of whom worked for the LCS program, a thoracic surgeon, and a radiologist.
resultsAll clinicians agreed with the goal of SDM, to ensure the screening decision was congruent with the patient's values. The depth and type of information presented by each clinician role varied considerably. LCS coordinators presented detailed information including numeric estimates of benefit and harm. Most PCPs explained the process more generally, focusing on logistics and the high rate of nodule detection. No clinician explicitly elicited values or communication preferences. Many PCPs tailored the conversation based on their implicit understanding of patients' values and preferences, gained from past experiences. PCPs reported that time, lack of detailed personal knowledge of LCS, and patient preferences were barriers to SDM. Many clinicians perceived that a significant proportion of patients were not interested in specific percentages and preferred to receive a clinician recommendation.
conclusionsOur results suggest that clinicians support the goal of SDM for LCS decisions but PCPs may not perform some of its elements. The lack of completion of some elements, such as PCPs' lack of in-depth information exchange, may reflect perceived patient preferences for communication. As LCS is implemented, further research is needed to support a personalized, patient-centered approach to produce better outcomes.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.