Evidence map›Paper›PMID 41052936›Full record

ArticleJournal of the American Board of Family Medicine : JABFM2025

Shared Decision Making in Colorectal Cancer Screening: A Scoping Review.

Sarina Schrager, Lashika Yogendran, Hunter Wakefield, Leslie Christensen

Abstract readScoping Review
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sarina SchragerFrom the Department of Family Medicine and Community Health, University of Wisconsin-Madison School of Medicine and Public Health (SS, LY); University of Wisconsin-Madison School of Medicine and Public Health (HW); and Ebling Library, University of Wisconsin-Madison School of Medicine and Public Health (LC). sbschrag@wisc.edu.
Lashika YogendranFrom the Department of Family Medicine and Community Health, University of Wisconsin-Madison School of Medicine and Public Health (SS, LY); University of Wisconsin-Madison School of Medicine and Public Health (HW); and Ebling Library, University of Wisconsin-Madison School of Medicine and Public Health (LC).
Hunter WakefieldFrom the Department of Family Medicine and Community Health, University of Wisconsin-Madison School of Medicine and Public Health (SS, LY); University of Wisconsin-Madison School of Medicine and Public Health (HW); and Ebling Library, University of Wisconsin-Madison School of Medicine and Public Health (LC).
Leslie ChristensenFrom the Department of Family Medicine and Community Health, University of Wisconsin-Madison School of Medicine and Public Health (SS, LY); University of Wisconsin-Madison School of Medicine and Public Health (HW); and Ebling Library, University of Wisconsin-Madison School of Medicine and Public Health (LC).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionColorectal cancer (CRC) is easily detectable with screening, but due to a variety of factors, over a third of eligible people do not get screened. One barrier to people getting adequate screening is confusion about what type of test to use. Shared decision making (SDM) is a way for the clinician to help the patient decide about whether to get screened for CRC and if so, which test to use. This scoping review examines literature about shared decision making in CRC screening to identify key factors affecting a patient's decision.

methodsWe identified studies published from January 1, 2010 through May 18, 2024 through searching 4 databases. Studies were peer reviewed publications in English that investigated the role of shared decision making in colorectal cancer screening in average risk adults, aged 45 -75, in the United States and Canada. Two independent researchers screened all titles and abstracts for eligibility and reviewed all included full text articles. The included studies were examined for themes affecting a patient's choice of screening test.

resultsOf the 5672 unique records identified, we included 28 studies in this scoping review. Four themes emerged as being important to the process of shared decision making in colon cancer screening: knowledge of specific aspects of each test, clinician recommendation, acknowledgment of strong emotions surrounding screening, and importance of external factors in decisions around screening. Patients relied on family members for information about screening and made decisions about screening using this information as well as logistics of the test chosen.

conclusionFuture work can focus on the importance of external factors in screening decisions and recognizing and addressing the real emotions about CRC screening.

Indexed as

Colorectal NeoplasmsDecision Making, SharedEarly Detection of CancerMass ScreeningPatient ParticipationAgedCanadaHumansMiddle AgedUnited StatesCancer ScreeningColorectal CancerCommunicationShared Decision-Making

Identifiers

PMID41052936
PMCPMC12978617

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.