Evidence map›Paper›PMID 41991888›Full record

ArticleAnnals of surgical oncology2026

Attitudes and Perspectives on Shared Decision Making Among Breast Surgical Oncologists: A Qualitative Study.

Jasmine H Jeon, Madeline G Higgins, Jakob Durden, Monica Adams, Sudheer Vemuru, Dan D Matlock, Sarah E Leslie, Clara N Lee, Sarah E Tevis

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Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jasmine H JeonBoston University Chobanian & Avedisian School of Medicine, Boston, MA, USA. jasmine090522@gmail.com.ORCID http://orcid.org/0009-0009-8857-1978
Madeline G HigginsDepartment of Surgery, University of Colorado Anschutz Medical Center, Aurora, CO, USA.
Jakob DurdenDepartment of Surgery, University of Colorado Anschutz Medical Center, Aurora, CO, USA.
Monica AdamsAdult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado Anschutz Medical Center, Aurora, CO, USA.
Sudheer VemuruDepartment of Surgery, University of Colorado Anschutz Medical Center, Aurora, CO, USA.
Dan D MatlockDepartment of Geriatric Medicine, University of Colorado Anschutz Medical Center, Aurora, CO, USA.
Sarah E LeslieAdult and Child Center for Outcomes Research and Delivery Science (ACCORDS), University of Colorado Anschutz Medical Center, Aurora, CO, USA.
Clara N LeeDepartment of Surgery, Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, Chapel Hill, NC, USA.
Sarah E TevisDepartment of Surgery, University of Colorado Anschutz Medical Center, Aurora, CO, USA.

Funding

Doris Duke Charitable Foundation and University of Colorado School of Medicine 2020141Paul Calabresi K12 award K12CA086913
6 · The paper itself

Abstract

backgroundShared decision making (SDM) supported by decision aids (DAs) can guide patients with early-stage breast cancer who often face difficulty choosing between lumpectomy and mastectomy. Yet, the use of DAs remains limited in breast surgical oncology practices. In this qualitative study, we sought to assess how breast surgical oncologists perceive SDM/DAs and to identify facilitators and barriers to DA implementation.

methodSemistructured interviews exploring use of DAs in SDM were conducted with 12 breast surgical oncologists who were recruited from a national breast surgical oncology research group. Interviews were recorded, transcribed, and thematically coded.

resultsMultiple themes emerged around the implementation of SDM and DAs. Participants thought that DAs do not work for every patient and endorsed barriers to implementation, such as time, fear of overwhelming the patient, differences in language/culture, and preference to speak naturally. Participants emphasized the importance of quality of life conversations in SDM but also noted barriers to implementation. Overall, SDM and quality of life conversations were highly regarded by all surgeons.

conclusionsIn this study, breast surgical oncologists reported limited use of DAs but endorsed SDM in their daily practice. Some of the reported barriers to DA use occur at the clinician and the patient level. This study advances the understanding of how physicians perceive SDM tools. As early-stage breast cancer patients navigate surgical options, it is important to facilitate patient-centered decisions.

Indexed as

Attitude of Health PersonnelBreast NeoplasmsDecision MakingDecision Making, SharedMastectomyOncologistsPhysician-Patient RelationsAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisQualitative ResearchQuality of Life

Identifiers

PMID41991888

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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.