Robert J. Volk|Stephen H. Linder|María A. López-Olivo|Geetanjali R. Kamath|Daniel S. Reuland|Smita Saraykar|Viola B. Leal|Michael Pignone
Patient Decision Aids for Colorectal Cancer Screening
The University of Texas MD Anderson Cancer Center|The University of Texas Medical Branch at Galveston|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|University of North Carolina at Chapel Hill|The University of Texas MD Anderson Cancer Center|The University of Texas MD Anderson Cancer Center|University of North Carolina at Chapel Hill
decision aids prepare patients make decisions healthcare options consistent preferences helping patients choose among available options colorectal cancer screening important rates lower screening cancers systematic review describes studies evaluating patient decision aids colorectal cancer screening averagerisk adults impact knowledge screening intentions uptakesources included ovid medline elsevier embase ebsco cinahl plus ovid psycinfo july 21 2015 pertinent reference lists cochrane review patient decisions aids reviewers independently selected studies quantitatively evaluated decision aid compared one conditions within prepost evaluation using standardized form reviewers independently extracted study characteristics interventions comparators outcomes analysis conducted august 2015twentythree articles representing 21 trials including 11900 subjects eligible patients exposed decision aid showed greater knowledge exposed control condition mean difference183 100 95 ci155 211 likely interested screening pooled relative risk15 95 ci12 20 likely screened pooled relative risk13 95 ci11 14 decision aid patients greater knowledge patients receiving general colorectal cancer screening information pooled mean difference193 100 95 ci147 238 however significant differences screening interest behaviordecision aids improve knowledge interest screening lead increased screening information impact screening similar general colorectal cancer screening information