Nicole Paraskeva|Ella Guest|Helena Lewis?Smith|Diana Harcourt
Assessing the effectiveness of interventions to support patient decision making about breast reconstruction: A systematic review
University of the West of England|University of the West of England|University of the West of England|University of the West of England
decision making breast reconstruction br following diagnosis breast cancer ductal carcinoma situ dcis reduce future breast cancer risk difficult complex paper systematically reviews interventions aiming support patients facing option br assesses effectiveness improving range patient outcomesten databases searched articles published october 2017 evaluated interventions support patient decision making br within controlled trials included studies assessed methodological quality descriptive analyses patient outcomes within included studies performedthe search yielded 3291 articles eight studies met inclusion criteria resulting evaluation seven distinct interventions n 1212 six studies assessed weak methodological quality one moderate one strong quality three five interventions demonstrated reduction decisional conflict ds 026069 two three interventions resulted reductions decisional regret ds 027369 various time points treatment choice altered two five studies changes patientreported anxiety levels whilst impact depression mixed studies reported improvements patient satisfaction involvement decision making foundfew interventions currently available whilst findings encouraging improvements patient outcomes mixed research focus development evaluation effective interventions