Jennifer F. Waljee|Mary A.M. Rogers|Amy K. Alderman
Decision Aids and Breast Cancer: Do They Influence Choice for Surgery and Knowledge of Treatment Options?
Robert Wood Johnson Foundation|University of Michigan–Ann Arbor|Robert Wood Johnson Foundation|University of Michigan–Ann Arbor|Robert Wood Johnson Foundation|University of Michigan–Ann Arbor
describe effect decision aids choice surgery knowledge surgical therapy among women earlystage breast cancera systematic review conducted years 1966 2006 studies designed assess effect decision aids surgical therapy medline embase cumulative index nursing allied health cinahl cochrane network hapi databases bibliographies searched 123 studies screened 11 studies met criteria metaanalyses performed assess pooled relative risk surgical choice pooled mean difference patient knowledgeresults randomized controlled trials indicated women used decision aid 25 likely choose breastconserving surgery mastectomy risk ratio 125 95 ci 111 140 decision aids significantly increased patient knowledge 24 p 024 data also suggested decision aids decreased decisional conflict increased satisfaction decisionmaking process decision aids well received surgeons patients facilitated patients desire shared decision making feasible implement practicedecision aids important adjuncts counseling women earlystage breast cancer use increases likelihood women choose breastconserving surgery enhances patient knowledge treatment options