Richard M. Hoffman|Joann G. Elmore|Kathleen M. Fairfield|Bethany S. Gerstein|Carrie A. Levin|Michael Pignone
Lack of Shared Decision Making in Cancer Screening Discussions
University of New Mexico|University of Washington|Maine Medical Center|Maine Medical Center Research Institute
clinicians encouraged support patients achieving shared decision making sdm cancer screeningto describe decision making processes outcomes cancer screening discussionsa 2011 national internet survey adults aged 50 years made cancer screening decisions breast brca colorectal crc prostate pca within previous 2 years conducted participants asked perceived cancer risk informed felt cancer tests whether healthcare provider addressed proscons testing presented option testing elicited input whether tested confidence screening decision data analyzed 20132014 descriptive statistics logistic regressionoverall 1134 participants 477 men 657 women aged 50 years made cancer screening decisions 1098 354 brca 598 crc 146 pca decisions discussed healthcare provider discussions 5167 addressed pros screening lot 714 similarly addressed cons cancer screening decisions providers usually 6371 explained testing optional less often asked women 4357 men 7071 whether wanted testing 2738 participants reported sdm 6993 underwent screening 5576 would definitely make decision perceived highaverage cancer risk feeling highly informed associated confidence screening decisiondiscussions often failed provide balanced information meet sdm criteria supporting sdm could potentially improve quality cancer screening decisions