Dragan Ili?|Walid Jammal|Pauline Chiarelli|Robert A. Gardiner|Suzanne Hughes|Dana Stefanovic|Suzanne Chambers
Assessing the effectiveness of decision aids for decision making in prostate cancer testing: a systematic review
Monash University|Western Sydney University|University of Sydney|University of Newcastle Australia|University of Queensland|Royal Brisbane and Women's Hospital|Cancer Council Australia|Cancer Council Australia|University of Queensland|Griffith University|Cancer Council Queensland|Edith Cowan University|Prostate Cancer Foundation of Australia
abstract background prostate cancer leading disease affecting men worldwide conflicting evidence within literature provides little guidance men contemplating whether screened prostate cancer systematic review aimed determine whether decision aids early detection prostate cancer improve patient knowledge decision making whether undergo prostatespecific antigen testing methods medline embase cinahl psychinfo cochrane database systematic reviews database abstracts reviews effects health technology assessment databases march 2014 searched included randomised controlled trials assessed methodological quality clinical selection assessment heterogeneity among studies prevented pooling data metaanalyses descriptive analyses included studies comparison performed results total 13 randomised controlled trials met inclusion criteria significant heterogeneity present design implementation decision aids including comparative interventions outcomes eight studies low methodological quality remaining five medium quality improvements patient knowledge following use decision aid demonstrated 11 13 included studies seven 10 studies demonstrated reduction decisional conflictdistress three four studies demonstrated difference decision aid information reducing decisional uncertainty three five studies demonstrated increase decisional satisfaction use decision aid conclusions decision aids increase patient knowledge confidence decision making prostate cancer testing research effective methods implementation needed copyright 2015 john wiley amp sons ltd