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Impact of Decision Aids for Shared Decision-Making for Patients with Early Stage Breast Cancer: A Systematic Review.

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Τίτλος: Impact of Decision Aids for Shared Decision-Making for Patients with Early Stage Breast Cancer: A Systematic Review.
Συγγραφείς: Sdinami S; Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Via Ripamonti, 435, 20141 Milan, Italy., Conti L; Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Via Ripamonti, 435, 20141 Milan, Italy., Capetti B; Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Via Ripamonti, 435, 20141 Milan, Italy.; Department of Oncology and Hemato-Oncology, University of Milan, 20123 Milan, Italy., Sebri V; Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Via Ripamonti, 435, 20141 Milan, Italy., Zagami P; Division for New Drugs and Early Drugs Development for Innovative Therapies, IEO, European Institute of Oncology IRCCS, 20141 Milan, Italy., Grasso R; Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Via Ripamonti, 435, 20141 Milan, Italy.; Department of Oncology and Hemato-Oncology, University of Milan, 20123 Milan, Italy., Criscitiello C; Department of Oncology and Hemato-Oncology, University of Milan, 20123 Milan, Italy.; Division for New Drugs and Early Drugs Development for Innovative Therapies, IEO, European Institute of Oncology IRCCS, 20141 Milan, Italy., Curigliano G; Department of Oncology and Hemato-Oncology, University of Milan, 20123 Milan, Italy.; Division for New Drugs and Early Drugs Development for Innovative Therapies, IEO, European Institute of Oncology IRCCS, 20141 Milan, Italy., Pravettoni G; Applied Research Division for Cognitive and Psychological Science, IEO, European Institute of Oncology IRCCS, Via Ripamonti, 435, 20141 Milan, Italy.; Department of Oncology and Hemato-Oncology, University of Milan, 20123 Milan, Italy.
Πηγή: Current oncology (Toronto, Ont.) [Curr Oncol] 2026 Aug 30; Vol. 33 (9). Date of Electronic Publication: 2026 Aug 30.
Τύπος έκδοσης: Journal Article; Systematic Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: MDPI Country of Publication: Switzerland NLM ID: 9502503 Publication Model: Electronic Cited Medium: Internet ISSN: 1718-7729 (Electronic) Linking ISSN: 11980052 NLM ISO Abbreviation: Curr Oncol Subsets: MEDLINE
Imprint Name(s): Publication: 2021- : Basel, Switzerland : MDPI
Original Publication: Toronto : Multimed, c1994-
Ιατρικοί όροι (MeSH): Breast Neoplasms*/psychology , Breast Neoplasms*/pathology , Breast Neoplasms*/therapy , Decision Support Techniques* , Decision Making, Shared*, Humans ; Female ; Quality of Life ; Neoplasm Staging ; Patient Participation ; Decision Making
Περίληψη: Objectives: To systematically review the evidence on the effectiveness of patient decision aids (PDAs) for women with early stage breast cancer, focusing on decision-making outcomes, psychological variables, and quality of life.
Methods: A systematic review was conducted in accordance with PRISMA guidelines. PUBMED, EMBASE and SCOPUS databases were searched to identify quantitative, qualitative and mixed-methods studies evaluating PDAs designed to support treatment decision-making in women with early stage breast cancer. Eligible studies included randomized controlled trials, quantitative, qualitative and mixed-methods studies. Outcomes of interest included knowledge, decisional conflict, Shared Decision-Making (SDM), anxiety, depression, and quality of life. Special focus has been given to lower Socio-Economic Status (SES) and lower literacy populations.
Results: Twenty-six studies (5174 participants) met inclusion criteria. PDAs were associated with reduced decisional conflict (6 of 7 studies), improved satisfaction with the decision or decision-making process (4 studies), and enhanced knowledge (4 of 8 studies showing statistically significant improvement). No consistent adverse effects on anxiety or depression were observed. Ten studies focused on lower SES or low-literacy populations, highlighting the effectiveness of pictorial and simplified PDAs in improving knowledge, SDM, and reducing decisional regret. Qualitative findings indicated high acceptability but identified barriers related to timing and institutional implementation.
Conclusions: PDAs for women with early stage breast cancer enhance knowledge and support informed, value-congruent treatment decisions. However, evidence regarding their impact on psychological well-being and long-term quality of life remains inconclusive. Further research should also address institutional implementation policies.
References: Patient Educ Couns. 2023 Jan;106:3-16. (PMID: 36220675)
J Med Imaging Radiat Sci. 2012 Mar;43(1):60-65. (PMID: 31052023)
Patient Educ Couns. 2008 Dec;73(3):431-6. (PMID: 18755565)
CA Cancer J Clin. 2008 Sep-Oct;58(5):293-304. (PMID: 18755939)
PLoS One. 2014 Apr 15;9(4):e94670. (PMID: 24736389)
Patient Educ Couns. 2017 Mar;100(3):550-562. (PMID: 28277290)
Healthcare (Basel). 2025 Mar 27;13(7):. (PMID: 40218046)
Cochrane Database Syst Rev. 2024 Jan 29;1:CD001431. (PMID: 38284415)
Cochrane Database Syst Rev. 2017 Apr 12;4:CD001431. (PMID: 28402085)
J Clin Oncol. 2013 Aug 10;31(23):2879-85. (PMID: 23835709)
BMJ Open. 2016 Feb 02;6(2):e010008. (PMID: 26839014)
Emerg Med J. 2020 Jun;37(6):387. (PMID: 32253195)
Med Care Res Rev. 2013 Feb;70(1 Suppl):113S-128S. (PMID: 23124616)
Health Expect. 2006 Sep;9(3):218-31. (PMID: 16911136)
JCO Clin Cancer Inform. 2018 Dec;2:1-13. (PMID: 30652610)
Health Expect. 1998 Jun;1(1):23-36. (PMID: 11281859)
Ann Oncol. 2010 Jun;21(6):1145-1151. (PMID: 19940010)
J Cancer Educ. 2006 Fall;21(3):133-9. (PMID: 17371175)
Patient Educ Couns. 2020 Nov;103(11):2235-2243. (PMID: 32782181)
BMC Med Inform Decis Mak. 2016 Nov 21;16(1):147. (PMID: 27871271)
JAMA Oncol. 2015 Apr;1(1):50-8. (PMID: 26182303)
Am J Surg. 2024 Sep;235:115774. (PMID: 38834420)
Med Decis Making. 2006 Nov-Dec;26(6):589-98. (PMID: 17099197)
Ann Surg Oncol. 2025 Aug;32(8):5540-5550. (PMID: 40382452)
Front Psychol. 2024 Sep 13;15:1443635. (PMID: 39346514)
Med Decis Making. 2021 Oct;41(7):729-733. (PMID: 34416841)
Implement Sci. 2021 May 10;16(1):51. (PMID: 33971913)
Health Expect. 2004 Dec;7(4):338-48. (PMID: 15544686)
G Chir. 2015 Jul-Aug;36(4):145-52. (PMID: 26712068)
Ann Intern Med. 2011 Jul 19;155(2):97-107. (PMID: 21768583)
JAMA. 2018 Dec 18;320(23):2461-2473. (PMID: 30561486)
JAMA Netw Open. 2023 Oct 2;6(10):e2335941. (PMID: 37782500)
Psychooncology. 2008 Feb;17(2):182-9. (PMID: 17534866)
J Am Coll Surg. 2018 Feb;226(2):126-133. (PMID: 29246705)
Ann Surg Oncol. 2019 Oct;26(10):3275-3281. (PMID: 31342375)
J Geriatr Oncol. 2019 Nov;10(6):980-986. (PMID: 31130442)
Transl Behav Med. 2023 Sep 28;13(10):727-735. (PMID: 37379519)
BMC Health Serv Res. 2020 Jul 9;20(1):635. (PMID: 32646422)
J Gen Intern Med. 2012 Oct;27(10):1361-7. (PMID: 22618581)
J Geriatr Oncol. 2021 Jun;12(5):724-730. (PMID: 33678596)
Med Decis Making. 2010 Sep-Oct;30(5 Suppl):35S-52S. (PMID: 20881153)
Ann Surg. 2024 May 27;:. (PMID: 38801247)
J Cancer Educ. 2025 Oct;40(5):713-725. (PMID: 39833595)
JAMA. 2004 Jul 28;292(4):435-41. (PMID: 15280341)
Cancers (Basel). 2021 Aug 25;13(17):. (PMID: 34503097)
J Clin Oncol. 2009 Feb 20;27(6):974-85. (PMID: 19124808)
Patient Educ Couns. 2012 Feb;86(2):195-204. (PMID: 21665420)
PLoS One. 2014 Mar 11;9(3):e90941. (PMID: 24618683)
J Clin Oncol. 2001 Mar 15;19(6):1676-87. (PMID: 11250997)
Plast Reconstr Surg. 2024 Oct 1;154(4):706-722. (PMID: 37815283)
Cancer Med. 2024 May;13(9):e7159. (PMID: 38741546)
Syst Rev. 2016 Dec 5;5(1):210. (PMID: 27919275)
Cancer. 2021 Feb 1;127(3):422-436. (PMID: 33170506)
Patient Educ Couns. 2011 Jul;84(1):41-8. (PMID: 20609546)
Patient. 2016 Apr;9(2):161-9. (PMID: 26178202)
Biol Psychiatry. 2012 Jul 15;72(2):113-8. (PMID: 22325982)
Psychol Med. 2020 Jul;50(10):1613-1622. (PMID: 31280757)
Psychooncology. 2021 Oct;30(10):1663-1679. (PMID: 34146446)
J Adv Nurs. 2009 Nov;65(11):2299-310. (PMID: 19737326)
Biomed Rep. 2017 Jul;7(1):3-5. (PMID: 28685051)
BMJ Public Health. 2025 Jul 05;3(2):e001923. (PMID: 40620572)
BMC Womens Health. 2022 Jul 24;22(1):308. (PMID: 35871655)
Acta Oncol. 2020 Aug;59(8):967-974. (PMID: 32427015)
AMIA Annu Symp Proc. 2013 Nov 16;2013:51-60. (PMID: 24551322)
BMC Health Serv Res. 2021 Jun 5;21(1):552. (PMID: 34090431)
BMJ Evid Based Med. 2024 Mar 21;29(2):75-78. (PMID: 37673467)
Grant Information: a-36495 Eli Lilly and company
Contributed Indexing: Keywords: decision quality; early stage breast cancer; health literacy; implementation; patient decision aid; shared decision-making
Entry Date(s): Date Created: 20260924 Date Completed: 20260924 Latest Revision: 20261009
Update Code: 20261009
PubMed Central ID: PMC13605262
DOI: 10.3390/curroncol33090518
PMID: 42782865
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1718-7729
DOI:10.3390/curroncol33090518