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Tools to Promote Shared Decision-Making in Lung Cancer Screening Using Low-Dose CT Scanning: A Systematic Review.

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Summary
This summary is machine-generated.

Decision aids for lung cancer screening improve patient knowledge and reduce decisional conflict. These tools are generally well-accepted by patients and healthcare providers, though further research is needed.

Keywords:
cancer screeningdecision aidsdecision-makinglung neoplasmsshared decision-making

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Area of Science:

  • Oncology
  • Medical Decision Making
  • Health Communication

Background:

  • Lung cancer screening decisions are complex, necessitating effective methods to communicate risks and benefits.
  • Shared decision-making is crucial for informed patient choices regarding lung cancer screening.

Purpose of the Study:

  • To identify and evaluate decision aids for lung cancer screening.
  • To assess the evidence on the effectiveness, acceptability, and feasibility of these tools.

Main Methods:

  • A systematic review of studies evaluating lung cancer screening decision tools.
  • Searched multiple databases (PubMed, EMBASE, etc.) from inception to December 2019.
  • Included randomized controlled trials, observational studies, and before/after studies.

Main Results:

  • Fifteen distinct tools were evaluated across 14 studies of fair quality.
  • Tools improved patient knowledge of lung cancer screening (9 studies) and reduced decisional conflict (7 studies).
  • Tools were highly acceptable to patients (7 studies) and providers (1 study).

Conclusions:

  • Existing lung cancer screening decision tools can enhance patient preparedness by improving knowledge and reducing conflict.
  • These tools demonstrate general acceptability among patients and providers.
  • Further research with consistent measures is needed to assess comparative effectiveness and implementation feasibility.