Related Experiment Video
Updated: Dec 13, 2025
Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
Published on: August 19, 2025
Shared decision making in breast cancer treatment guidelines: Development of a quality assessment tool and a
Marta Maes-Carballo1,2, Isabel Muñoz-Núñez3, Manuel Martín-Díaz3
1Department of General Surgery, Complexo Hospitalario de Ourense, Ourense, Spain.
Background:
It is not clear whether clinical practice guidelines (CPGs) and consensus statements (CSs) are adequately promoting shared decision making (SDM).
Objective:
To evaluate the recommendations about SDM in CPGs and CSs concerning breast cancer (BC) treatment.
Search Strategy:
Following protocol registration (Prospero no.: CRD42018106643), CPGs and CSs on BC treatment were identified, without language restrictions, through systematic search of bibliographic databases (MEDLINE, EMBASE, Web of Science, Scopus, CDSR) and online sources (12 guideline databases and 51 professional society websites) from January 2010 to December 2019.
Inclusion Criteria:
CPGs and CSs on BC treatment were selected whether published in a journal or in an online document.
Data Extraction And Synthesis:
A 31-item SDM quality assessment tool was developed and used to extract data in duplicate.
Main Results:
There were 167 relevant CPGs (139) and CSs (28); SDM was reported in only 40% of the studies. SDM was reported more often in recent publications after 2015 (42/101 (41.6 %) vs 46/66 (69.7 %), P = .0003) but less often in medical journal publications (44/101 (43.5 %) vs 17/66 (25.7 %), P = .009). In CPGs and CSs with SDM, only 8/66 (12%) met one-fifth (6 of 31) of the quality items; only 14/66 (8%) provided clear and precise SDM recommendations.
Discussion And Conclusions:
SDM descriptions and recommendations in CPGs and CSs concerning BC treatment need improvement. SDM was more frequently reported in CPGs and CSs in recent years, but surprisingly it was less often covered in medical journals, a feature that needs attention.
Related Concept Videos
01:21Cancer Survival Analysis
01:19Standards of Care II
01:22Standards of Care I
01:27Nursing Ethical Principles II
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...