Rationale and proposed framework for shared decision making in cardio-oncology

Area of Science:

• Cardio-oncology
• Medical Ethics
• Shared Decision Making

Background:

• Physicians must provide rational guidance on diagnostic and therapeutic options, respecting patient values and goals.
• Cardio-oncology patients with advanced malignancy often feel overwhelmed or lack favorable treatment options.
• Shared decision making (SDM) is crucial for patient-centered care in complex medical situations.

Purpose of the Study:

• To propose a practical framework for shared decision making (SDM) in cardio-oncology.
• To support physicians in navigating difficult treatment decisions with patients.
• To enhance patient participation and align treatment with patient values and goals.

Main Methods:

• Drawing upon clinical practice experience in cardio-oncology.
• Implementing a longitudinal, multidisciplinary approach to SDM.
• Focusing on patient values and goals in treatment selection.

Main Results:

• A practical framework for SDM in cardio-oncology has been developed.
• The framework facilitates active physician-patient participation in decision-making.
• This approach aims to improve outcomes from the patient's perspective.

Conclusions:

• Shared decision making (SDM) is essential for patients facing complex cardio-oncology decisions.
• A structured framework can guide physicians and patients toward mutually agreeable treatment plans.
• Prioritizing patient values and goals leads to better outcomes in advanced malignancy care.