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Shared decision-making interventions in neuro-oncology practice: a systematic review.
Jasmine G Hughes1,2, Francesca M Cozzi3, Veronica Phillips4
1Cambridge Brain Tumour Imaging Laboratory, Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital, University of Cambridge, Cambridge, UK. jgh45@cam.ac.uk.
Journal of Neuro-Oncology
|June 23, 2025
Summary
Shared decision-making (SDM) interventions improve patient understanding and satisfaction in neuro-oncology. More research is needed to explore these aids for brain tumor patients.
Area of Science:
- Neuro-oncology
- Health outcomes research
- Medical decision-making
Background:
- Shared decision-making (SDM) enhances patient outcomes but is understudied in neuro-oncology.
- Interventions to improve SDM in brain tumor care require further investigation.
Purpose of the Study:
- To systematically review the types and impact of SDM interventions in neuro-oncology.
- To identify gaps in the literature regarding SDM in brain tumor treatment.
Main Methods:
- Conducted systematic searches across multiple databases (Medline, Embase, etc.) from inception to May 2024.
- Evaluated full-text, peer-reviewed articles based on predefined inclusion criteria.
- Extracted data on study characteristics, intervention types, and patient outcomes.
Main Results:
- Four studies involving 172 patients with various brain tumors (glioma, metastases) met the criteria.
- Interventions included SDM training, decision aids, 3D tumor models, goals of care videos, and online tools.
- Patients showed improved understanding of their condition, treatment options, and satisfaction with the decision-making process.
Conclusions:
- SDM interventions can positively impact brain tumor patients' understanding and satisfaction.
- A significant gap exists in neuro-oncology literature concerning SDM interventions.
- Further research is crucial to optimize SDM interventions from the patient's perspective in neuro-oncology.
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