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Shared Decision-making in Urology: The SHINE-URO Consensus Framework.

Michael van Balken1, Sara MacLennan2, Rodolfo Montironi3

  • 1Rijnstate Hospital, Arnhem, The Netherlands; European Association of Urology Patient Office, Arnhem, The Netherlands.

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|January 29, 2026
PubMed
Summary
This summary is machine-generated.

The SHINE-URO framework enhances shared decision-making (SDM) in urology by outlining six core principles for patient-centered care. This framework aims to improve how patients and clinicians collaborate on treatment choices.

Keywords:
Health care professionalsMultidisciplinary collaborationPatient advocacyPatient-centred careShared decision-makingUrology

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Area of Science:

  • Urology
  • Patient-centered care
  • Shared decision-making

Background:

  • Shared decision-making (SDM) is crucial for patient-centered care but inconsistently applied in urology.
  • The European Association of Urology (EAU) Patient Office initiated efforts to standardize SDM in urological practice.

Purpose of the Study:

  • To define core principles of SDM in urology.
  • To identify barriers hindering SDM implementation in urological care.
  • To develop a practical framework for enhancing SDM.

Main Methods:

  • Two consensus meetings were held with urologists, nurses, and patient advocates.
  • The meetings focused on defining SDM principles and implementation barriers.
  • The SHINE-URO framework was developed as an outcome.

Main Results:

  • The SHINE-URO framework comprises six principles: discussing harms/benefits, patient values, clear information, safe environments, addressing misinformation/skills, and pre-consultation information.
  • Key barriers include time constraints, accessibility issues, professional role concerns, underuse of 'no treatment' options, and insufficient family involvement.
  • A consensus definition and implementation roadmap for SDM in urology were established.

Conclusions:

  • The SHINE-URO framework provides a consensus definition and roadmap for SDM in urology.
  • Successful adoption requires system support, resources, and training for equitable, patient-centered care.
  • Implementing SHINE-URO can improve patient involvement in urological treatment decisions.