RT Journal Article
T1 Shared decision making in breast cancer treatment guidelines: Development of a quality assessment tool and a systematic review
A1 Maes-Carballo, Marta
A1 Muñoz-Núñez, Isabel
A1 Martín-Díaz, Manuel
A1 Mignini, Luciano
A1 Bueno-Cavanillas, Aurora
A1 Khan, Khalid Saeed
K1 Breast cancer
K1 Breast cancer treatment
K1 Clinical practice guidelines
K1 Consensus
K1 Shared decision making
K1 Neoplasias de la Mama
K1 Guía de práctica clínica
K1 Consenso
K1 Toma de decisiones conjunta
AB 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.
PB John Wiley & Sons
SN 1369-6513
YR 2020
FD 2020
LK http://hdl.handle.net/10668/3644
UL http://hdl.handle.net/10668/3644
LA en
NO Maes-Carballo M, Muñoz-Núñez I, Martín-Díaz M, Mignini L, Bueno-Cavanillas A, Khan KS. Shared decision making in breast cancer treatment guidelines: Development of a quality assessment tool and a systematic review. Health Expect. 2020 Oct;23(5):1045-1064
DS RISalud
RD Apr 12, 2025