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    Shared Decision Making and Communication

    Explore the latest in shared decision making and communication, including recent advances in patient decision and risk communication tools.

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    • Shared Decision-Making, Therapeutic Choice, and Decisional Regret in Patients With Alopecia Areata
      JAMA Dermatology
      Research
      August 17, 2022

      This cross-sectional survey study evaluates patient preferences for shared decision-making and its association with decisional regret.

      Dermatology Hair Disorders Clinical Decision Support Targeted and Immune Cancer Therapy Oncology
      Full Text | pdf link PDF
    • Factors Associated With Declining Lung Cancer Screening After Discussion With a Physician in a Cohort of US Veterans
      JAMA Network Open
      Research
      August 16, 2022

      This cohort study investigates the frequency with which US veterans eligible for lung cancer screening accept or decline it and the patient- and facility-level factors associated with their decision.

      Oncology Health Care Quality Lung Cancer Cancer Screening, Prevention, Control Veterans Health
      Full Text | pdf link PDF open access
    • Aspirin for the Primary Prevention of Atherosclerotic Cardiovascular Disease in Women
      JAMA
      Review
      August 16, 2022

      This JAMA Insights Clinical Update discusses updated recommendations on the use of aspirin for primary prevention of atherosclerotic cardiovascular disease in women and stresses the importance of shared clinical decision-making.

      Cardiology Cardiovascular Risk Factors Ischemic Heart Disease Women's Health
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Active Treatment and Shared Decision-making for Infants Born Extremely Preterm at 22 to 25 Weeks
      JAMA
      Opinion
      August 16, 2022
      Pediatrics Neonatology Obstetrics and Gynecology Pregnancy Obstetrics
      Full Text | pdf link PDF
    • Past, Present, and Future Shared Decision-making Behavior Among Patients With Eczema and Caregivers
      JAMA Dermatology
      Research
      August 1, 2022

      This survey study characterizes the experiences, preferences, and expectations for shared decision-making in eczema care settings from the patient and caregiver perspective.

      Dermatology Atopic Dermatitis
      Full Text | pdf link PDF open access
    • The Gift
      JAMA Internal Medicine
      Opinion
      July 25, 2022

      This essay describes the author’s family’s experience in shared decision-making and clinician–family communication in end-of-life care of a loved one.

      Less is More Perspective Humanities Narrative Medicine End of Life
      Full Text | pdf link PDF
    • Australian Women’s Intentions and Psychological Outcomes Related to Breast Density Notification and Information: A Randomized Clinical Trial
      JAMA Network Open
      Research
      June 16, 2022

      This randomized clinical trial evaluates the response to notification of breast density and provision of information for women with increased breast density following screening mammograms.

      Public Health Radiology Oncology Breast Cancer Women's Health
      Full Text | pdf link PDF open access
    • Analysis of the Patient-Physician Relationship, Race, and Pain Control and Physical Function Among Adults With Chronic Low Back Pain
      JAMA Network Open
      Research
      June 9, 2022

      This cross-sectional study assesses whether the patient-physician relationship mediates the association of race with pain control and physical function among adults with chronic low back pain.

      Diversity, Equity, and Inclusion Health Disparities Health Policy Pain Medicine Health Inequities
      Full Text | pdf link PDF open access
    • Looking Beneath the Surface: Racial Bias in the Treatment and Management of Pain
      JAMA Network Open
      Opinion
      June 9, 2022
      Diversity, Equity, and Inclusion Health Inequities Health Disparities Health Policy Pain Medicine
      Full Text | pdf link PDF open access
    • A Decision Shared Is a Decision Halved
      JAMA Oncology
      Opinion
      June 1, 2022

      This essay describes the difficulty of shared decision-making about treatment placed on physicians, patients, and families during the COVID-19 pandemic.

      Humanities Narrative Medicine Oncology Cancer Care Chronicles Coronavirus (COVID-19)
      Full Text | pdf link PDF
    • Patient and Proxy Recall After Providing Written or Oral Informed Consent to Participate in an Interventional Trial
      JAMA Network Open
      Research
      May 13, 2022

      This cohort study assesses recall rates among patients and their proxies who consented to participate in a randomized clinical trial.

      Ethics Research, Methods, Statistics Infectious Diseases
      Full Text | pdf link PDF open access
    • Effect of Expansion of Abbreviations and Acronyms on Patient Comprehension of Their Health Records: A Randomized Clinical Trial
      JAMA Network Open
      Research
      May 13, 2022

      This randomized clinical trial compares patient comprehension of electronic health records in the US when common medical abbreviations are expanded.

      Health Informatics Electronic Health Records Cardiology
      Full Text | pdf link PDF open access
    • Association Between Surgery Preference and Receipt in Ductal Carcinoma In Situ After Breast Magnetic Resonance Imaging: An Ancillary Study of the ECOG-ACRIN Cancer Research Group (E4112)
      JAMA Network Open
      Research
      May 10, 2022

      This cohort study examines the preferences of women for treatment of ductal carcinoma in situ on the basis of magnetic resonance imaging findings and surgeon recommendations.

      Oncology Surgery Surgical Oncology Women's Health Breast Cancer
      Full Text | pdf link PDF open access
    • Demographic and Clinical Characteristics Associated With the Failure of Nonoperative Management of Uncomplicated Appendicitis in Children: Secondary Analysis of a Nonrandomized Clinical Trial
      JAMA Network Open
      Research
      May 2, 2022

      This planned secondary analysis of a nonrandomized clinical trial investigates the factors associated with the failure of nonoperative management of pediatric appendicitis and compares patient-reported outcomes between patients whose treatment succeeded and those whose treatment failed.

      Surgery Gastrointestinal Surgery Minimally Invasive Surgery Emergency Medicine Pediatrics
      Full Text | pdf link PDF open access
    • Association of Satisfaction With Treatment Decision and Failure of Nonoperative Management of Appendicitis in Children
      JAMA Network Open
      Opinion
      May 2, 2022
      Surgery Gastrointestinal Surgery Minimally Invasive Surgery Emergency Medicine Pediatrics
      Full Text | pdf link PDF open access
    • Surgeon Use of Shared Decision-making for Older Adults Considering Major Surgery: A Secondary Analysis of a Randomized Clinical Trial
      JAMA Surgery
      Research
      May 1, 2022

      This secondary analysis of a randomized clinical trial examines the use of shared decision-making for major surgery among surgeons, patients, and families.

      Surgery Clinical Decision Support Geriatrics
      Full Text | pdf link PDF
    • Shared Decision-making—It’s Not for Everyone
      JAMA Surgery
      Opinion
      May 1, 2022
      Geriatrics
      Full Text | pdf link PDF
    • Preferences for End-of-Life Care Among Patients With Terminal Cancer in China
      JAMA Network Open
      Research
      April 25, 2022

      This survey study investigates preferences for end-of-life care among adult patients with terminal cancer in China.

      Health Policy Geriatrics Oncology Ethics End of Life
      Full Text | pdf link PDF open access
    • Eliciting Health Care Preferences With Discrete Choice Experiments
      JAMA Network Open
      Opinion
      April 25, 2022
      Health Policy Geriatrics Oncology End of Life Ethics
      Full Text | pdf link PDF open access
    • Patient and Clinician Perceptions of Factors Relevant to Ideal Specialty Consultations
      JAMA Network Open
      Research
      April 25, 2022

      This qualitative study examines how stakeholders envision the ideal inpatient specialty consultation and why consultations commonly fall short of this ideal.

      Health Policy Professionalism
      Full Text | pdf link PDF open access
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