To the Editor Caverly’s concerns for promoting shared decision-making and selecting the best candidates for lung cancer screening deserve comment.1
First, it is untrue that developing a shared decision-making tool is complex.1 Common sense pictographs that use absolute numbers with a consistent denominator (ie, /1000 screened), time frames, and visuals employing the same scale for information on gains and losses of the options have been shown to change and improve decision-making.2,3 Such pictographs for breast cancer screening are already implemented in the small country of Belgium.4 It is puzzling why national health care agencies from so many countries enduringly fail to do this job properly.
Alain Braillon, Susan Bewley. Shared Decision-Making for Cancer ScreeningVisual Tools and a 4-Step Method. JAMA Intern Med. 2015;175(11):1862. doi:10.1001/jamainternmed.2015.4721