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Comment & Response
January 2019

Shared Decision Making Rarely Happens for Lung Cancer Screening

Author Affiliations
  • 1Evidence-Based Practice Research Program, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota
JAMA Intern Med. 2019;179(1):122. doi:10.1001/jamainternmed.2018.6983

To the Editor In their study published in a recent issue of JAMA Internal Medicine, Brenner and colleagues1 demonstrated that true shared decision making (SDM) rarely takes place in consultations to discuss low-dose computed tomography (LDCT) screening for lung cancer, despite the fact that a counseling and SDM visit is required by the Centers for Medicare & Medicaid Services as a condition for reimbursement. The authors discussed the possibility that the timing of the SDM visit during the patient journey may be crucial, because patients attending a tertiary LDCT screening program have been found to be significantly more likely to opt for LDCT screening compared with patients who contemplated the option of LDCT screening in a primary care setting.2,3

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