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Frequency and Influencing Factors of Shared Decision Making Among Breast Cancer Patients Receiving Surgery: A Systematic Review and Meta-Analysis

  • Hongying Zheng
    Affiliations
    School of Nursing, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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  • Linning Yang
    Affiliations
    Reproductive Medicine Center, Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
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  • Jiale Hu
    Correspondence
    Address for correspondence: Jiale Hu, PhD, Department of Nurse Anesthesia, Virginia Commonwealth University, 900 E. Leigh Street, Richmond, VA, 23298.
    Affiliations
    Department of Nurse Anesthesia, Virginia Commonwealth University, Richmond, VA, USA
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  • Yan Yang
    Correspondence
    Address for correspondence: Yan Yang, PhD, School of Nursing, Shanghai Jiao Tong University, 227 South Chong Qing Road, Shanghai 200025, China.
    Affiliations
    School of Nursing, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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Published:October 17, 2022DOI:https://doi.org/10.1016/j.clbc.2022.10.007

      Abstract

      Due to the diversified and high sensitivity of breast cancer surgical treatment, various decision making styles show different functions in making trade-offs and sharing information. Shared decision making is the best practice paradigm to promote health outcomes. This study aimed to determine the overall frequency of shared decision making and explore influencing factors during the surgical decision-making process from breast cancer patients’ perspectives. We searched 8 databases for studies about breast cancer patients’ surgical decisional control preferences and shared decision making preference. Two researchers screened the literature, extracted the data, and evaluated the literature quality. Meta-analysis of the frequency of preferred and actual shared decision making and decision congruence was performed. Due to the limited studies of influencing factors, descriptive analysis was used. Fourteen original studies were included in this study. We found the overall pooled frequency of the preferred shared decision making of 48.1% (95%CI 33.5%, 62.6%) and the actual shared decision making of 38.1% (95%CI 33.9%, 42.2%). Moreover, the pooled frequency of the decision congruence between preferred and actual decision styles was 61.7% (95%CI 54.6%, 68.8%). The descriptive analysis findings indicated that the influencing factors of shared decision making included individual factors, surgeon-patient communication factors, and health setting factors. There was a gap between the preferred and actual decision styles in the surgical context. Therefore, health care providers should identify potential shared decision making barriers and facilitators, and advocate the clinical shared decision making model to embed shared decision making into routine practice.

      Keywords

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      References

        • Bray F
        • Ferlay J
        • Soerjomataram I
        • et al.
        Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.
        CA Cancer J Clin. 2018; 68: 394-424
        • Kolodziejczyk A
        • Pawlowski T
        Negative body image in breast cancer patients.
        Adv Clin Exp Med. 2019; 28: 1137-1142
        • Homsy A
        • Ruegg E
        • Montandon D
        • et al.
        Breast reconstruction: a century of controversies and progress.
        Ann Plast Surg. 2018; 80: 457-463
        • Ramaswami R
        • Morrow M
        • Jagsi R
        Contralateral Prophylactic Mastectomy.
        N Engl J Med. 2017; 377: 1288-1291
        • Clayman ML
        • Bylund CL
        • Chewning B
        • et al.
        The impact of patient participation in health decisions within medical encounters: a systematic review.
        Med Decis Making. 2016; 36: 427-452
        • Degner LF
        • Sloan JA
        • Venkatesh P
        The control preferences scale.
        Can J Nurs Res. 1997; 29: 21-43
        • Chewning B
        • Bylund CL
        • Shah B
        • et al.
        Patient preferences for shared decisions: a systematic review.
        Patient Educ Couns. 2012; 86: 9-18
        • Simon D
        • Schorr G
        • Wirtz M
        • et al.
        Development and first validation of the shared decision-making questionnaire (SDM-Q).
        Patient Educ Couns. 2006; 63: 319-327
        • Friesen-Storms JH
        • Bours GJ
        • van der Weijden T
        • et al.
        Shared decision making in chronic care in the context of evidence based practice in nursing.
        Int J Nurs Stud. 2015; 52: 393-402
        • Pieterse AH
        • Finset A
        Shared decision making-Much studied, much still unknown.
        Patient Educ Couns. 2019; 102: 1946-1948
        • de Mik S
        • Stubenrouch FE
        • Balm R
        • et al.
        Systematic review of shared decision-making in surgery.
        Br J Surg. 2018; 105: 1721-1730
        • Yingying L
        • Xianglin Y
        A cross-sectional study on medical information needs and treatment decision making of malignant cancer patients in medical consultations.
        Med Philosop. 2017; 38: 81-83
        • Caldon LJ
        • Walters SJ
        • Reed MW
        Changing trends in the decision-making preferences of women with early breast cancer.
        Br J Surg. 2008; 95: 312-318
        • Janz NK
        • Wren PA
        • Copeland LA
        • et al.
        Patient-physician concordance: Preferences, perceptions, and factors influencing the breast cancer surgical decision.
        J Clin Oncol. 2004; 22: 3091-3098
        • Wang AW
        • Chang SM
        • Chang CS
        • et al.
        Regret about surgical decisions among early-stage breast cancer patients: Effects of the congruence between patients' preferred and actual decision-making roles.
        Psychooncology. 2018; 27: 508-514
        • Durand MA
        • Carpenter L
        • Dolan H
        • et al.
        Do interventions designed to support shared decision-making reduce health inequalities? A systematic review and meta-analysis.
        PLoS One. 2014; 9: e94670
        • Keating NL
        • Guadagnoli E
        • Landrum MB
        • et al.
        Treatment decision making in early-stage breast cancer: Should surgeons match patients' desired level of involvement?.
        J Clin Oncol. 2002; 20: 1473-1479
        • Covvey JR
        • Kamal KM
        • Gorse EE
        • et al.
        Barriers and facilitators to shared decision-making in oncology: a systematic review of the literature.
        Support Care Cancer. 2019; 27: 1613-1637
        • Joseph-Williams N
        • Elwyn G
        • Edwards A
        Knowledge is not power for patients: a systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making.
        Patient Educ Couns. 2014; 94: 291-309
        • Waddell A
        • Lennox A
        • Spassova G
        • et al.
        Barriers and facilitators to shared decision-making in hospitals from policy to practice: a systematic review.
        Implement Sci. 2021; 16: 74
        • Hawley ST
        • Lantz PM
        • Janz NK
        • et al.
        Factors associated with patient involvement in surgical treatment decision making for breast cancer.
        Patient Educ Counsel. 2007; 65: 387-395
        • Lam W
        • Fielding R
        • Chan M
        • et al.
        Participation and satisfaction with surgical treatment decision-making in breast cancer among Chinese women.
        Breast Cancer Res Treat. 2003; 80: 171-180
        • Moher D
        • Liberati A
        • Tetzlaff J
        • et al.
        Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.
        BMJ. 2009; 339: b2535
      1. National institution of health. Study quality assessment tools. https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools, Accessed July, 2021

        • Rosenberg SM
        • Sepucha K
        • Ruddy KJ
        • et al.
        Local therapy decision-making and contralateral prophylactic mastectomy in young women with early-stage breast cancer.
        Ann Surg Oncol. 2015; 22: 3809-3815
        • Frongillo M
        • Feibelmann S
        • Belkora J
        • et al.
        Is there shared decision making when the provider makes a recommendation?.
        Patient Educ Counsel. 2013; 90: 69-73
        • Hawley ST
        • Griggs JJ
        • Hamilton AS
        • et al.
        Decision involvement and receipt of mastectomy among racially and ethnically diverse breast cancer patients.
        J Nat Cancer Institute. 2009; 101: 1337-1347
        • Bleicher RJ
        • Abrahamse P
        • Hawley ST
        • et al.
        The influence of age on the breast surgery decision-making process.
        Ann Surg Oncol. 2008; 15: 854-862
        • Lantz PM
        • Janz NK
        • Fagerlin A
        • et al.
        Satisfaction with surgery outcomes and the decision process in a population-based sample of women with breast cancer.
        Health Services Res. 2005; 40: 745-768
        • Katz SJ
        • Lantz PM
        • Janz NK
        • et al.
        Patient involvement in surgery treatment decisions for breast cancer.
        J Clin Oncol. 2005; 23: 5526-5533
        • Hack TF
        • Degner LF
        • Watson P
        • et al.
        Do patients benefit from participating in medical decision making? Longitudinal follow-up of women with breast cancer.
        Psycho-Oncol. 2006; 15: 9-19
        • Kadmon I
        • Noy S
        • Billig A
        • et al.
        Decision-making styles and levels of involvement concerning breast reconstructive surgery: an israeli study.
        Oncol nurs forum. 2016; 43: E1-07
        • Tariman JD
        • Berry DL
        • Cochrane B
        • et al.
        Preferred and actual participation roles during health care decision making in persons with cancer: a systematic review.
        Ann Oncol. 2010; 21: 1145-1151
        • Brom L
        • Hopmans W
        • Pasman HR
        • et al.
        Congruence between patients' preferred and perceived participation in medical decision-making: a review of the literature.
        BMC Med Inform Decis Mak. 2014; 14: 25
        • Schneider A
        • Korner T
        • Mehring M
        • et al.
        Impact of age, health locus of control and psychological co-morbidity on patients' preferences for shared decision making in general practice.
        Patient Educ Couns. 2006; 61: 292-298
        • Elwyn G
        • Frosch D
        • Thomson R
        • et al.
        Shared decision making: a model for clinical practice.
        J Gen Intern Med. 2012; 27: 1361-1367