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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Article info
Publication history
Published online: October 17, 2022
Accepted:
October 5,
2022
Received:
May 27,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
