DETAILS FOR THIS REVIEW

Study Population: 107,698 adults who make decisions for themselves, for a child, or as a proxy

Efficacy End Points: Congruence between informed values and choice, knowledge, accurate risk perceptions, and participation in decision-making

Harm End Points: Decision regret

Narrative: Medical advances often improve life expectancy but have also complicated medical decision-making due to increased screening and treatment options. The U.S. Preventive Services Task Force recommends shared decision-making for eight preventive services (e.g., prostate cancer screening).¹ Major payors also have weighed in. The Centers for Medicare & Medicaid Services mandate the use of patient decision aids during discussions of several preventive services (e.g., lung cancer screening).² Tailoring patient care to individual values plays an essential role in clinical practice, and decision aids can assist in navigating communication between physicians and patients.