TREATMENT
Review: cancer-related decision aids improve patient knowledge overall and reduce anxiety in screening settings
| The first 150 words of the full text of this article appear below. |
Are decisions aids (DAs) effective in patients with cancer or at risk of cancer?
Included studies evaluated DAs in patients who had cancer or were at increased risk of cancer. DAs were defined as interventions to help patients, alone or with clinicians, in making cancer-related healthcare decisions related to screening, prevention, and treatment options. Studies published before 1976, in abstract form only, or evaluating DAs for clinicians only were excluded. Outcomes included patient knowledge, anxiety, and decisional conflict.
Medline (to Mar 2007); CINAHL, EMBASE/Excerpta Medica, HealthStar, CancerLit, PsycInfo, Sociological Abstracts, and Cochrane Library (all to Jun 2006); and reference lists were searched for randomised controlled trials (RCTs). Authors were contacted for missing data. 34 RCTs (46 comparisons) met the selection criteria: 22 RCTs were done in screening settings, 5 in high-risk prevention settings, and 7 in treatment settings. 24 RCTs compared DAs with usual practice, 6 compared different DAs, and
Munn Center, Massachusetts General Hospital, Boston, Massachusetts, USA
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