Schrager Sarina, Evaristo Claudia, Little Terry, DuBenske Lori, Burnside Elizabeth S
University of Wisconsin Department of Family Medicine and Community Health, Madison, WI.
University of Wisconsin School of Medicine and Public Health, Madison, WI.
J Patient Cent Res Rev. 2021 Oct 18;8(4):331-335. doi: 10.17294/2330-0698.1814. eCollection 2021 Fall.
Guidelines recommend that clinicians practice shared decision-making (SDM) with women in their 40s to discuss breast cancer screening. Traditionally, SDM includes discussion of values and preferences to help determine a decision that is congruent with what the patient desires. We analyzed 54 women's breast cancer screening decisions after a SDM conversation with their clinician. We looked at both patient and clinician characteristics that predicted whether or not a woman would get a screening mammogram. Women with a family history of breast cancer or who had a previous abnormal mammogram had higher rates of screening. Screening rates also varied widely between clinicians, raising the question of whether clinician attitudes impacted the SDM conversation.
指南建议临床医生与40多岁的女性进行共同决策（SDM），以讨论乳腺癌筛查问题。传统上，共同决策包括讨论价值观和偏好，以帮助做出符合患者意愿的决定。我们分析了54名女性在与临床医生进行共同决策对话后的乳腺癌筛查决定。我们研究了预测女性是否会进行乳腺钼靶筛查的患者和临床医生特征。有乳腺癌家族史或之前乳腺钼靶检查异常的女性筛查率较高。临床医生之间的筛查率也有很大差异，这就引发了临床医生的态度是否会影响共同决策对话的问题。
