Effects of Shared Decision Making on Distress and Health Care Utilization Among Patients With Lung Cancer: A Systematic Review

Journal of Pain and Symptom Management
Olaf P GeerseAnnette J Berendsen

Abstract

Lung cancer is associated with significant distress, poor quality of life, and a median prognosis of less than one year. Benefits of shared decision making (SDM) have been described for multiple diseases, either by the use of decisions aids or as part of supportive care interventions. The objective of this study was to summarize the effects of interventions facilitating SDM on distress and health care utilization among patients with lung cancer. We performed a systematic literature search in the CINAHL, Cochrane, EMBASE, MEDLINE, and PsychINFO databases. Studies were eligible when conducted in a population of patients with lung cancer, evaluated the effects of an intervention that facilitated SDM, and measured distress and/or health care utilization as outcomes. A total of 12 studies, detailed in 13 publications, were included: nine randomized trials and three retrospective cohort studies. All studies reported on a supportive care intervention facilitating SDM as part of their intervention. Eight studies described effects on distress, and eight studies measured effects on health care utilization. No effect was found in studies measuring generic distress. Positive effects, in favor of the intervention groups, were observed in st...Continue Reading

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Citations

Jan 5, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Mariken E StegmannSaskia F A Duijts
Jul 12, 2020·BMC Health Services Research·Svetlana V DoubovaRicardo Pérez-Cuevas
Dec 30, 2020·BJPsych Bulletin·Christoper A Alarcon-RuizJhony A De La Cruz-Vargas

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