Feasibility and Efficacy of Decision Aids to Improve Decision Making for Postmastectomy Breast Reconstruction: A Systematic Review and Meta-analysis.

Medical Decision Making : an International Journal of the Society for Medical Decision Making
Nicholas L BerlinEdwin G Wilkins

Abstract

The decision-making process for women considering breast reconstruction following mastectomy is complex. Research suggests that fewer than half of women undergoing mastectomy have adequate knowledge and make treatment decisions that are concordant with their underlying values. This systematic review assesses the feasibility and efficacy of preoperative decision aids (DAs) to improve the patient decision-making process for breast reconstruction. A systematic review was performed using PubMed, Ovid MEDLINE, EMBASE, CINAHL, and Cochrane Databases published prior to January 4, 2018. Studies that assessed the impact of a DA on patient decision making for breast reconstruction were identified. The effect of preoperative DAs on decisional conflict in randomized controlled trials (RCTs) was measured with inverse variance-weighted mean differences (mean difference [MD] ± 95% confidence interval [CI]). Among 1299 unique articles identified, 1197 were excluded after reviewing titles and abstracts against selection criteria. Among the 17 studies included in this review, 11 assessed the efficacy of DAs for breast reconstruction and 6 additional studies described the development and usability of these DAs. Studies suggest that DAs reduce pat...Continue Reading

References

Apr 1, 1984·Plastic and Reconstructive Surgery·L A StevensK A Forde
Feb 24, 2001·Medical Decision Making : an International Journal of the Society for Medical Decision Making·V GoelA M O'Connor
Sep 6, 2003·BMJ : British Medical Journal·Julian P T HigginsDouglas G Altman
Aug 16, 2006·BMJ : British Medical Journal·Glyn ElwynUNKNOWN International Patient Decision Aids Standards (IPDAS) Collaboration
Mar 21, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jennifer F WaljeeAmy K Alderman
Sep 4, 2008·Plastic and Reconstructive Surgery·Lior HellerMichael J Miller
Dec 30, 2009·Annals of Surgical Oncology·Bernard T LeeAdam M Tobias
Jan 6, 2011·Annals of Surgical Oncology·Amy K AldermanSteven Katz
Feb 9, 2011·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Andrea VodermaierMichael Untch
Mar 4, 2011·Journal of Genetic Counseling·Julie O CulverJeffrey N Weitzel
Jun 15, 2011·Patient Education and Counseling·Jeffrey K BelkoraKaren R Sepucha
Dec 29, 2012·Plastic and Reconstructive Surgery·Claudia R AlbornozEvan Matros
Feb 12, 2013·Patient Education and Counseling·Matthew P BanegasAngela Fagerlin
Mar 23, 2013·Aesthetic Plastic Surgery·Miguel Sabino NetoLydia Masako Ferreira
Jul 10, 2013·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Wendy W T LamRichard Fielding
Jan 1, 2014·JAMA Internal Medicine·Mara A SchonbergEdward R Marcantonio
Feb 20, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Reshma JagsiBenjamin D Smith
Jan 1, 2013·BMC Medical Informatics and Decision Making·Angela FagerlinHolly O Witteman
Aug 28, 2014·Plastic and Reconstructive Surgery·Christina R VargasBernard T Lee
Oct 30, 2014·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Natalie CausaranoToni Zhong
Jun 20, 2015·The Journal of Surgical Research·Christina R VargasBernard T Lee
Jun 24, 2015·Annals of Plastic Surgery·Wess A CohenAndrea L Pusic
Jan 8, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Wess A CohenAndrea L Pusic
Apr 14, 2016·Annals of Plastic Surgery·Anna LuanGordon K Lee
Mar 28, 2017·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Andrea L PusicEdwin G Wilkins
May 4, 2017·JAMA Surgery·Clara Nan-Hi LeeMichael Patrick Pignone
Sep 30, 2017·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kelly MetcalfeStefan O P Hofer
Oct 17, 2017·The Breast : Official Journal of the European Society of Mastology·Kerry A ShermanElisabeth Elder

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Citations

Dec 10, 2019·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Marit L Bovbjerg
May 19, 2021·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·A GilmourL Martin
Jun 29, 2021·PM & R : the Journal of Injury, Function, and Rehabilitation·Lindsey Brown-TaylorStephanie Di Stasi
Aug 27, 2021·Journal of the American College of Surgeons·Meghana G ShamsunderEvan Matros
Oct 29, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jacqueline A Ter StegeEveline M A Bleiker

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