SDM POSSIBLE - Shared Decision Making For People Over Seventy With Stage I Breast Cancer To Learn And Engage Trial

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Shared Decision Making (SDM) Articles

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Sanatani M. (2025). Approach Briefings: A Call for a Full Repertoire of Decision-Making Skills. Journal of general internal medicine, 40(16), 3900–3903. https://doi.org/10.1007/s11606-025-09683-4

Decision aids on breast cancer treatment

Articles -

1. Williams T, Fine K, Duckworth E, Adam T, Bozigar C, McFarland A, Nguyen A, Coles BM, Galiano RD. Patient decision aids in breast surgery and breast reconstruction reduce decisional conflict: a systematic review and meta-analysis. Breast Cancer Res Treat. 2025 Aug;213(1):1-14. doi: 10.1007/s10549-025-07752-0. Epub 2025 Jun 30. PMID: 40588633; PMCID: PMC12259761.

2. Stacey D, Lewis KB, Smith M, Carley M, Volk R, Douglas EE, Pacheco-Brousseau L, Finderup J, Gunderson J, Barry MJ, Bennett CL, Bravo P, Steffensen K, Gogovor A, Graham ID, Kelly SE, Légaré F, Sondergaard H, Thomson R, Trenaman L, Trevena L. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev. 2024 Jan 29;1(1):CD001431. doi: 10.1002/14651858.CD001431.pub6. PMID: 38284415; PMCID: PMC10823577.

3. Pesavento CM, Kazemi RJ, Kappelman A, Thompson JL, Jobin C, Wang T, Dossett LA. Pilot testing a patient decision aid as a strategy to reduce overtreatment for older women with early-stage breast cancer. Am J Surg. 2024 Sep;235:115774. doi: 10.1016/j.amjsurg.2024.115774. Epub 2024 May 25. PMID: 38834420.

4. Minami CA, Freedman RA, Karamourtopoulos M, Pinheiro A, Gilliam E, Aliberti G, Pories SE, Recht A, Lotz M, Dominici LS, Schonberg MA. Acceptability of a patient decision aid for women aged 70 and older with stage I, estrogen receptor-positive, HER2-negative breast cancer. J Geriatr Oncol. 2021 Jun;12(5):724-730. doi: 10.1016/j.jgo.2021.02.028. Epub 2021 Mar 5. PMID: 33678596.

5. Neve M, Henry-Noel N, Mehta R, Trudeau M, Menjak I, Szumacher E. Development and Testing of an Adjuvant Radiotherapy Decision Aid for Older Women Diagnosed with Stage I Breast Cancer: A Pilot Study. Cureus. 2020 Apr 16;12(4):e7690. doi: 10.7759/cureus.7690. PMID: 32440378; PMCID: PMC7237198.

6.Schonberg MA, Freedman RA, Recht AR, Jacobson AR, Aliberti GM, Karamourtopoulos M, Nakhlis F, McCarthy EP, Pories SE, Sharma R, Dominici LS. Developing a patient decision aid for women aged 70 and older with early stage, estrogen receptor positive, HER2 negative, breast cancer. J Geriatr Oncol. 2019 Nov;10(6):980-986. doi: 10.1016/j.jgo.2019.05.004. Epub 2019 May 24. PMID: 31130442.

SDM general models

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SDM models

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1. Elwyn G, Gulbrandsen P, Leavitt H, Abukmail E, Clayman ML, Edwards A, Finderup J, Fisher A, Grande SW, Hahlweg P, Hoffmann T, Hou WH, Hernández-Leal MJ, Leung D, Lu W, Mandelkow L, Pecanac KE, Pieterse AH, Price A, Rabben J, Riganti P, Sanatani M, Scheibler F, Schoefs E, Taylor OA, Valentine KD, Wexler R. Shared Decision-Making. A Primer for Clinicians. J Gen Intern Med. 2025 Dec;40(16):3889-3899. doi: 10.1007/s11606-025-09707-z. Epub 2025 Oct 7. PMID: 41055684; PMCID: PMC12686322.

2. Sanatani M. (2025). Approach Briefings: A Call for a Full Repertoire of Decision-Making Skills. Journal of general internal medicine, 40(16), 3900–3903. https://doi.org/10.1007/s11606-025-09683-4

3. Clayman ML, Scheibler F, Rüffer JU, Wehkamp K, Geiger F. The Six Steps of SDM: linking theory to practice, measurement and implementation. BMJ Evid Based Med. 2024 Mar 21;29(2):75-78. doi: 10.1136/bmjebm-2023-112289. PMID: 37673467; PMCID: PMC10982624.

4. Vickers AJ, Bennett P. "Sensemaking" to Aid Shared Decision Making in Clinical Practice: A Personal Response to Information Overload and Decision Abdication. Med Decis Making. 2024 Aug;44(6):607-610. doi: 10.1177/0272989X241257941. Epub 2024 Jun 6. PMID: 38840535; PMCID: PMC11347086.

5. Frank C, Gyawali B, Booth CM. Common sense cancer care for older adults: Outcomes that matter. J Am Geriatr Soc. 2023 Dec;71(12):3977-3980. doi: 10.1111/jgs.18529. Epub 2023 Aug 4. PMID: 37539843.

6. Fisher KA, Tan ASL, Matlock DD, Saver B, Mazor KM, Pieterse AH. Keeping the patient in the center: Common challenges in the practice of shared decision making. Patient Educ Couns. 2018 Dec;101(12):2195-2201. doi: 10.1016/j.pec.2018.08.007. Epub 2018 Aug 6. PMID: 30144968; PMCID: PMC6376968.

7. Elwyn G, Durand MA, Song J, Aarts J, Barr PJ, Berger Z, Cochran N, Frosch D, Galasiński D, Gulbrandsen P, Han PKJ, Härter M, Kinnersley P, Lloyd A, Mishra M, Perestelo-Perez L, Scholl I, Tomori K, Trevena L, Witteman HO, Van der Weijden T. A three-talk model for shared decision making: multistage consultation process. BMJ. 2017 Nov 6;359:j4891. doi: 10.1136/bmj.j4891. PMID: 29109079; PMCID: PMC5683042.

8. Elwyn G, Frosch D, Thomson R, Joseph-Williams N, Lloyd A, Kinnersley P, Cording E, Tomson D, Dodd C, Rollnick S, Edwards A, Barry M. Shared decision making: a model for clinical practice. J Gen Intern Med. 2012 Oct;27(10):1361-7. doi: 10.1007/s11606-012-2077-6. Epub 2012 May 23. PMID: 22618581; PMCID: PMC3445676.

9. Makoul G, Clayman ML. An integrative model of shared decision making in medical encounters. Patient Educ Couns. 2006 Mar;60(3):301-12. doi: 10.1016/j.pec.2005.06.010. Epub 2005 Jul 26. PMID: 16051459.

10. The SHARE approach steps of shared decision making: expanded reference guide with sample conversation starters

SDM specific to cancer

SDM models in oncology

The papers in this section provide guidance, tips, or information on SDM in cancer care.

Articles -

1.Mott N, Wang T, Miller J, Berlin NL, Hawley S, Jagsi R, Zikmund-Fisher BJ, Dossett LA. Medical Maximizing-Minimizing Preferences in Relation to Low-Value Services for Older Women with Hormone Receptor-Positive Breast Cancer: A Qualitative Study. Ann Surg Oncol. 2021 Feb;28(2):941-949. doi: 10.1245/s10434-020-08924-6. Epub 2020 Jul 27. PMID: 32720038; PMCID: PMC7855372.

2. Baskin AS, Dossett LA, Harris CA. Cultural Complications Curriculum: Applicability to Surgical Oncology Programs and Practices. Ann Surg Oncol. 2021 Aug;28(8):4088-4092. doi: 10.1245/s10434-021-10274-w. Epub 2021 Jun 9. PMID: 34106386; PMCID: PMC8188763.

3.Scherer LD, Zikmund-Fisher BJ. Eliciting Medical Maximizing-Minimizing Preferences with a Single Question: Development and Validation of the MM1. Med Decis Making. 2020 May;40(4):545-550. doi: 10.1177/0272989X20927700. Epub 2020 Jun 10. PMID: 32522094.

4. Schrager SB, Phillips G, Burnside E. A Simple Approach to Shared Decision Making in Cancer Screening. Fam Pract Manag. 2017 May/Jun;24(3):5-10. PMID: 28671358; PMCID: PMC5697707.

5.Kane HL, Halpern MT, Squiers LB, Treiman KA, McCormack LA. Implementing and evaluating shared decision making in oncology practice. CA Cancer J Clin. 2014 Nov-Dec;64(6):377-88. doi: 10.3322/caac.21245. Epub 2014 Sep 8. PMID: 25200391.

6. Fagerlin A, Zikmund-Fisher BJ, Ubel PA. Helping patients decide: ten steps to better risk communication. J Natl Cancer Inst. 2011 Oct 5;103(19):1436-43. doi: 10.1093/jnci/djr318. Epub 2011 Sep 19. PMID: 21931068; PMCID: PMC3218625.

SDM reviews & perspectives

SDM perspectives and reviews

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1.Opel DJ, Gerstein MT, Carle AC, Fournier AK, Hargraves I, Lafata JE, Lipstein EA, Mallinson T, Moise N, Neuman HB, Nix M, Papadimitriou C, Scherer L, Sepucha K, Simpson M, Schwartz A, Stevens-Lapsley JE, Dickert NW. Saving Shared Decision-Making. J Gen Intern Med. 2025 Jun;40(8):1844-1847. doi: 10.1007/s11606-025-09410-z. Epub 2025 Feb 14. PMID: 39953310; PMCID: PMC12119428.

2.Hollis, Emily & Wright, Jean. (2025). Enhancing Shared Decision Making between Patients and Providers in Breast Radiation Oncology. Current Breast Cancer Reports. 17. 10.1007/s12609-025-00621-1.

3. van der Horst DEM, Garvelink MM, Bos WJW, Stiggelbout AM, Pieterse AH. For which decisions is Shared Decision Making considered appropriate? - A systematic review. Patient Educ Couns. 2023 Jan;106:3-16. doi: 10.1016/j.pec.2022.09.015. Epub 2022 Sep 28. PMID: 36220675.

4. Elwyn G, Price A, Franco JVA, Gulbrandsen P. The limits of shared decision making. BMJ Evid Based Med. 2023 Aug;28(4):218-221. doi: 10.1136/bmjebm-2022-112089. Epub 2022 Dec 15. PMID: 36522136; PMCID: PMC10423476.

5. Pieterse AH, Gulbrandsen P, Ofstad EH, Menichetti J. What does shared decision making ask from doctors? Uncovering suppressed qualities that could improve person-centered care. Patient Educ Couns. 2023 Sep;114:107801. doi: 10.1016/j.pec.2023.107801. Epub 2023 May 20. PMID: 37230040.

6. Thériault G, Grad R, Dickinson JA, Breault P, Singh H, Bell NR, Szafran O. To share or not to share: When is shared decision making the best option? Can Fam Physician. 2020 May;66(5):327-331. PMID: 32404450; PMCID: PMC7219806.

SDM with older women

Articles -

1. Minami, C. A., Revette, A. C., Nava-Coulter, B., Nguyen, K., Lorentzen, E. H., & Schonberg, M. A. (2026). Geriatric-specific considerations in treatment conversations with older adults with early-stage hormone receptor-positive breast cancer. Journal of geriatric oncology, 17(1), 102778. https://doi.org/10.1016/j.jgo.2025.102778

2. Smith DR, Formenti SC. Treatment deescalation for older women with favorable breast cancers: patient values and shared decision making. J Natl Cancer Inst. 2025 Jun 1;117(6):1096-1100. doi: 10.1093/jnci/djaf001. PMID: 40232739; PMCID: PMC12145919.

3. Mott NM, Markovitz NH, Wang T, Hughes TM, Pilewskie M, Jagsi R, Dossett LA. Avoiding Overtreatment of Women ≥70 With Early-Stage Breast Cancer: A Provider-Level Deimplementation Strategy. J Surg Res. 2023 Apr;284:124-130. doi: 10.1016/j.jss.2022.11.072. Epub 2022 Dec 23. PMID: 36566589.

4. Schonberg MA, Birdwell RL, Bychkovsky BL, Hintz L, Fein-Zachary V, Wertheimer MD, Silliman RA. Older women's experience with breast cancer treatment decisions. Breast Cancer Res Treat. 2014 May;145(1):211-23. doi: 10.1007/s10549-014-2921-y. Epub 2014 Mar 31. PMID: 24682710; PMCID: PMC8370713.

5. Schonberg MA, Silliman RA, McCarthy EP, Marcantonio ER. Factors noted to affect breast cancer treatment decisions of women aged 80 and older. J Am Geriatr Soc. 2012 Mar;60(3):538-44. doi: 10.1111/j.1532-5415.2011.03820.x. Epub 2012 Jan 27. PMID: 22283600; PMCID: PMC4117244.

Surgeon communication guides

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1.Naik AD, Schwarze ML, Banks J, Soni S, Arain SA, Goyal P, Matlock DD, Lampert R, Tinetti ME. Aligning Surgical Decisions With Older Adults' Outcome Goals. J Am Geriatr Soc. 2025 Nov;73(11):3588-3592. doi: 10.1111/jgs.70017. Epub 2025 Jul 24. PMID: 41288195; PMCID: PMC12645528.

2. Schwarze ML, Taylor LJ, Arnold RM, Littell RD. Innovations in Surgical Communication 5-When Surgery Is a Bad Idea, Focus on the Goals. JAMA Surg. 2025 Jul 1;160(7):719-720. doi: 10.1001/jamasurg.2025.1061. PMID: 40332923.

3. Hawkins AT, Fayanju OM, Maduekwe UN. Shared Decision-Making in the Surgical Sciences. JAMA Surg. 2023 Nov 1;158(11):1121-1122. doi: 10.1001/jamasurg.2023.2396. PMID: 37466987; PMCID: PMC10824393.

4. Haug KL, Clapp JT, Schwarze ML. Innovations in Surgical Communication-Provide Your Opinion, Don't Hide It. JAMA Surg. 2023 Oct 1;158(10):993-994. doi: 10.1001/jamasurg.2023.2574. PMID: 37531127.

5. Schwarze ML, Clapp J, Arnold RM. Innovations in Surgical Communication 3-Promote Deliberation, Not Technical Education. JAMA Surg. 2023 Oct 1;158(10):996-998. doi: 10.1001/jamasurg.2023.3476. PMID: 37585186.

6. Schwarze ML, Kruser JM, Clapp JT. Innovations in Surgical Communication 2-Focus on the Goals of Surgery. JAMA Surg. 2023 Oct 1;158(10):994-996. doi: 10.1001/jamasurg.2023.3340. PMID: 37556129; PMCID: PMC11072112.

7. Zaza SI, Arnold RM, Schwarze ML. Innovations in Surgical Communication 4-Present the Downsides of Surgery, Not Just Risks. JAMA Surg. 2023 Oct 1;158(10):998-1000. doi: 10.1001/jamasurg.2023.3650. PMID: 37610756.

Triadic decision-making: clinican, patient, and family

Triadic decision-making: clinician, patient, and family

Articles -

1.Lewis L, Farrington N, Patel HP, Wagland R, Hunt K. Experience of decision-making for older adults, their significant others, and health care professionals after a diagnosis of cancer: A systematic review. J Geriatr Oncol. 2025 Nov;16(8):102716. doi: 10.1016/j.jgo.2025.102716. Epub 2025 Sep 13. PMID: 40946360.

2. Laidsaar-Powell R, Butow P, Bu S, Charles C, Gafni A, Fisher A, Juraskova I. Family involvement in cancer treatment decision-making: A qualitative study of patient, family, and clinician attitudes and experiences. Patient Educ Couns. 2016 Jul;99(7):1146-1155. doi: 10.1016/j.pec.2016.01.014. Epub 2016 Jan 28. PMID: 26873544.

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