Implementing and evaluating shared decision making in oncology practice

Heather L. Kane, Michael T. Halpern, Linda B. Squiers, Katherine A. Treiman, Lauren A. McCormack

Research output: Contribution to journalReview articlepeer-review

195 Scopus citations


Answer questions and earn CME/CNE Engaging individuals with cancer in decision making about their treatments has received increased attention; shared decision making (SDM) has become a hallmark of patient-centered care. Although physicians indicate substantial interest in SDM, implementing SDM in cancer care is often complex; high levels of uncertainty may exist, and health care providers must help patients understand the potential risks versus benefits of different treatment options. However, patients who are more engaged in their health care decision making are more likely to experience confidence in and satisfaction with treatment decisions and increased trust in their providers. To implement SDM in oncology practice, physicians and other health care providers need to understand the components of SDM and the approaches to supporting and facilitating this process as part of cancer care. This review summarizes recent information regarding patient and physician factors that influence SDM for cancer care, outcomes resulting from successful SDM, and strategies for implementing SDM in oncology practice. We present a conceptual model illustrating the components of SDM in cancer care and provide recommendations for facilitating SDM in oncology practice. CA Cancer J Clin 2014;64:377-388.

Original languageEnglish (US)
Pages (from-to)377-388
Number of pages12
JournalCA Cancer Journal for Clinicians
Issue number6
StatePublished - Nov 1 2014
Externally publishedYes


  • clinical
  • decision making
  • health personnel attitudes
  • health services research
  • neoplasms/therapy
  • oncology
  • patient preference
  • shared

ASJC Scopus subject areas

  • Hematology
  • Oncology


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