Cochrane decision aids for people facing health treatment or screening decisions

Updated review published today on The Cochrane Library: Decision aids for people facing health treatment or screening decisions

http://bit.ly/LhRFop

Citation: Stacey D, Légaré F, Col NF, Bennett CL, Barry MJ, Eden KB, Holmes-Rovner M, Llewellyn-Thomas H, Lyddiatt A, Thomson R, Trevena L, Wu JHC. Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews 2014 , Issue 1 . Art. No.: CD001431. DOI: 10.1002/14651858.CD001431.pub4

Now 115 included studies, nearly 35,000 participants, showing decision aids improve people’s knowledge, help them feel more informed, participate more in decision making.

The Summary includes, ‘ Decision aids reduce the choice of prostate specific antigen (psa) testing and elective surgery when patients consider other options’.

My comment: the harms and lack of benefit of breast cancer screening have brought about calls for a fresh look at cost and effectiveness.

It seems to me that men with raised psa levels are likely to be sent for NHS ‘hit and miss biopsies’. These are likely to be many in number and taken via the back passage, with the obvious risk of infection. The results can be misleading.

Whereas, men who are informed may well make the choice of having an MRI scan privately. Then, if something significant shows up, far fewer biopsies can be taken and, if done privately, involve only biopsy needle insertion directly through the skin, with accuracy, less chance of infection or complications and more reliable results.

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About bmitzi

Medical writer, author, artist. Cancer campaigner. Aiming always to improve health services and bring compassion into health care.
This entry was posted in Breast Cancer, Campaigns, Compassion in healthcare, patient safety, prostate cancer, Screening, Screening Mammography and tagged , , , , , , , , , , , . Bookmark the permalink.

2 Responses to Cochrane decision aids for people facing health treatment or screening decisions

  1. Elizabeth says:

    Great reference – thank you so much! I now have a name for what I have been suffering from. No, not breast cancer, but “decisional conflict related to feeling uninformed”. I will be citing this review in my submission to the Commons Select Committee.

  2. Elizabeth says:

    Reblogged this on One Lump or Two and commented:
    This reference is a good one. Don’t be scared by all the stats – just scroll down to the plain English version if you can’t face grappling with them.
    I now have a name for at least part of what I have been suffering from. No, not breast cancer, but: “decisional conflict related to being uninformed”.

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