Integrating Shared Decision-Making Into Breast Cancer Postmastectomy Reconstruction: A Systematic Review of Evidence, Barriers, and Real-World Implementation.
Int J CancerMay 7, 2026 (epub)
Marta Maes-Carballo, Natalia de-la-Puente-Mota, Laura Sampol-Ramírez et al.
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In 30 seconds
This systematic review evaluated the effectiveness of decision aids (DAs) for postmastectomy breast reconstruction (PMBR) in enhancing shared decision-making (SDM). Analyzing 32 studies, including 16 randomized controlled trials, the review found that DAs improved patient knowledge by 15%-30% and reduced decisional conflict by 20%-50%.
Key findings
- Decision aids improved patient knowledge by 15%-30%.
- Decisional conflict was reduced by 20%-50% with the use of decision aids.
- High acceptability of decision aids was reported across various formats.
- Implementation studies highlighted the need for structured integration into clinical workflows.
Why it matters
Enhancing shared decision-making through effective decision aids can lead to better patient outcomes in postmastectomy breast reconstruction. Understanding the barriers to implementation is crucial for improving clinical practice and patient satisfaction.