title: Shared decision making in breast cancer: national practice patterns of surgeons.
abstract: BACKGROUND
  The purpose of this study was to assess national practices of surgeons who treat breast cancer in order to identify opportunities to improve patient education.
  
  
  METHODS
  In June 2012, the membership of the American Society of Breast Surgeons (ASBrS) (n = 2,818) was surveyed via email questionnaire to evaluate their current practice of shared decision making and informed consent for breast cancer patients.
  
  
  RESULTS
  A total of 737 members (26 %) responded, including 384 breast surgeons and 306 general surgeons, 13 midlevel providers, and 25 other specialists. It was found that 90 % of surgeons spent more than 30 min meeting with a new cancer patient, and of these, 30 % spent more than an hour. Surgeons who spent more than 1 h face-to-face with a new cancer patient reported higher levels of overall patient knowledge compared with those who spent less (mean = 3.80 vs. 3.64 of 5; p = 0.001). Also, 89 % of respondents reported using educational tools, of whom more than 90 % used written tools. In addition, 65 % of members stated an interest in a free online educational tool if available and indicated a preference for a flexible tool that could be used by the patient alone or with a nurse.
  
  
  CONCLUSIONS
  While practice patterns may vary, our results reveal that one-third of surgeons spend at least 1 h in consultation with a new breast cancer patient. More time spent translated to a higher perceived patient understanding of their disease and treatment options. Although the majority of surgeons currently use written materials, there was clear support for a free online educational tool.
authors: Departments of Surgery, Medicine, and Public Health Sciences, College of Medicine, The Pennsylvania State University, Hershey, PA, USA. jschubart@hmc.psu.edu
authors: Jane R
authors: JR
authors: Schubart
authors: Laura S
authors: LS
authors: Dominici
authors: Michelle
authors: M
authors: Farnan
authors: Tricia A
authors: TA
authors: Kelly
authors: Eric R
authors: ER
authors: Manahan
authors: E Rahkshanda
authors: ER
authors: Rahman
authors: J Stanley
authors: JS
authors: Smith
authors: Rena B
authors: RB
authors: Kass
mesh_terms: D001291:Attitude of Health Personnel; D001943:Breast Neoplasms / Q000628:therapy*; D003657:Decision Making; D005260:Female; D006801:Humans; D010817:Physician-Patient Relations; D010820:Physicians / Q000523:psychology*; D010818:Practice Patterns, Physicians'; D011379:Prognosis; D011795:Surveys and Questionnaires