title: Shared Decision Making and Effective Risk Communication in the High-Risk Patient With Operable Stage I Non-Small Cell Lung Cancer.
abstract: Shared decision making is a dynamic clinical process by which the provider assists the patient in choosing between more than one treatment option for a given condition. Here, we explore what the shared decision making and risk communication process could look like in the setting of a high-risk patient with clinical stage I non-small cell lung cancer who is potentially eligible for either segmentectomy or stereotactic body radiation therapy. We highlight clinical tools that can be used during the shared decision making and risk communication process in a stepwise manner to identify patient preferences and values to assist in making a tailored treatment decision.
authors.affiliation: Division of Cardiothoracic Surgery, Section of Thoracic Surgery, Washington University, St. Louis, Missouri.
authors.forename: Pamela
authors.initials: P
authors.lastname: Samson
authors.affiliation: Division of Public Health Sciences, Department of Surgery, Washington University, St. Louis, Missouri.
authors.forename: Erika A
authors.initials: EA
authors.lastname: Waters
authors.affiliation: Division of Cardiothoracic Surgery, Section of Thoracic Surgery, Washington University, St. Louis, Missouri.
authors.forename: Bryan
authors.initials: B
authors.lastname: Meyers
authors.affiliation: Division of Public Health Sciences, Department of Surgery, Washington University, St. Louis, Missouri. Electronic address: mpoliti@wustl.edu.
authors.forename: Mary C
authors.initials: MC
authors.lastname: Politi
mesh_terms: D002289:Carcinoma, Non-Small-Cell Lung / Q000523:psychology* / Q000532:radiotherapy / Q000601:surgery; D002755:Choice Behavior; D003657:Decision Making; D003661:Decision Support Techniques; D006801:Humans; D007258:Informed Consent; D008175:Lung Neoplasms / Q000523:psychology* / Q000532:radiotherapy / Q000601:surgery; D057240:Patient Preference; D010817:Physician-Patient Relations; D011013:Pneumonectomy / Q000523:psychology; D017410:Practice Guidelines as Topic; D016634:Radiosurgery / Q000523:psychology; D012306:Risk; D018570:Risk Assessment; D057212:Therapeutic Equipoise