Cochrane · systematic review · CD013822
Shared decision‐making for supporting women’s decisions about breast cancer screening
Riganti, P, Ruiz Yanzi, MV, Escobar Liquitay, CM, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library
Breast CancerAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
7
No studies
14
Included studies
NR
No studies 14 · 66.7%Ungraded 0 · 0%Very low 2 · 9.5%Low 3 · 14.3%Moderate 0 · 0%High 2 · 9.5%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Shared decision‐making (all components) versus control
Population: women aged 40 to 75 years at average to moderate risk of breast cancer
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Satisfaction with the decision‐making process Shared decision‐making (all components) vs control | no estimate extracted | NR | No studies |
Confidence in the decision made Shared decision‐making (all components) vs control | no estimate extracted | NR | No studies |
Knowledge of all the options Shared decision‐making (all components) vs control | RR 1.18 [0.61, 2.28] | 1 study · 133 participants | Very low Downgraded: imprecision |
Adherence to the chosen option Shared decision‐making (all components) vs control | no estimate extracted | NR | No studies |
Choice of an option aligned with each woman’s values and preferences Shared decision‐making (all components) vs control | no estimate extracted | NR | No studies |
Woman's involvement Shared decision‐making (all components) vs control | no estimate extracted | NR | No studies |
Mental health outcomes Shared decision‐making (all components) vs control | no estimate extracted | NR | No studies |
Some components of shared decision‐making, including clarification of values and preferences, versus control
Population: women aged 38 to 71 years at average to moderate risk of breast cancer
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Satisfaction with the decision‐making process Some components of shared decision‐making, including clarification of values and preferences, vs control | no estimate extracted | NR | No studies |
Confidence in the decision made Some components of shared decision‐making, including clarification of values and preferences, vs control | no estimate extracted | 4 studies · 1714 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Knowledge of all the options Some components of shared decision‐making, including clarification of values and preferences, vs control | no estimate extracted | 5 studies · 2114 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Adherence to the chosen option Some components of shared decision‐making, including clarification of values and preferences, vs control | no estimate extracted | NR | No studies |
Choice of an option aligned with each woman’s values and preferences Some components of shared decision‐making, including clarification of values and preferences, vs control | no estimate extracted | NR | No studies |
Woman's involvement Some components of shared decision‐making, including clarification of values and preferences, vs control | no estimate extracted | NR | No studies |
Mental health outcomes Some components of shared decision‐making, including clarification of values and preferences, vs control | MD 0.54 | 2 studies · 749 participants | Low Downgraded: risk of bias, imprecision |
Studies focused only on enhanced communication, without clarification of values and preferences, versus control
Population: women aged 40 to 75 years old at average to moderate risk of breast cancer
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Satisfaction with the decision‐making process Studies focused only on enhanced communication, without clarification of values and preferences, vs control | no estimate extracted | NR | No studies |
Confidence in the decision made Studies focused only on enhanced communication, without clarification of values and preferences, vs control | MD 2.89 | 2 studies · 1191 participants | Low Downgraded: inconsistency |
Knowledge of all the options*** Studies focused only on enhanced communication, without clarification of values and preferences, vs control | MD 1.14 [0.61, 1.62] | 4 studies · 2510 participants | High |
Adherence to the chosen option Studies focused only on enhanced communication, without clarification of values and preferences, vs control | no estimate extracted | NR | No studies |
Choice of an option aligned with each woman’s values and preferences Studies focused only on enhanced communication, without clarification of values and preferences, vs control | no estimate extracted | NR | No studies |
Woman's involvement Studies focused only on enhanced communication, without clarification of values and preferences, vs control | no estimate extracted | NR | No studies |
Mental health outcomes Studies focused only on enhanced communication, without clarification of values and preferences, vs control | MD 0.33 | 2 studies · 1193 participants | High |