, Volume 28, Issue 5, p 706
Date: 01 Feb 2013

Capsule Commentary on Livaudais, et al., Breast Cancer Treatment Decision-Making: Are We Asking Too Much of Patients?

This is an excerpt from the content

Shared decision-making is an increasingly emphasized goal of medicine. While accepted as an aphorism, there are possible negative consequences. The descriptive study by Livaudis et al. explores the consequences of decision making responsibility among women with breast cancer on decision regret; women reporting ‘too much’ responsibility had three-fold greater regret regarding their decision1. Perhaps contributing to this is that women with regret reported insufficient knowledge of treatment benefit. This is similar to findings in another study in which, seven months after surgical intervention, women who preferred more or less decision making responsibility were more regretful.2 It is unclear from either study whether the feelings of regret would change over time.

It is troubling that nearly half of women, regardless of desired degree of decision responsibility, reported occasional or frequent problems understanding written information. Many women also reported insufficient knowledge of