Shared Decision Making Annotated Bibliography

Uninformed Compliance or Informed Choice? A Needed Shift in our Approach to Cancer Screening

Stefanek ME. Uninformed compliance or informed choice? A needed shift in our approach to cancer screening. J Natl Cancer Inst. 2011;103:1-6.

This commentary article criticizes the current practice in health care to conduct cancer screening without first informing patients about the benefits and harms of screening tests. Stefanek believes that the lack of transparent presentation of data about known harms and benefits has resulted in a bias towards screening and an inflated view of how much the reduction in cancer mortality can be attributed to cancer screening overall. Stefanek proposes that effort should be refocused on educating rather than persuading the public.

Read the abstract.

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