The effects of shared decision-making compared to usual care for prostate cancer screening decisions: a systematic review and meta-analysis.

ABSTRACT:

Background

Shared decision-making (SDM) is recommended for men facing prostate cancer (PC) screening decisions. We synthesize the evidence on the comparative effectiveness of SDM with usual care.

Methods

We searched academic and grey literature databases, and other sources for primary randomised controlled trials (RCTs) published in English comparing SDM to usual care and conducted in primary and specialised care. We assessed the individual study risk of bias, and calculated the study-specific and pooled relative risks (RR) or standardised mean differences (SMD) [with 95% confidence intervals (CI)] to perform random-effects meta-analyses for SDM-related and patient outcomes.

Results

Four RCTs comparing SDM to usual care, involving 1760 men, were included. SDM improved

SUBMITTER: Martinez-Gonzalez NA 

PROVIDER: S-EPMC6196568 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature