Quality of Shared Decision Making in Lung Cancer Screening: The Right Process, With the Right Partners, at the Right Time and Place

Claudia C. Dobler, David E. Midthun, Victor M. Montori

Research output: Contribution to journalComment/debateResearchpeer-review

8 Citations (Scopus)

Abstract

[Extract] When lung cancer screening with
low-dose computed tomography
(LDCT) was added as a Medicare
benefit in 2015, a lung cancer screening counseling and shared decision making (SDM) visit
before the initial screen was made a condition
for reimbursement. It was specified that SDM
should involve the use of decision aids and the
discussion of benefits and harms of proceeding
or not with screening (eg, false-positive findings
leading to unnecessary invasive investigations,
overdiagnosis, and radiation exposure).1 To be
eligible for reimbursement, a clinician (either a
physician or a qualified nonphysician practitioner, eg, a physician assistant, nurse practitioner, or clinical nurse specialist) needs to
conduct the consultation
Original languageEnglish
Pages (from-to)1612-1616
Number of pages5
JournalMayo Clinic Proceedings
Volume92
Issue number11
DOIs
Publication statusPublished - 1 Nov 2017
Externally publishedYes

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Early Detection of Cancer
Lung Neoplasms
Decision Making
Nurse Clinicians
Physician Assistants
Nurse Practitioners
Decision Support Techniques
Counseling
Referral and Consultation
Tomography
Radiation Exposure
Medical Overuse

Cite this

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abstract = "[Extract] When lung cancer screening withlow-dose computed tomography(LDCT) was added as a Medicarebenefit in 2015, a lung cancer screening counseling and shared decision making (SDM) visitbefore the initial screen was made a conditionfor reimbursement. It was specified that SDMshould involve the use of decision aids and thediscussion of benefits and harms of proceedingor not with screening (eg, false-positive findingsleading to unnecessary invasive investigations,overdiagnosis, and radiation exposure).1 To beeligible for reimbursement, a clinician (either aphysician or a qualified nonphysician practitioner, eg, a physician assistant, nurse practitioner, or clinical nurse specialist) needs toconduct the consultation",
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Quality of Shared Decision Making in Lung Cancer Screening : The Right Process, With the Right Partners, at the Right Time and Place. / Dobler, Claudia C.; Midthun, David E.; Montori, Victor M.

In: Mayo Clinic Proceedings, Vol. 92, No. 11, 01.11.2017, p. 1612-1616.

Research output: Contribution to journalComment/debateResearchpeer-review

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