ObjectiveTo summarize the application of decision-making support tools in the screening and treatment stages of colorectal cancer, as well as the influencing factors for the effective implementation of shared decision-making, in order to provide references for optimizing the comprehensive management model of colorectal cancer, formulating personalized doctor-patient communication strategies, and improving the shared decision-making support system. MethodsA systematic search was conducted in Chinese and English databases for relevant literature on the application of shared decision-making in colorectal cancer patients, followed by a summary and analysis. ResultsShared decision-making can improve patient satisfaction with decision-making and treatment adherence, as well as enhance the doctor-patient relationship. Decision-making support tools demonstrate good efficacy across all stages of colorectal cancer screening and treatment; however, numerous factors influence their effective implementation, necessitating further optimization based on patient characteristics and clinical circumstances. ConclusionShared decision-making is an important model for the comprehensive management of colorectal cancer. Future efforts should focus on enhancing healthcare providers' communication skills, developing personalized decision-making tools, and addressing patients' psychological and economic needs to promote the widespread adoption of shared decision-making.
This article explores the application and research progress of shared decision-making (SDM) tools in ultra-early vascular recanalization therapy for ischemic stroke, focusing on analyzing the functional characteristics and advantages and disadvantages of various tools. Based on functional goals, SDM tools can be divided into four categories: brief decision aids, risk communication tools, patient information tools, and prognosis assessment tools. These tools can assist patients and doctors in making informed treatment decisions quickly in time-sensitive situations, providing a reference for optimizing stroke revascularization treatment. Additionally, SDM tools can facilitate communication between doctors and patients, enabling patients to better understand the risks and benefits of treatment options, leading to choices more aligned with personal preferences and values. Through an in-depth study of these SDM tools, it is expected to improve the diagnostic and treatment efficiency for stroke patients, reduce decision conflicts, promote collaboration between doctors and patients, and provide new ideas and methods for stroke treatment and management.
