IMPORTANCE OF SHARED
DECISION MAKING FOR CRC
SCREENING
A collaborative process that allows patients and healthcare providers to make a decision together that accounts for the best scientific evidence available as well as the values and preferences of the patient."
- ROBERT J. VOLK, PHD, ET AL.
Reference: Volk RJ, Leal VB, Jacobs LE, et al. From Guideline to Practice: New Shared Decision-Making Tools for Colorectal Cancer Screening from the American Cancer Society. CA Cancer J Clin. 2018;68(4):246-249.
HOW DOES SHARED DECISION MAKING APPLY TO CRC SCREENING?
Each patient values different attributes of CRC screening options which affects preference
Provider recommendation plays key role in choice of test and uptake of screening
Provider helps patient weigh importance of test attributes and medical considerations to select best test on an individual basis
Reference: Volk RJ, Leal VB, Jacobs LE, et al. From Guideline to Practice: New Shared Decision-Making Tools for Colorectal Cancer Screening from the American Cancer Society. CA Cancer J Clin. 2018;68(4):246-249.
GET CRC SCREENING INSIGHTS AND ACTIONABLE IDEAS TO HELP YOUR HEALTH SYSTEM EFFECTIVELY ENGAGE UNSCREENED PATIENTS
WHY IS SHARED DECISION MAKING IMPORTANT FOR CRC SCREENING?
MOTIVATES SCREENING FOLLOW-THROUGH
- Screening intentions are higher among patients offered options in line with preferences1
- Offering test choice has been shown to increase adherence1
REDUCES LIKELIHOOD OF nonadherence
- Patient may not adhere with screening if the test offered is seen as undesirable1
- Nonadherence has a significant financial impact for endoscopy appointments2
- No-show rates of up to 40% have been documented for outpatient colonoscopies2
ALIGNS WITH USPSTF recommendations
- “Regular screening for all adults aged 45 years and older has the potential to save lives.”3,4
- “Discussion with patients may help better identify screening tests that are more likely to be completed.”3
References: 1. Volk RJ, Leal VB, Jacobs LE, etal. From Guideline to Practice: New Shared Decision-Making Tools for Colorectal Cancer Screening from the American Cancer Society. CA Cancer J Clin. 2018;68(4):246-249. 2. Chang JT, Sewell JK, Day, JW.Prevalence and predictors of patient no-shows to outpatient endoscopic procedures scheduled with anesthesia. BMC Gastroenterol. 2015; 15(123). DOI:10.1186/s12876-015-0358-3. 3. Davidson KW, Barry MJ, Mangione CM, et al. Screening for colorectal cancer: US Preventive Services Task Force recommendation statement. JAMA. 2021;325(19):1965-1977. 4. Wolf AMD, Fontham ETH, Church TR, et al. Colorectal cancer screening for average-risk adults: 2018 guideline update from the American Cancer Society. CA Cancer JC/in. 2018;68(4):250-281.
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