Physicians ’ Responsibilities in Shared Decision Making for Lung Cancer Screening—Reply

In Reply We thank De Allie and colleagues for their comments on our article. We agree that many primary care physicians (PCPs) lack skills in shared decision making (SDM), particularly SDM using decision aids. This lack should be ameliorated by incorporation of education on decision aids into undergraduate, postgraduate, and continuing medical education. Formal SDM with decision aids is one method to promote patient-centered medicine, as are good listening skills and sufficient time budgeted for clinical encounters to create space for patients to express their values and preferences.
Source: JAMA Internal Medicine - Category: Internal Medicine Source Type: research

Related Links:

There are a few key factors that predict which individuals who have smoked...Read more on AuntMinnie.comRelated Reading: Can radiomics improve CT lung cancer screening? AI aids classification of indeterminate lung nodules Education affects follow-up for CT lung screening exams Google AI accurately assesses CT lung screening scans Is shared decision-making CT lung screening's Trojan horse?
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
Abstract BACKGROUND: Decisions about lung cancer screening are inherently complex and create a need for methods to convey the risks and benefits of screening to patients. RESEARCH QUESTION: What kind of decision aids or tools are available to support shared-decision making for lung cancer screening? What is the current evidence for the effectiveness, acceptability and feasibility of those tools? STUDY DESIGN: and Methods: We conducted a systematic review of studies and searched PubMed, MEDLINE, EMBASE, Cochrane Clinical Trials Register and ClinicalTrials.gov from inception to December 2019 for studies th...
Source: Chest - Category: Respiratory Medicine Authors: Tags: Chest Source Type: research
CONCLUSIONS: Lung cancer screening represents an evidence-based approach for reducing lung cancer morbidity and mortality among chronic high frequency smokers. Culturally targeting evidence-based lung cancer screening decision-aids to the language, cultural and health literacy needs of high risk populations may increase uptake of lung cancer early detection screening. PMID: 32605737 [PubMed - as supplied by publisher]
Source: Journal of the National Medical Association - Category: General Medicine Tags: J Natl Med Assoc Source Type: research
CONCLUSION: DNA methylation-based biomarkers in plasma and urine could be useful as an adjunct to CT screening to guide decision-making regarding further invasive procedures in patients with pulmonary nodules. PMID: 32430478 [PubMed - as supplied by publisher]
Source: Clinical Cancer Research - Category: Cancer & Oncology Authors: Tags: Clin Cancer Res Source Type: research
.
Source: AIDS Care - Category: Infectious Diseases Authors: Source Type: research
An artificial intelligence (AI) algorithm can categorize indeterminate lung...Read more on AuntMinnie.comRelated Reading: Can lung cancer screening uptake be improved? CT lung screening risk models optimize nodule management Findings from NELSON trial affirm benefits of CT lung screening AI spots heart disease on CT lung screening exams Deep-learning algorithm bolsters lung cancer detection
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
Authors: Ceccarelli M, Venanzi Rullo E, Marino MA, d'Aleo F, Pellicanò GF, D'Andrea F, Marino A, Cacopardo B, Celesia BM, La Rocca G, Di Rosa M, Condorelli F, Berretta M, Nunnari G Abstract The increasing incidence of chronic pathologies and especially non-AIDS defining cancers, such as lung cancer, hepatocellular carcinoma, breast cancer, colorectal cancer, prostate cancer, and Hodgkin's lymphoma after the introduction of combined antiretroviral therapy requires the infectious diseases specialist to know how and when to suspect and diagnose cancer in people living with HIV. The aim of this review is to prov...
Source: European Review for Medical and Pharmacological Sciences - Category: Drugs & Pharmacology Tags: Eur Rev Med Pharmacol Sci Source Type: research
Hovione Technology’s 8Shot Dry Powder Inhaler (DPI) has earned the Red Dot 2020 Product Design Award in the Healthcare Daily Living AIDS category. João Ventura Fernandes, PhD, director of technology development and licensing for Hovione Technology Ltd., told MD+DI that 8Shot “was developed to be the world’s first 8-dose, factory-filled dry powder inhaler device enabling effective and safe drug delivery to the lungs of a range of drugs expected to be developed and reach the market during the next years." It is targeted for "delivery of new pharma...
Source: MDDI - Category: Medical Devices Authors: Tags: Design Source Type: news
Synchronous multiple primary lung cancers (sMPLC) are rare forms of lung cancer, and their diagnosis remains as a significant challenge. Distinguishing sMPLC from advanced disease is important as their prognos...
Source: BMC Pulmonary Medicine - Category: Respiratory Medicine Authors: Tags: Case report Source Type: research
Abstract INTRODUCTION: The prevalence and burden of age-related non-AIDS comorbidities (NACM) is poorly characterized among women living with HIV (WLWH). METHODS: Virologically-suppressed WLWH and HIV-seronegative participants followed in the Women's Interagency HIV Study (WIHS) through ≥2009 (when>80% WLWH used antiretroviral therapy) were included, with outcomes measured through 3/31/2018. Covariates, NACM number and prevalence were summarized at most recent WIHS visit. We used linear regression models to determine NACM burden by HIV serostatus and age. RESULTS: Among 3232 women (2309 WLWH, 923 H...
Source: Clinical Lung Cancer - Category: Cancer & Oncology Authors: Tags: Clin Infect Dis Source Type: research
More News: Cancer | Cancer & Oncology | Continuing Medical Education | Education | HIV AIDS | Internal Medicine | Lung Cancer | Primary Care | Universities & Medical Training