Skin cancer and shared decision making: Comment on “treatment of nonfatal conditions at the end of life”
Menée sur 1 360 patients atteints d'un cancer de la peau hors mélanome (durée médiane de suivi : 9 ans), cette étude prospective évalue l'utilisation, l'efficacité et les complications de 4 stratégies thérapeutiques (absence de traitement, destruction de la lésion, exérèse elliptique, chirurgie de Mohs) en fonction de l'espérance de vie des patients
Shared decision making between patients and their physicians is optimal for choosing a course of medical care. Decision making is shared because it includes both information from the physician about the medical condition and potential approaches and the perspectives of the patient whose values guide selection among the potential options. Usually, decision making occurs in the context of a conversation between the physician and the patient and optimally includes an iterative series of questions and answers to ensure that the patient understands his or her condition and the upsides and downsides of the treatment choices for him or her to make an informed decision.
JAMA Internal Medicine , commentaire, 2012