Rationale and proposed framework for shared decision making in cardio-oncology
- Resource Type
- Authors
- Erica S. Spatz; Lauren A. Baldassarre; Sarah C. Hull; Aaron Soufer
- Source
- Cardio-Oncology, Vol 7, Iss 1, Pp 1-5 (2021)
Cardio-oncology
- Subject
- Ethics
Medical education
Process (engineering)
media_common.quotation_subject
Perspective (graphical)
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Context (language use)
Review
General Medicine
Clinical Practice
Multidisciplinary approach
RC666-701
Diseases of the circulatory (Cardiovascular) system
Cardio oncology
Psychology
Duty
Autonomy
Shared decision making
RC254-282
media_common
- Language
- English
- ISSN
- 2057-3804
Physicians have a duty to present diagnostic and therapeutic choices with rational guidance that respects patient values and realizes patient goals. In cardio-oncology, we commonly encounter patients who understandably feel overwhelmed or feel that they have no favorable options, particularly in the context of advanced malignancy. Accordingly, a longitudinal multidisciplinary commitment to shared decision making (SDM) ensures that physicians and patients actively participate in this process to promote the best possible outcomes from the patient perspective. We propose a practical framework for approaching these difficult decisions in cardio-oncology drawing upon our experience in clinical practice.