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A systematic review of decision aids for mammography screening: Focus on outcomes and characteristics
International Journal of Medical Informatics ( IF 4.9 ) Pub Date : 2021-02-18 , DOI: 10.1016/j.ijmedinf.2021.104406
Marzieh Esmaeili 1 , Seyed Mohammad Ayyoubzadeh 1 , Zohreh Javanmard 2 , Sharareh R Niakan Kalhori 3
Affiliation  

Purpose

Decision Aid systems (DAs) provide information on the pros and cons of mammography. This study aimed to review the research on mammography DAs, synthesize the findings related to their outcomes and characteristics, and address the existed research gap.

Methods

Relevant studies were identified through a comprehensive search on some e-databases, including PubMed, EMBASE, Scopus, and Web of Science in August 2020; by searching the keywords of “Breast cancer”, “Screening”, and “Decision aid systems” as well as their synonyms in the titles and abstracts of the papers with no time limits. Among the selected English journal papers with the interventional study design, those measuring outcome values of using mammography DAs were recognized as eligible for being included in this review.

Results

The systematic search results in 16 DAs regarding mammography that were designed and then evaluated from 18 selected studies. The results showed that DAs provide improvements in knowledge and informed choice, the decreased decisional conflicts and decisional confidence, almost without changing any attitude towards mammography, mammography participation rates, psychological issues, anticipated regret, and perceived risk of breast cancer. The DAs' effects on women’s inclination to screening were divergent. In other words, the DAs affect individuals’ inclination in rare cases; however, on occasion, they could affect women’s decision to undergo screening.

Conclusion

DAs could correct the bias attached to the existing knowledge on mammography and breast cancer in women so that they are more likely to make a precise decision. Additionally, it might be of central importance in shared decision-making and assisting health providers, in order to promote the quality of care. Accordingly, performing more studies is needed to develop more professional DAs in various countries with different facilities, cultures, and languages.



中文翻译:

乳房X线检查筛查决策辅助的系统评价:关注结果和特征

目的

决策辅助系统(DAs)提供有关乳房X线照相术优缺点的信息。这项研究的目的是回顾乳房X线摄影DA的研究,综合与其结果和特征相关的发现,并解决现有的研究空白。

方法

2020年8月,通过对包括PubMed,EMBASE,Scopus和Web of Science在内的一些电子数据库进行全面搜索,确定了相关研究。通过在没有时间限制的论文标题和摘要中搜索“乳腺癌”,“筛查”和“决策辅助系统”的关键字及其同义词。在选择的具有干预性研究设计的英语期刊论文中,那些测量使用乳腺摄影DA的结局值的论文被认为符合纳入本评价的条件。

结果

系统设计了16项关于乳腺摄影的DA的系统搜索结果,然后从18项选定的研究中进行了评估。结果表明,DA可以提高知识和知情选择的能力,减少决策冲突和决策信心,几乎不会改变对乳房X线照片,乳房X线照片的参与率,心理问题,预期的遗憾和乳腺癌风险的看法。DA对妇女筛查倾向的影响是不同的。换句话说,DA在极少数情况下会影响个人的倾向。但是,有时它们可​​能会影响妇女接受筛查的决定。

结论

DAs可以纠正女性对乳房X线照片和乳腺癌的现有知识所带来的偏见,从而使她们更有可能做出准确的决定。此外,这对于共享决策和协助卫生服务提供者以提高护理质量可能至关重要。因此,需要进行更多的研究,以在具有不同设施,文化和语言的各个国家中开发更多的专业DA。

更新日期:2021-02-25
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