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  • Jul 30, 2018
    Improving Breast Cancer Surgical Treatment Decision Making: The iCanDecide Randomized Clinical Trial

    This randomized study was conducted in 537 patients from 22 surgical practices, randomly assigned online to the iCanDecide interactive and tailored Web site (intervention) or the iCanDecide static Web site (control). The aim was to determine the effect of iCanDecide, an interactive and tailored breast cancer treatment decision tool, on the rate of high-quality patient decisions—both informed and values concordant—regarding locoregional breast cancer treatment and on patient appraisal of decision making. The tailored and interactive iCanDecide Web site, which focused on knowledge building and values clarification, positively affected high-quality decisions largely by improving knowledge compared with static online information.

    Harnessing available technology to improve oncology outcomes is a largely untapped avenue for clinical research and/or commercial enterprise. Decision making tools such as iCanDecide will become increasingly common in the next decade in a nationwide and global effort to bring quality control to diverse clinical settings. Experiences such as this study will serve to advance this aspect of oncology care. 

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    Journal & Date: JCO, 2018
    Key Institution: Multicenter
    Keywords: Clinical decision making, breast cancer, oncologic surgery, technology, patient decision making, patient centered care

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