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Shared Decision Making

All articles tagged with #shared decision making

Rethinking Routine Tests for Seniors: 7 Procedures to Question After 65
health12 days ago

Rethinking Routine Tests for Seniors: 7 Procedures to Question After 65

Seniors often receive tests and treatments that offer little benefit and can cause harm or waste, per USPSTF, the American Geriatrics Society, and Choosing Wisely. The article highlights seven examples (colonoscopies after 75, PSA testing after 70, mammograms after 75, Pap smears after 65, antibiotics for asymptomatic UTIs, removal of actinic keratoses, and long‑term levothyroxine for subclinical hypothyroidism) and urges patients to ask two questions before any test: what happens if we skip it, and is the benefit worth the risk at my age, while noting Medicare costs and the need for personalized decisions.

via Money Talks News|
#aging#health#healthcare
PSA screening cuts prostate cancer deaths but benefits are modest and risks exist
health19 days ago

PSA screening cuts prostate cancer deaths but benefits are modest and risks exist

A large Cochrane review of six PSA screening trials (nearly 800,000 men) finds PSA testing can reduce prostate cancer deaths, but the absolute benefit is small (about 2 lives saved per 1,000 screened; 500 men need screening to prevent one death). Benefits emerge only with long follow-up, while many men face overdiagnosis and potential harms from treatment, such as incontinence or erectile dysfunction. The authors caution against universal screening and emphasize shared decision making, with targeted approaches for high-risk groups and ongoing development of MRI- and biomarker–based methods whose extra benefit remains uncertain.

via The Guardian|
#health#overdiagnosis#prostate-cancer
Preparing for the End: A Model for Dying With Dignity
health3 months ago

Preparing for the End: A Model for Dying With Dignity

NYT profile of Brian Cahill, a 58-year-old with metastatic prostate cancer who reorganizes his life around care, planning, and relationships. He builds a supportive circle for medical decisions, relocates from NYC to Cincinnati for affordable hospice care, and even considers a temporary drug holiday to regain energy and autonomy. The piece frames a “good death” as one shaped by preparation, connection, and living fully within limited time, using his experiences as a blueprint for dying with dignity.

via The New York Times|
#caregiving#end-of-life#health
Vaccination Policy Under 'Shared Decision-Making' Sparks Debate
health4 months ago

Vaccination Policy Under 'Shared Decision-Making' Sparks Debate

STAT argues that federal use of 'shared decision-making' in vaccine guidance risks misrepresenting the strength of evidence, shifting emphasis to individual choice in matters of public health, and undermining trust. Experts say SDM is about clinician-patient collaboration informed by evidence, not a license to downplay clearly beneficial vaccines; the language echoes past policy shifts (e.g., 'should' vs 'may') and could influence state rule-making and vaccination uptake.

via statnews.com|
#health#immunization#informed-consent
CDC Updates COVID Vaccine Guidelines and Recommendations
health7 months ago

CDC Updates COVID Vaccine Guidelines and Recommendations

Most Americans with health insurance will still get COVID-19 vaccines at no cost, despite CDC's new recommendation requiring shared clinical decision-making, which introduces some ambiguity about coverage obligations. Major insurers have committed to covering recommended vaccines at no cost through 2026, but some insurers may argue they are not required to cover vaccines not explicitly recommended by the CDC, especially under shared decision-making guidelines. Medicaid will continue to cover vaccines at no cost, but changes are expected for other vaccines like MMRV for children.

via CNN|
#cdc#covid-19-vaccines#health
RSV Vaccines: A Market Battle for Prevention and Sales Dominance
health2 years ago

RSV Vaccines: A Market Battle for Prevention and Sales Dominance

The Centers for Disease Control and Prevention (CDC) has issued guidance on two newly approved respiratory syncytial virus (RSV) vaccines for adults aged 60 and older. RSV is a common cause of respiratory illness in older adults, leading to hospitalizations and deaths. The vaccines have shown moderate to high effectiveness in preventing symptomatic RSV-associated lower respiratory tract disease. However, there have been reported cases of inflammatory neurologic events following vaccination, and further research is needed to determine any potential risks. The CDC recommends that older adults at highest risk for severe RSV and those most likely to benefit from the vaccines should be targeted. Individuals with certain medical conditions and compromised immunity are at higher risk for RSV-associated hospitalization. Vaccinations should ideally be given before the start of the RSV season, but the timing has been disrupted by the COVID-19 pandemic.

via Medscape|
#adults#cdc-guidance#health
"Maintaining Strong Bones Across All Ages"
healthcare3 years ago

"Maintaining Strong Bones Across All Ages"

Geriatric healthcare providers should follow the "Geriatric 5Ms" (mobility, medications, mind, multicomplexity, and matters most) to manage patients with osteoporosis. This includes fall risk assessment, medication management, and considering the patient's medical complexity and preferences. Shared decision-making can help patients understand the risks and benefits of treatment. Exercise programs can also help reduce fear of falling and social isolation. Clinicians should address vision problems, psychotropic drugs, and heart rate and rhythm abnormalities, and suggest modifications to the home environment to prevent falls.

via Medscape|
#fall-prevention#geriatric-care#healthcare