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Guidelines often recommend that clinicians and patients engage in shared decision making when potential benefits and harms of a screening test are closely balanced. But how well is shared decision making actually practiced? In this study, researchers reviewed transcripts of 14 physician–patient encounters during which physicians discussed initiating computed tomography lung cancer screening with patients who were eligible for such screening. Transcripts were coded according to 12 specific domains, such as “explains the pros and cons of options” and “explores the patient's concerns.”
On a 100-point scale, the mean total shared decision-making score for the 14 discussions was only 6. Mean visit length was ≈13 minutes, of which only 1 minute (8…