{
  "abstract": "Background Decision-making in non-small cell lung cancer (NSCLC) is complex and value-sensitive. A shared decision-making (SDM) approach is desirable to effectively weigh clinical considerations and patient preferences. However, implementing effective SDM remains challenging.Objectives This study explores the perspectives of patients with NSCLC and clinicians regarding SDM, identifying barriers and facilitators.Methods Two surveys were conducted: one with Dutch patients (n=116) and another with Dutch clinicians (n=143). The patient survey included demographics, treatment knowledge, information provision, decisional conflict scale and SDM. The clinician survey included demographics, patient information provision, treatment preferences (surgery vs radiation) using a 7-point Likert scale for five hypothetical cases, and SDM.Results Patients lacked knowledge about the advantages and disadvantages of different treatment options, especially regarding radiotherapy for early-stage NSCLC. 85% of patients and 70% of clinicians believed the final treatment decision should be made collaboratively. However, 69% of patients reported not being offered a choice of treatment options. Preferences varied significantly among specialties (p<0.01) in three out of five hypothetical cases.Discussion This study underscores the importance of SDM in NSCLC treatment, revealing gaps in patient knowledge, clinician SDM skills and information provision.Conclusions Significant discrepancies between patient and clinician perspectives, along with variation in treatment approaches, highlight the need for more personalised, patient-centred care, such as information portals and decision aids, in clinical practice.",
  "authors": [
    {
      "affiliations": [
        "Respiratory Medicine, Erasmus University Medical Center, Rotterdam, Netherlands",
        "Public Health, Erasmus Universitair Medisch Centrum, Rotterdam, Netherlands"
      ],
      "name": "Jente Myriam Klok"
    },
    {
      "affiliations": [
        "Public Health, Erasmus Universitair Medisch Centrum, Rotterdam, Netherlands"
      ],
      "name": "David van Klaveren"
    },
    {
      "affiliations": [
        "Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, Netherlands"
      ],
      "name": "Saya Abdullah"
    },
    {
      "affiliations": [
        "Respiratory Medicine, Erasmus University Medical Center, Rotterdam, Netherlands"
      ],
      "name": "Joachim G J V Aerts"
    },
    {
      "affiliations": [
        "Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, Netherlands"
      ],
      "name": "Edris A F Mahtab"
    },
    {
      "affiliations": [
        "Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, Netherlands"
      ],
      "name": "Johanna J M Takkenberg"
    }
  ],
  "title": "Shared decision-making in the treatment of non-small cell lung cancer stage I–IV: perspectives from patients and clinicians",
  "uid": "7c32c397-8774-5b72-b065-a852ccd4723f"
}