{"id":50002,"date":"2021-03-10T11:17:42","date_gmt":"2021-03-10T16:17:42","guid":{"rendered":"https:\/\/www.med.unc.edu\/medicine\/?p=50002"},"modified":"2023-06-06T18:07:07","modified_gmt":"2023-06-06T22:07:07","slug":"experts-recommend-shared-decision-making-prior-to-lung-cancer-screening","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/medicine\/news\/experts-recommend-shared-decision-making-prior-to-lung-cancer-screening\/","title":{"rendered":"Experts Recommend Shared Decision-Making Prior to Lung Cancer Screening"},"content":{"rendered":"<figure id=\"attachment_6978\" class=\"thumbnail wp-caption alignright\" style=\"width: 310px\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6978\" src=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2018\/12\/Reuland-Dan-300x300.jpeg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2018\/12\/Reuland-Dan-300x300.jpeg 300w, https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2018\/12\/Reuland-Dan-150x150.jpeg 150w, https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2018\/12\/Reuland-Dan-768x768.jpeg 768w, https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2018\/12\/Reuland-Dan-600x600.jpeg 600w, https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2018\/12\/Reuland-Dan-301x301.jpeg 301w, https:\/\/www.med.unc.edu\/medicine\/wp-content\/uploads\/sites\/945\/2018\/12\/Reuland-Dan.jpeg 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption class=\"caption wp-caption-text\">Dan Reuland, MD, MPH<\/figcaption><\/figure>\n<p>In a viewpoint perspective published in\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2777249\">JAMA<\/a>\u00a0on March 9, 2021, a University of North Carolina Lineberger Comprehensive Cancer Center researcher and two other experts endorsed the Center for Medicare &amp; Medicaid Services\u2019 (CMS) requirement for a patient and their doctor to engage in a shared discussion of benefits and harms before proceeding with a low-dose spiral computed tomography (LDCT) scan as a method for preventing lung cancer death. An accompanying evidence report detailed the benefits and harms from screening, suggesting that shared decision-making between a patient and their health care professional is crucial in ensuring screening is used optimally and with fully informed consent.<\/p>\n<p>\u201cIn our view, CMS should continue to require, as well as pay for, shared decision-making, including associated tobacco counseling, for people being considered for annual lung cancer screening because having yearly CT screening is a consequential decision,\u201d said\u00a0<a href=\"https:\/\/unclineberger.org\/directory\/daniel-s-reuland\/\">Daniel Reuland, MD, MPH<\/a>, one of the review authors, a member of the UNC Lineberger Comprehensive Cancer Center, and a professor in the division of General Medicine and Clinical Epidemiology at UNC School of Medicine. \u201cPatients should understand the benefits, harms and costs involved, and their values and preferences should be considered. Because the decision-making process can be time-consuming, we also think shared decision-making could be done by trained, non-physician staff.\u201d<\/p>\n<p>Read more from <a href=\"https:\/\/unclineberger.org\/news\/experts-recommend-shared-decision-making-between-patient-and-doctor-prior-to-lung-cancer-screening\/\">UNC Lineberger<\/a>.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In a viewpoint perspective published in\u00a0JAMA\u00a0on March 9, 2021, a University of North Carolina Lineberger Comprehensive Cancer Center researcher and two other experts endorsed the Center for Medicare &amp; Medicaid Services\u2019 (CMS) requirement for a patient and their doctor to engage in a shared discussion of benefits and harms before proceeding with a low-dose spiral &hellip; <a href=\"https:\/\/www.med.unc.edu\/medicine\/news\/experts-recommend-shared-decision-making-prior-to-lung-cancer-screening\/\" aria-label=\"Read more about Experts Recommend Shared Decision-Making Prior to Lung Cancer Screening\">Read more<\/a><\/p>\n","protected":false},"author":69419,"featured_media":4487,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[99,2],"tags":[630],"class_list":["post-50002","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-geriatric-medicine","category-news","tag-630","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Experts Recommend Shared Decision-Making Prior to Lung Cancer Screening | Department of Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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