Outils d’aide à la décision partagée dans le cadre du dépistage du cancer du sein des femmes à risque moyen : examen de la portée de janvier 1991 à octobre 2018

Abstract : BACKGROUND : In France, the balance benefit-risk of breast cancer screening is under discussion. The 2015 « conférence citoyenne » highlighted the need for patient decision aid (DA) for a proper shared decision making. The french “Mammoclic” project sets up to make this DA. This first study searched for the decision aid tools related to breast cancer screening for woman at average risk existing in the French and English literature. METHOD : Two authors conducted a scoping review from 1991 to 2018, in three sources : scientifics databases (Medline and Cochrane Library), Google and public authorities or scientific societies websites. Decision aids were selected if they explicitely declared themselves as a decision aid for breast cancer screening in women at average risk. Then, DA were analysed with a french translation of the fourth version of the International Patient Decision Aid Standards instrument (IPDASi). RESULTS : Twentynine DA from 1512 references were analysed. Only one DA was French and 5 were in French language. Only one tool was certified. CONCLUSION : No decision aid certified are avalaible for the French program of breast cancer screening. Thus a DA which can support shared decision making will be proposed by the Mammoclic project team in the coming years.
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Master Thesis
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Submitted on : Wednesday, December 19, 2018 - 4:28:24 PM
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Christine Martinaggi, Juliette Pagnier. Outils d’aide à la décision partagée dans le cadre du dépistage du cancer du sein des femmes à risque moyen : examen de la portée de janvier 1991 à octobre 2018. Médecine humaine et pathologie. 2018. ⟨dumas-01961022⟩

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