TY  - JOUR
T1  - INformed choice in cancer screening
AU  - Welch H
Y1  - 2001/06/06
N1  - 10.1001/jama.285.21.2776
JO  - JAMA
SP  - 2776
EP  - 2778
VL  - 285
IS  - 21
N2  - 
I've always known shared decision making involves real work, but recently
the challenge really hit home. A few days after I was invited to write this
editorial, I visited my 80-year-old mother in Colorado. (Note: this is pure
coincidence, both events are rare. . . . ) She had just learned that she had
carotid artery stenosis. She was asymptomatic and was being asked to consider
angiography and possibly surgery. Her physician and I wanted her to make an
informed choice. She asked me to write the relevant information on a single
sheet of paper, so she could read it, think about it, and read it again. I
struggled with the assignment. The primary data source was clear: the ACAS
(Asymptomatic Carotid Atherosclerosis Study)1
and the mortality rate observed in the real world.2

SN  - 0098-7484
M3  - doi: 10.1001/jama.285.21.2776
UR  - http://dx.doi.org/10.1001/jama.285.21.2776
ER  -