Shared Decision Making

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Shared Decision Making


Before eligible patients can proceed with their initial screening, there are certain things you – as a physician or qualified non-physician practitioner – are required to discuss with them.* This collaborative process exists to help both parties decide on the appropriateness of screening based on the best available evidence, as well as the patient’s values and preferences.

The conversation must include:

  • The potential benefits of screening (reduced mortality)
  • The potential harms of screening (false positives, follow-up diagnostic procedures, overdiagnosis, radiation exposure)

And counseling on:

  • The importance of adherence to annual LDCT screening for lung cancer
  • For current smokers, the importance of smoking cessation and, if appropriate, providing information about tobacco cessation interventions

*Required by the Center for Medicare and Medicaid Services (CMS)