IMPORTANCE OF DECISION QUALITY IN BREAST CANCER CARE

Background: In breast cancer, treatment decisions are challenging as patients, their families and providers need to sort through an ever expanding array of options for surgery, radiation, reconstruction and systemic therapy. Objective: To describe efficacy and effectiveness of interventions designed to improve decision quality in breast cancer care. Methods: We describe the competencies required of providers and patients to engage in shared decision making, and then present interventions and metrics that have been shown to improve the quality of medical treatmen