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Systematic review
Transmitting risk effectively in studies is feasible, but insufficient for shared decision-making
  1. Claudia Zeballos-Palacios,
  2. Ian Hargraves,
  3. Victor M Montori
  1. Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, Minnesota, USA
  1. Correspondence to: Dr Victor M Montori, Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN 55905, USA; Montori.Victor{at}

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Shared decision-making is a collaboration between patients and clinical health professionals. It is a conversation about their unique health situation in which they form preferences and make informed healthcare decisions. To improve this decision-making process, the Institute of Medicine recommended development and implementation of high-quality communication tools that match the mathematic abilities of patients and clinicians, which are often limited.1 The aim of this systematic review was to evaluate the comparative effectiveness of methods of communicating probabilistic risk information to patients.


The systematic review included cross-sectional and longitudinal studies published in English that recruited patients or healthy volunteers and compared any method of communicating probabilistic information with another method. No limits were placed on location, study size, duration or on the nature …

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