Shared Decision-Making for Multi-Cancer Early Detection
In the third video of this series, PA Sarah Enslin focuses on patient preferences and shared decision-making around multi-cancer early detection (MCED) testing. She discusses what we know about patient attitudes toward cancer screening broadly, and MCED specifically, noting that many patients express strong interest in tests that are accurate, minimally invasive, and done with their primary care team.
PA Enslin also addresses screening anxiety and outlines how clear communication, patient education, and a shared plan for next steps can help patients feel supported throughout the testing process.
Key Takeaways:
- Patients prefer screening that is convenient, requires minimal preparation, and is done with their primary care team.
- Shared-decision making is a critical component of any medical intervention including screening.
- Screening anxiety is real but can be mitigated with empathetic communication and a clear, shared plan.
Speaker
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References and Additional Resources:
Gelhorn H, Ross MM, Kansal AR, et al. Patient preferences for multi-cancer early detection (MCED) screening tests. Patient. 2022;16(1):43-56. https://pmc.ncbi.nlm.nih.gov/articles/PMC9813037/
Hoffman RM, Wolf AMD, Raoof S, et al. Multicancer early detection testing: guidance for primary care discussions with patients. Cancer. 2025;131(7):e35823. https://pmc.ncbi.nlm.nih.gov/articles/PMC11962340/
Myers RE, Hallman MH, Shimada A, et al. Primary care patient interest in multi-cancer early detection for cancer screening. J Pers Med. 2023;13(11):1613. https://pubmed.ncbi.nlm.nih.gov/38003928/
Nadauld L, McDonnell CH 3rd, Dilaveri CA, et al. Psychosocial impact associated with a multicancer early detection test (PATHFINDER): a prospective, multicentre, cohort study. Lancet Oncol. 2025;26(2):165-174. https://pubmed.ncbi.nlm.nih.gov/39818231/
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