Shared Decision Making in Gastroenterology: Challenges and Opportunities

Mayo Clin Proc Innov Qual Outcomes. 2020 Mar 9;4(2):183-189.

doi: 10.1016/j.mayocpiqo.2019.11.003. eCollection 2020 Apr.

Jean C Fox 1, Ellen A Lipstein 2


Author information

1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.

2Department of Pediatrics, University of Cincinnati College of Medicine, James M. Anderson Center for Health Systems Excellence, and Cincinnati Children's Hospital Medical Center, OH.


This article reviews the current uses of shared decision making in gastroenterology and discusses additional areas of opportunity for shared decision making, especially in the area of functional gastrointestinal disorders. PubMed, MEDLINE, and Cochrane library databases were searched for articles published during a 10-year period from January 1, 2007, through December 31, 2017. Search terms included shared decision making and gastroenterology, shared decision making in gastrointestinal disease, shared decision making in functional GI disorders, and shared decision making and irritable bowel syndrome. Studies were not included in this review when a health care professional other than a gastroenterologist was involved, eg, an article that reported shared decision making regarding the use of radiation therapy in a patient with advanced rectal cancer in which the health care professional helping to make the decision was an oncologist.

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