Decision support tools and autonomy of oncology patients

Authors

Abstract

When facing a life-threatening illness, patients and their families are often confronted with complex
decisions. Decision aids have gained prominence as effective strategies to facilitate shared decisionmaking
among patients, families, and healthcare professionals. In this context, this study aims to analyze
the impact of such tools on oncology patients who are in a terminal phase or receiving palliative care.
A systematic review was conducted following the PRISMA Protocol, using online databases. The study
population totaled over 1,200 patients, and the methods included programs, videos, structured
interviews, and booklets. These resources helped enhance patients’ and caregivers’ understanding and
involvement in decisions regarding palliative care, promoting more effective communication. Therefore,
shared decision-making represents a patient-centered approach, which requires tools that humanize
communication—especially in the context of limited prognoses.

Keywords:

Palliative Care, Shared Decision Making, Medical Oncology, Patient-Centered Care, Palliative care. Decision making, shared. Medical oncology. Patient-centered care.

Author Biographies

Maria Jayne Lira de Araújo, Pesquisadora autônoma, João Pessoa/PB, Brasil.

Maria Jayne Lira de Araújo – Graduada – jayne.lira22@gmail.com
0009-0002-3529-2122

Millena Maria Maciel Pinto, Pesquisadora autônoma, João Pessoa/PB, Brasil.

Millena Maria Maciel Pinto – Graduada – millenamaciel9@hotmail.com
0009-0006-4479-0464

Késsia Karina Alves de Oliveira, Pesquisadora autônoma, João Pessoa/PB, Brasil.

Késsia Karina Alves de Oliveira – Graduada – kessiakarina1@gmail.com
0009-0002-0955-415X

Francimar Alves de Oliveira Neto, Pesquisadora autônoma, João Pessoa/PB, Brasil.

Francimar Alves de Oliveira Neto – Graduado – francimar_90@hotmail.com
0000-0002-5593-3292

Karina Amorin, Faculdade de Medicina Nova Esperança, João Pessoa/PB, Brasil.

Karina Amorim – Especialista – karinapaliativista@gmail.com
0000-0003-1805-259X

Claudio Emmanuel Gonçalves Silva Filho, Faculdade de Medicina Nova Esperança, João Pessoa/PB, Brasil. Faculdade de Medicina da Universidade do Porto, Porto, Portugal.

Claudio Emmanuel Gonçalves da Silva Filho – Doutorando – cegsilvafilho@gmail.com
0000-0002-5519-5023

Vol. 34 (2026): Continuous publication

Published:

2026-11-04

DOI:

https://doi.org/10.1590/1983-803420264243PT

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How to Cite

1.
Jayne Lira de Araújo M, Maciel Pinto MM, Karina Alves de Oliveira K, Alves de Oliveira Neto F, Amorin K, Emmanuel Gonçalves Silva Filho C. Decision support tools and autonomy of oncology patients. Rev. Bioét. [Internet]. 2026 Nov. 4 [cited 2026 Nov. 4];34. Available from: https://revistabioetica.cfm.org.br/revista_bioetica/article/view/4243

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