{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T22:53:15Z","timestamp":1785883995059,"version":"3.56.0"},"reference-count":90,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Colon Rectal Surg"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Low rectal cancer is surgically managed with one of two primary procedures: low anterior resection (LAR) or abdominoperineal resection (APR). Each procedure has a unique profile of potential complications, oncologic outcomes, and quality-of-life impacts. The acceptability of these outcomes is highly driven by patient values. Consequently, shared decision-making is essential to selecting the optimal procedure for each patient. Evidence has shown that patient decision aids (PtDAs) improve patient knowledge, reduce decisional conflict, and support value-congruent decisions. This review describes the development of a rectal cancer PtDA for the choice between LAR and APR. This PtDA was designed according to the International Patient Decision Aid Standards and Ottawa Decision Support Framework. Evaluation of this rectal cancer PtDA demonstrated increased patient knowledge, reduced decisional conflict, and enhanced patient preparedness for decision-making. Despite strong evidence for their utility, PtDAs remain underutilized. This review highlights key barriers in implementing PtDAs and proposes strategies to facilitate the effective integration of PtDAs into surgical practice.<\/jats:p>","DOI":"10.1055\/a-2760-7307","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T00:04:56Z","timestamp":1766534696000},"page":"348-356","source":"Crossref","is-referenced-by-count":0,"title":["Shared Decision-Making in the Surgical Management of Rectal Cancer: Comparing Low Anterior Resection and Abdominoperineal Resection Using a Patient Decision Aid"],"prefix":"10.1055","volume":"39","author":[{"given":"Kala","family":"Hickey","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada"},{"name":"Faculty of Medicine, The University of Ottawa, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Ivankovic","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada"},{"name":"Faculty of Medicine, The University of Ottawa, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Boushey","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, The University of Ottawa, Ottawa, Ontario, Canada"},{"name":"Endoscopy Division, Ottawa Gastrointestinal Institute, Ottawa, Ontario, Canada"},{"name":"Department of Clinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameer S.","family":"Apte","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada"},{"name":"Faculty of Medicine, The University of Ottawa, Ottawa, Ontario, Canada"},{"name":"Endoscopy Division, Ottawa Gastrointestinal Institute, Ottawa, Ontario, Canada"},{"name":"Department of Clinical Epidemiology, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,12,23]]},"reference":[{"issue":"01","key":"ref1","first-page":"12","article-title":"Cancer statistics, 2024","volume":"74","author":"R L Siegel","year":"2024","journal-title":"CA Cancer J Clin"},{"issue":"09","key":"ref2","doi-asserted-by":"crossref","first-page":"1191","DOI":"10.1097\/DCR.0000000000001762","article-title":"The American Society of Colon and Rectal Surgeons clinical practice guidelines for the management of rectal cancer","volume":"63","author":"Y N You","year":"2020","journal-title":"Dis Colon Rectum"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1007\/s11605-018-4014-4","article-title":"Long-term outcomes after surgery involving the pelvic floor in rectal cancer: physical activity, quality of life, and health status","volume":"23","author":"T Ko\u00ebter","year":"2019","journal-title":"J 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