{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T09:27:17Z","timestamp":1786958837951,"version":"build-2736575974"},"reference-count":111,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100011703","name":"Yorkshire Cancer Research","doi-asserted-by":"publisher","award":["HEND405AB"],"award-info":[{"award-number":["HEND405AB"]}],"id":[{"id":"10.13039\/100011703","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Malignant bowel obstruction is a life-threatening condition associated with advanced cancer that causes severe pain, nausea and vomiting. Decision-making requires input from multiple specialities, outcomes are uncertain and clinical communication is challenging. Better understanding of the mechanics of shared decision-making would improve the management of this condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>To investigate behavioural and structural influences on decisional deliberation during the management of malignant bowel obstruction and develop strategies for improved communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A realist review following RAMESES guidelines; protocol registered in PROSPERO (CRD42022308251).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources:<\/jats:title>\n                    <jats:p>Iterative literature searches were conducted from December 2021 to January 2023, with an update search conducted in January 2024. All relevant data sources relating to shared decision-making in the management of malignant bowel obstruction were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Seventy-one papers were included. Realist synthesis led to the development of context-mechanism-outcome configurations in four conceptual areas to explain influences on practitioner, patient and caregiver engagement in shared decision-making: (1) implicit misunderstandings, (2) the nature of the decision, (3) interpersonal dynamics and (4) a fragmented ethos of care. Implicit social mechanisms can affect the transparency of shared decision-making and the value individual decision-makers assign to the process, and motivation to participate is likely to vary as circumstances change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Communication around patients with advanced cancer and malignant bowel obstruction is characterised by ambiguity, unrealistic expectations and a lack of interdisciplinary coordination. Crucial features of effective decisional deliberations include alignment of goals of care, unambiguous explanation of treatment limitations and iterative communication to facilitate the formation of realistic expectations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163261446132","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T05:25:33Z","timestamp":1782278733000},"page":"1105-1124","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Pathways to Optimise Care in malignant bowel obstruction (EPOC): A realist review of shared decision-making with people with advanced cancer and severe symptoms"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0680-2093","authenticated-orcid":false,"given":"Alison","family":"Bravington","sequence":"first","affiliation":[{"name":"Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, UK"},{"name":"Yorkshire Quality and Safety Research Group (YQSR), Bradford Teaching Hospitals NHS Foundation Trust, England, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6204-9158","authenticated-orcid":false,"given":"Miriam","family":"Johnson","sequence":"additional","affiliation":[{"name":"Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3788-6437","authenticated-orcid":false,"given":"Sarah","family":"Greenley","sequence":"additional","affiliation":[{"name":"Hull York Medical School, University of Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9358-1558","authenticated-orcid":false,"given":"Michael","family":"Patterson","sequence":"additional","affiliation":[{"name":"Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5272-3057","authenticated-orcid":false,"given":"Jason W.","family":"Boland","sequence":"additional","affiliation":[{"name":"Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fliss E. M.","family":"Murtagh","sequence":"additional","affiliation":[{"name":"Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Lind","sequence":"additional","affiliation":[{"name":"Hull York Medical School, University of Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7628-7421","authenticated-orcid":false,"given":"Mark","family":"Pearson","sequence":"additional","affiliation":[{"name":"Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2013.1"},{"key":"e_1_3_3_3_2","first-page":"904","volume-title":"Oxford textbook of palliative care","author":"Boland JW","year":"2021","unstructured":"Boland JW, Boland EG. Malignant bowel obstruction. In: Cherry NI, Fallon MT, Kaasa S, et al. (eds) Oxford textbook of palliative care. Oxford university Press, 2021, pp.904\u2013917, 6th ed.","edition":"6"},{"key":"e_1_3_3_4_2","article-title":"Inoperable malignant bowel obstruction: palliative interventions outcomes - mixed-methods systematic review","volume":"13","author":"Patterson M","year":"2024","unstructured":"Patterson M, Greenley S, Ma Y, et al. Inoperable malignant bowel obstruction: palliative interventions outcomes - mixed-methods systematic review. BMJ Support Palliat Care 2024; 13: e515\u2013e527.","journal-title":"BMJ Support Palliat Care"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0289501"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163221122352"},{"key":"e_1_3_3_7_2","unstructured":"NHS England. Shared decision-making https:\/\/www.england.nhs.uk\/personalisedcare\/shared-decision-making\/ (2024 accessed 15 November 2024)."},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X14551638"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X15598529"},{"key":"e_1_3_3_10_2","doi-asserted-by":"crossref","unstructured":"Bot AG Bossen JK Herndon JH et al. Informed shared decision-making and patient satisfaction. Psychosomatics 2014; 55(6): 586\u2013594. https:\/\/doi.org\/10.1016\/j.psym.2013.12.013","DOI":"10.1016\/j.psym.2013.12.013"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-021-01142-y"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.10.015"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2010.01515.x"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-020-01931-y"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0294218"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1258\/1355819054308530"},{"key":"e_1_3_3_17_2","doi-asserted-by":"crossref","unstructured":"Greenhalgh J Manzano A. Understanding \u2018context\u2019 in realist evaluation and synthesis. Int J Soc Res Methodol 2015; 25(5): 583\u2013595. https:\/\/doi.org\/10.1080\/13645579.2021.1918484","DOI":"10.1080\/13645579.2021.1918484"},{"key":"e_1_3_3_18_2","doi-asserted-by":"crossref","unstructured":"McEwan K Girling M Bate A et al. \u2018for want of a nail\u2019: developing a transparent approach to retroduction and early initial programme theory development in a realist evaluation of community end of life care services. Int J Soc Res Methodol 2024; 27(4): 417\u2013430. https:\/\/doi.org\/10.1080\/13645579.2023.2184920","DOI":"10.1080\/13645579.2023.2184920"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/1609406917741796"},{"key":"e_1_3_3_20_2","volume-title":"Social web text analytics with Mozdeh","author":"Thelwall M.","year":"2018","unstructured":"Thelwall M. Social web text analytics with Mozdeh. University of Wolverhampton, 2018."},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1332\/0305573042009444"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-0009.2009.00562.x"},{"key":"e_1_3_3_23_2","doi-asserted-by":"crossref","unstructured":"Breckenridge K Bekker HL Gibbons E et al. How to routinely collect data on patient-reported outcome and experience measures in renal registries in Europe: an expert consensus meeting. Nephrol Dial Transplant 2015; 30: 1605\u20131614. https:\/\/doi.org\/10.1093\/ndt\/gfv209","DOI":"10.1093\/ndt\/gfv209"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4649-1"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.2307\/1914185"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.06.012"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.55.1.68"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2006.03675.x"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.suponc.2011.04.001"},{"issue":"10","key":"e_1_3_3_32_2","article-title":"Teaching palliative care in surgical education","volume":"23","author":"Ballou JH","year":"2021","unstructured":"Ballou JH, Brasel KJ. Teaching palliative care in surgical education. AMA J Ethics 2021; 23(10): E800\u2013E805.","journal-title":"AMA J Ethics"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10076"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/0003134820973028"},{"issue":"1","key":"e_1_3_3_35_2","first-page":"367","article-title":"Gaps in patient-physician communication at the time of malignant bowel obstruction from recurrent gynecologic cancer: a qualitative study","volume":"30","author":"Hoppenot C","year":"2022","unstructured":"Hoppenot C, Hlubocky FJ, Chor J, et al. Gaps in patient-physician communication at the time of malignant bowel obstruction from recurrent gynecologic cancer: a qualitative study. Support Care Cancer 2022; 30(1): 367\u2013376.","journal-title":"Support Care Cancer"},{"issue":"1","key":"e_1_3_3_36_2","first-page":"216","article-title":"The pitfalls of utilizing \u201cgoals of care\u201d as a clinical buzz phrase: a case study and proposed solution","volume":"1","author":"Klement A","year":"2020","unstructured":"Klement A, Marks S. The pitfalls of utilizing \u201cgoals of care\u201d as a clinical buzz phrase: a case study and proposed solution. Palliat Med Rep 2020; 1(1): 216\u2013220.","journal-title":"Palliat Med Rep"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.18.00793"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002253"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1079\/PNS2004377"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002282"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163221081331"},{"issue":"10","key":"e_1_3_3_42_2","article-title":"Which priorities should guide palliative surgical research?","volume":"23","author":"Cooper Z","year":"2021","unstructured":"Cooper Z, Cauley C. Which priorities should guide palliative surgical research? AMA J Ethics 2021; 23(10): E806\u2013E810.","journal-title":"AMA J Ethics"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.esmoop.2021.100225"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2017.0679"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-009-0040-4"},{"issue":"3","key":"e_1_3_3_46_2","first-page":"812","article-title":"Aggressive interventions in terminally ill patients with solid tumors in China: a retrospective single center analysis","volume":"19","author":"Deng CX","year":"2014","unstructured":"Deng CX, Liu XH, Xie HQ, et al. Aggressive interventions in terminally ill patients with solid tumors in China: a retrospective single center analysis. J BUON 2014; 19(3): 812\u2013818.","journal-title":"J BUON"},{"issue":"6","key":"e_1_3_3_47_2","first-page":"1","article-title":"Surgical risk assessment is an important factor in any surgical treatment","volume":"2","author":"Franjic SF.","year":"2021","unstructured":"Franjic SF. Surgical risk assessment is an important factor in any surgical treatment. Ame J Surg Clin Case Rep 2021; 2(6): 1\u20135.","journal-title":"Ame J Surg Clin Case Rep"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2012.0366"},{"key":"e_1_3_3_49_2","unstructured":"Health Talk. Colorectal Cancer\u2013Bowel cancer surgery: decision-making and information needs. Patient interviews (video scripts) https:\/\/healthtalk.org\/colorectal-cancer\/bowel-cancer-surgery-decision-making-and-information-needs (2016 accessed 12 September 2022)."},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10354-006-0290-9"},{"key":"e_1_3_3_51_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2018.0016"},{"issue":"21","key":"e_1_3_3_52_2","first-page":"130","article-title":"Ethical decision making at the end of life: a series of case studies","volume":"24","author":"Kaplan KD","year":"2000","unstructured":"Kaplan KD (ed.). Ethical decision making at the end of life: a series of case studies. Patient Care 2000; 24(21): 130\u2013136.","journal-title":"Patient Care"},{"key":"e_1_3_3_53_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10354-019-00715-3"},{"key":"e_1_3_3_54_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2004.02.166"},{"key":"e_1_3_3_55_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2019.07.026"},{"key":"e_1_3_3_56_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2016.11.066"},{"key":"e_1_3_3_57_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2016.07.012"},{"key":"e_1_3_3_58_2","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2001.7.11.9295"},{"key":"e_1_3_3_59_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-10922-1"},{"key":"e_1_3_3_60_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu12010166"},{"key":"e_1_3_3_61_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2016.1308"},{"key":"e_1_3_3_62_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-014002"},{"key":"e_1_3_3_63_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.06.003"},{"key":"e_1_3_3_64_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2019.12.020"},{"key":"e_1_3_3_65_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2018.01.021"},{"key":"e_1_3_3_66_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2019.01.008"},{"key":"e_1_3_3_67_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40661-017-0040-2"},{"key":"e_1_3_3_68_2","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2020.7604"},{"key":"e_1_3_3_69_2","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2019.80.2.78"},{"key":"e_1_3_3_70_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40137-020-00249-3"},{"key":"e_1_3_3_71_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.yasu.2020.05.008"},{"key":"e_1_3_3_72_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-156-3-201202070-01002"},{"issue":"1","key":"e_1_3_3_73_2","first-page":"1008","article-title":"HIPEC to end-of-life care in patients with advanced cancer: getting to \u2018No\u2019","volume":"2","author":"Young WA","year":"2017","unstructured":"Young WA, Blakely AM, Aronson S, et al. HIPEC to end-of-life care in patients with advanced cancer: getting to \u2018No\u2019. Arch Palliat Care 2017; 2(1): 1008.","journal-title":"Arch Palliat Care"},{"key":"e_1_3_3_74_2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2017-0615"},{"key":"e_1_3_3_75_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1800.2011.00523.x"},{"key":"e_1_3_3_76_2","doi-asserted-by":"publisher","DOI":"10.1177\/2053434520959678"},{"key":"e_1_3_3_77_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-015-0057-4"},{"key":"e_1_3_3_78_2","doi-asserted-by":"publisher","DOI":"10.1080\/13557858.2011.645152"},{"key":"e_1_3_3_79_2","doi-asserted-by":"publisher","DOI":"10.1177\/104990910302000210"},{"key":"e_1_3_3_80_2","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.281"},{"key":"e_1_3_3_81_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-240X(199706)20:3<219::AID-NUR5>3.0.CO;2-L"},{"key":"e_1_3_3_82_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-0009.2011.00633.x"},{"key":"e_1_3_3_83_2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2014-0031"},{"key":"e_1_3_3_84_2","doi-asserted-by":"publisher","DOI":"10.1191\/0969733005ne771oa"},{"key":"e_1_3_3_85_2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2013-0268"},{"key":"e_1_3_3_86_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2354.2003.00370.x"},{"key":"e_1_3_3_87_2","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2017.1351273"},{"key":"e_1_3_3_88_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1190"},{"key":"e_1_3_3_89_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2416-8"},{"key":"e_1_3_3_90_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nutos.2023.09.010"},{"key":"e_1_3_3_91_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2020.03.009"},{"key":"e_1_3_3_92_2","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2023.32.12.550"},{"key":"e_1_3_3_93_2","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.19.00710"},{"key":"e_1_3_3_94_2","doi-asserted-by":"publisher","DOI":"10.21037\/apm-20-2381"},{"key":"e_1_3_3_95_2","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.13104"},{"key":"e_1_3_3_96_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-023-01204-6"},{"key":"e_1_3_3_97_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951522000621"},{"key":"e_1_3_3_98_2","first-page":"16","article-title":"Ethics and palliative care: a case of patient\u2019s autonomy","volume":"15","author":"Tahmasebi M.","year":"2022","unstructured":"Tahmasebi M. Ethics and palliative care: a case of patient\u2019s autonomy. J Med Ethics Hist Med 2022; 15: 16.","journal-title":"J Med Ethics Hist Med"},{"key":"e_1_3_3_99_2","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12176"},{"issue":"9","key":"e_1_3_3_100_2","article-title":"Patient decision aid for chemotherapy or exclusion in cisplatin-intolerant patients with locally advanced cervical cancer: development, alpha testing, and peer validation","volume":"9","author":"Bacorro W","year":"2023","unstructured":"Bacorro W, Baldivia K, Mariano J, et al. Patient decision aid for chemotherapy or exclusion in cisplatin-intolerant patients with locally advanced cervical cancer: development, alpha testing, and peer validation. J Glob Oncol 2023; 9(9): e2300096.","journal-title":"J Glob Oncol"},{"key":"e_1_3_3_101_2","volume-title":"NICE guideline 197: Shared decision making","author":"National Institute for Health and Care Excellence","year":"2021","unstructured":"National Institute for Health and Care Excellence. NICE guideline 197: Shared decision making. National Institute for Health and Care Excellence, 2021."},{"key":"e_1_3_3_102_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-012-2077-6"},{"key":"e_1_3_3_103_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2012.02.018"},{"key":"e_1_3_3_104_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1288"},{"key":"e_1_3_3_105_2","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X211058068"},{"key":"e_1_3_3_106_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.951"},{"key":"e_1_3_3_107_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjebm-2022-112089"},{"key":"e_1_3_3_108_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-35407-x"},{"key":"e_1_3_3_109_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.231583"},{"key":"e_1_3_3_110_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2020.11.032"},{"key":"e_1_3_3_111_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216319854186"},{"issue":"8","key":"e_1_3_3_112_2","article-title":"Total uncertainty: a systematic review and thematic synthesis of experiences of uncertainty in older people with advanced multimorbidity, their informal carers and health professionals","volume":"51","author":"Etkind SN","year":"2022","unstructured":"Etkind SN, Li J, Louca J, et al. Total uncertainty: a systematic review and thematic synthesis of experiences of uncertainty in older people with advanced multimorbidity, their informal carers and health professionals. Age Ageing 2022; 51(8): afac188.","journal-title":"Age Ageing"}],"container-title":["Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692163261446132","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02692163261446132","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692163261446132","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T08:49:48Z","timestamp":1786956588000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02692163261446132"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,23]]},"references-count":111,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/02692163261446132"],"URL":"https:\/\/doi.org\/10.1177\/02692163261446132","relation":{},"ISSN":["0269-2163","1477-030X"],"issn-type":[{"value":"0269-2163","type":"print"},{"value":"1477-030X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,23]]}}}