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A range of treatment options exist for BCC, but there is little evidence available to guide patients and providers in selecting the best treatment options.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Objectives<\/jats:title>\n<jats:p>This study outlines the development of a patient decision aid (PDA) for low-risk BCC that can be used by patients and providers to assist in shared decision-making.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>In accordance with the International Patient Decision Aids Standards (IPDAS) Collaboration framework, feedback from focus groups and semi-structured interviews with patients and providers, an initial prototype of the PDA was developed. This was tested using cognitive interviews and iteratively updated.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>We created eighteen different iterations using feedback from 24 patients and 34 providers. The key issues identified included: 1) Addressing fear of cancer; 2) Communicating risk and uncertainty; 3) Values clarification; and 4) Time lag to benefit.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Limitations<\/jats:title>\n<jats:p>The PDA does not include all possible treatment options and is currently paper based.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Our PDA has been specifically adapted and designed to support patients with a limited life expectancy in making decisions about their low risk BCC together with their doctors.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12911-020-1081-8","type":"journal-article","created":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T19:03:17Z","timestamp":1588186997000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Development of a patient decision aid for the management of superficial basal cell carcinoma (BCC) in adults with a limited life expectancy"],"prefix":"10.1186","volume":"20","author":[{"given":"Alexandra","family":"Junn","sequence":"first","affiliation":[]},{"given":"Neha R","family":"Shukla","sequence":"additional","affiliation":[]},{"given":"Lily","family":"Morrison","sequence":"additional","affiliation":[]},{"given":"Meghan","family":"Halley","sequence":"additional","affiliation":[]},{"given":"Mary-Margaret","family":"Chren","sequence":"additional","affiliation":[]},{"given":"Louise C.","family":"Walter","sequence":"additional","affiliation":[]},{"given":"Dominick L.","family":"Frosch","sequence":"additional","affiliation":[]},{"given":"Dan","family":"Matlock","sequence":"additional","affiliation":[]},{"given":"Jeanette S.","family":"Torres","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5856-6301","authenticated-orcid":false,"given":"Eleni","family":"Linos","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2020,4,29]]},"reference":[{"issue":"10","key":"1081_CR1","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1001\/jamadermatol.2015.1187","volume":"151","author":"HW Rogers","year":"2015","unstructured":"Rogers HW, Weinstock MA, Feldman SR, Coldiron BM. 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