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07/01/26

Use of a discrete choice experiment to inform de-implementation of mammography overscreening: a US-based national survey.

Moise, Nathalie; Wood, Dallas; Barbecho, Jennifer Mizhquiri; Karr, Anita G; Alexander, Savannah P; Shelton, Rachel C; Tehranifar, Parisa. J Gen Intern Med.

Collection Topics
Big Three Conditions Business Case for Excellence Communication Patients and Families as Partners Tests, Screening, and Laboratory Processes
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Summary

Reducing unnecessary screening requires understanding what patients actually value. This national discrete-choice experiment surveyed 673 women aged 70 years and older about strategies for de-implementing mammography over screening. Participants preferred discussions with clinicians and balanced information about benefits and harms, suggesting that effective de-implementation may depend more on shared decision-making than calculators or checklists.
Read the paper
Moise N, Wood D, Barbecho JM, et al. Use of a discrete choice experiment to inform de-implementation of mammography overscreening: a US-based national survey. J Gen Intern Med. 2026;41(9):2507-2517.