Intended for healthcare professionals

Letters Patient centred care and cost saving

Shared decision making in cancer care requires better communication and understanding of pathology reports

BMJ 2019; 367 doi: (Published 20 November 2019) Cite this as: BMJ 2019;367:l6561
  1. Murali Varma, consultant histopathologist1,
  2. Varsha Shah, consultant histopathologist2
  1. 1University Hospital of Wales, Cardiff CF14 4XW, UK
  2. 2Department of Cellular Pathology, Royal Gwent Hospital, Newport NP20 2UB, UK
  1. wptmv{at}

Venhuizen emphasises the importance of patients being involved in management decisions.1 But this requires the patient to be guided by a well informed clinician.

Precision medicine seeks to accurately stratify patients by risk, often with the aid of expensive new tests. Histopathology reports provide critical prognostic information for cancer care, but proven critical histopathological prognostic parameters are not always …

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