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Opinion|Videos|October 30, 2025

Adherence to Treatment, Shared Decision-Making, and Patient Communication

Author(s)Anne Chiang, MD, Ticiana A. Leal, MD

Panelists discuss the importance of shared decision-making, patient communication, and adherence strategies in small cell lung cancer treatment.

Episodes in this series

EP. 1 Introduction and Case 1: Diagnostic Workup of Patients with SCLC

EP. 1 Introduction and Case 1: Diagnostic Workup of Patients with SCLC

EP. 2 Treatment of SCLC Based on Patient Characteristics

EP. 2 Treatment of SCLC Based on Patient Characteristics

EP. 3 Safety and Efficacy of SCLC Treatments Based on Trial Data

EP. 3 Safety and Efficacy of SCLC Treatments Based on Trial Data

EP. 4 Treatment Selection and Monitoring/Maintenance in Patients With SCLC

EP. 4 Treatment Selection and Monitoring/Maintenance in Patients With SCLC

EP. 5 IMforte Trial: Applying the Results in Practice

EP. 5 IMforte Trial: Applying the Results in Practice

EP. 6 Case 2: Treatment of Recurring SCLC With Brain Metastasis and AE Management

EP. 6 Case 2: Treatment of Recurring SCLC With Brain Metastasis and AE Management

EP. 7 Adherence to Treatment, Shared Decision-Making, and Patient Communication

EP. 7 Adherence to Treatment, Shared Decision-Making, and Patient Communication

EP. 8 Case 3: Second-Line Treatment for SCLC

EP. 8 Case 3: Second-Line Treatment for SCLC

EP. 9 Experience With Lurbinectedin in SCLC

EP. 9 Experience With Lurbinectedin in SCLC

EP. 10 Emerging Therapies for SCLC

EP. 10 Emerging Therapies for SCLC

This segment highlights how effective communication shapes outcomes in small cell lung cancer management. Patients often face aggressive treatment schedules, adverse effects, and emotional distress, making adherence a persistent challenge. Clinicians emphasize the value of early, honest discussions about prognosis, goals of therapy, and potential risks.

Shared decision-making ensures that patients understand the rationale for each treatment step and remain engaged throughout therapy. Educational materials and consistent follow-up promote trust and confidence in the care plan. The discussion also notes that adherence improves when clinicians address logistical barriers, such as travel or cost, alongside medical needs.

In summary, strong communication and patient partnership are as vital as pharmacologic management in achieving the best possible outcomes.

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