| Ordinance MS 599/2012. Approves the diagnostic and therapeutic guidelines for brain tumor in adults22. |
It recommends considering the patient’s preferences when choosing treatment. Points to voluntary manifestation, after clarifying the risks and benefits, as a criterion for interrupting the treatment. |
Partial compliance with the first and second principles (choice and option talk) by encouraging deliberation between the parties. |
| Ordinance MS 1,439/2014. Approves the diagnostic and therapeutic guidelines for esophageal carcinoma29. |
To define the most appropriate surgical technique, it is recommended to consider the patient’s preferences, after he is duly informed about the expected results and consequences of the procedure. |
Compliance with the second and third principles (option and decision talks). |
| Ordinance MS 957/2014. Approves the diagnostic and therapeutic guidelines for lung cancer31. |
It highlights the importance of considering the patient’s preferences when choosing the treatment and recommends joint decision-making, with the patient’s active participation. It deals with the interruption of treatment as the individual’s option, after he is informed about the risks and benefits of the decision. |
Compliance with the three principles. |
| Ordinance MS 1,051/2014. Approves the diagnostic and therapeutic guidelines for follicular lymphoma37. |
It presents options for treatment, one of which is the watchful waiting, which applies to asymptomatic individuals. For such treatment, it mentions the need to share the decision between physician, patient and family. |
Compliance with the third principle (decision talk). |
| Ordinance MS 516/2015. Approves the diagnostic and therapeutic guidelines for head and neck cancer39. |
It considers the patient’s preferences when choosing laryngeal cancer treatment. For cancers with more than one therapeutic option, it is recommended to consider, in addition to clinical conditions, individual preferences. It is limited to one type of cancer of the anatomical complex addressed by the document. |
Partial compliance with the third principle, without highlighting the consideration of the risks and benefits of the interventions. |
| Guidelines for the early detection of breast cancer in Brazil; 201541. |
For moderate or low level evidence, it recommends the shared decision-making, presenting and valuing the concept. Even with the favorable recommendation for screening breast cancer in certain age groups, it includes the need to consider individual preferences and values. |
It presents the concept, but does not describe any model. Compliance with the three principles (choice, option and decision talks). |
| Joint technical note MS/Inca 1/2015. Position of the Ministry of Health on the integrality of men’s health in the context of Blue November42. |
Contraindicates screening for prostate cancer, considering that men who require this test must know the risks and benefits. The decision must be shared with the health professional. |
Compliance with the second and third principles (option and decision talks). |
| Brazilian guidelines for the diagnosis of cervical cancer; 201643. |
It presents the limits of generic recommendations, proposing that the patient’s individual characteristics and values, as well as the professional’s experience, should be considered. Weights the recommendations according to the level of certainty of evidence. |
Compliance with the third principle (decision talk). |
| Ordinance MS 498/2016. Approves the diagnostic and therapeutic guidelines for prostate adenocarcinoma44. |
It presents the limits of diagnosis and highlights the importance of informing the risks and benefits for decision making regarding this procedure and considering the patient’s opinion, discussing therapeutic options for low-risk tumors. |
Compliance with the second and third principles (option and decision talks). |
| Joint Ordinance SAS/SCTIE 3/2018. Approves the diagnostic and therapeutic guidelines for stomach adenocarcinoma47. |
For the treatment, professionals should consider, among other aspects, the patient’s preferences. The text also points out the limitations of scientific evidence to establish a standard method. |
Compliance with the third principle (decision conversation). |
