Abstract:Patients with malignant tumors of urinary system are faced with complex decision-making information. Identifying decision-making needs of patients and providing appropriate shared decision-making (SDM) are conducive to enhancing the decision-making quality of patients, thus improving the quality of life. At present, China is in the initial development stage of SDM. By drawing on the relevant theoretical models such as foreign SDM model, Ottawa decision support framework and interdisciplinary SDM model, decision-making aids and decision-making counseling are used to implement SDM for patients. However, the research on SDM in cancer patients is still immature, and whether foreign SDM model is suitable for Chinese patients with malignant tumors of urinary system still needs to be further studied. This paper reviews the challenges of decision-making in patients with malignant tumors of urinary system and the practical experience of SDM.