Objective To analyze the research status, hotspots and frontiers of shared decision making in patients with breast cancer based on visualization software.

Methods The literatures in the field of shared decision making for patients with breast cancer from the establishment to January 2023 in core set database of Web of Science were retrieved, and the metrology analysis was performed by CiteSpace 5.7. R1 software.

Results A total of 1 283 literatures were retrieved, and 759 literatures were finally included for visual analysis. The number of published literatures showed a fluctuating upward trend; the United States had laid the foundation for this research field; the Europe, the United States and other developed countries and their institutions had close cooperation; the research hotspots focused on aspects of different female groups, patients' needs, different decision making stages and the development of intervention techniques in breast cancer patients with sharing decision making.

Conclusion In recent years, the sharing decision making of breast cancer patients has received continuous attention, and more researches has been done in developed countries. It is suggested that Chinese clinical researchers should broaden their cooperation fields, focus on relevant research hotspots, and promote the development of shared decision making researches on breast cancer patients in China.