Markus Schuler1,2, Jan Schildmann3, Freya Trautmann4,5, Leopold Hentschel6, Beate Hornemann6, Anke Rentsch6, Gerhard Ehninger1,6, Jochen Schmitt7,8,6. 1. Department of Internal Medicine I, University Hospital and Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstraße 74, 01307, Dresden, Germany. 2. Clinic of Internal Medicine II, HELIOS Hospital Emil von Behring, Walterhöferstraße 11, 14165, Berlin, Germany. 3. Medizinische Klinik und Poliklinik III, Campus Großhadern, Klinikum der Universität München: Wilhelm Löhe Hochschule, Merkurstraße 41 / Südstadtpark, 90763, Fürth, Germany. 4. Center for Evidence-Based Healthcare, University Hospital and Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstraße 74, 01307, Dresden, Germany. freya.trautmann@uniklinikum-dresden.de. 5. National Center for Tumor Diseases (NCT), Partner Site Dresden and German Cancer Research Center (DKFZ), Fetscherstraße 74, 01307, Dresden, Germany. freya.trautmann@uniklinikum-dresden.de. 6. University Cancer Center, University Hospital and Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstraße 74, 01307, Dresden, Germany. 7. Center for Evidence-Based Healthcare, University Hospital and Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstraße 74, 01307, Dresden, Germany. 8. National Center for Tumor Diseases (NCT), Partner Site Dresden and German Cancer Research Center (DKFZ), Fetscherstraße 74, 01307, Dresden, Germany.
Abstract
PURPOSE: "Shared decision making" has been proposed as a prerequisite of patient-centered care. However, little is known on factors, which may influence cancer patients' decision control preferences (DCP) in routine care. This study investigated possible determinants of the patients' DCP with respect to patient characteristics and patient-reported outcomes (PROs). METHODS: Consecutive patients presenting at a comprehensive cancer center between May 2014 and October 2014 were offered a self-administered electronic questionnaire including standardized PRO measures and patients' DCP. Results were linked with patient characteristics from the hospital information system and analyzed using cross-sectional methods. RESULTS: Out of 126 patients participating, 102 (81%; 65% male; mean age 62 years) completed the DCP-item. Overall, 49% (n = 50) preferred shared treatment decision responsibility, 29% (n = 30) preferred to leave the control to his/her physician, whereas 22% (n = 22) preferred to be in control of his/her treatment decision. Higher age (p = 0.035) and elevated distress levels (p = 0.038) were significantly associated with an increased willingness to leave the decision control to the physician. Further sociodemographic and PRO measures were not associated with patients' DCP. CONCLUSION: Our findings demonstrate that DCP assessment in routine cancer care is possible and provides important information to the treating oncologist. Information on DCP combined with PRO may contribute to more individualized decision making in cancer care.
PURPOSE: "Shared decision making" has been proposed as a prerequisite of patient-centered care. However, little is known on factors, which may influence cancerpatients' decision control preferences (DCP) in routine care. This study investigated possible determinants of the patients' DCP with respect to patient characteristics and patient-reported outcomes (PROs). METHODS: Consecutive patients presenting at a comprehensive cancer center between May 2014 and October 2014 were offered a self-administered electronic questionnaire including standardized PRO measures and patients' DCP. Results were linked with patient characteristics from the hospital information system and analyzed using cross-sectional methods. RESULTS: Out of 126 patients participating, 102 (81%; 65% male; mean age 62 years) completed the DCP-item. Overall, 49% (n = 50) preferred shared treatment decision responsibility, 29% (n = 30) preferred to leave the control to his/her physician, whereas 22% (n = 22) preferred to be in control of his/her treatment decision. Higher age (p = 0.035) and elevated distress levels (p = 0.038) were significantly associated with an increased willingness to leave the decision control to the physician. Further sociodemographic and PRO measures were not associated with patients' DCP. CONCLUSION: Our findings demonstrate that DCP assessment in routine cancer care is possible and provides important information to the treating oncologist. Information on DCP combined with PRO may contribute to more individualized decision making in cancer care.
Entities:
Keywords:
Decision control preference; Electronic assessment; Oncology; Patient care; Patient-reported outcomes; Routine care
Authors: Markus K Schuler; Freya Trautmann; Mirko Radloff; Roman Schmädig; Leopold Hentschel; Maria Eberlein-Gonska; Thomas Petzold; Heike Vetter; Sebastian Oberlack; Gerhard Ehninger; Jochen Schmitt Journal: Support Care Cancer Date: 2016-03-16 Impact factor: 3.603
Authors: Joseph D Tariman; Ardith Doorenbos; Karen G Schepp; Seema Singhal; Donna L Berry Journal: Oncol Nurs Forum Date: 2014-07-01 Impact factor: 2.172
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Authors: Linda Brom; H Roeline W Pasman; Guy A M Widdershoven; Maurice J D L van der Vorst; Jaap C Reijneveld; Tjeerd J Postma; Bregje D Onwuteaka-Philipsen Journal: PLoS One Date: 2014-06-25 Impact factor: 3.240
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Authors: Caterina Calderon; Paula Jiménez-Fonseca; Pere Joan Ferrando; Carlos Jara; Urbano Lorenzo-Seva; Carmen Beato; Teresa García-García; Beatriz Castelo; Avinash Ramchandani; María Mar Muñoz; Eva Martínez de Castro; Ismael Ghanem; Montse Mangas; Alberto Carmona-Bayonas Journal: Int J Clin Health Psychol Date: 2018-02-13