Patients' values for health states associated with hepatitis c and physicians' estimates of those values

Cotler, Scott J.; Patil, Raj; McNutt, Robert A.; Speroff, Theodore; Banaad-Omiotek, Geraldine; Ganger, Daniel; Rosenblate, Howard; Kaur, Suman; Cotler, Sheldon

doi:10.1016/s0002-9270(01)02694-6

Cited by 23 publications

(18 citation statements)

References 24 publications

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“…Bearing in mind that clinicians are not accurate in judging patient values for the outcome of care (Cotler et al, 2001;Montgomery and Fahey, 2001;Brothers et al, 2004;Stalmeier et al, 2007), it seems in these cases critical to ascertain that the patient persists in preferring non-involvement.…”

Section: Discussionmentioning

confidence: 99%

“…Involving patients in treatment-related decision making is in line with the increasingly acknowledged patients' right to autonomy and self-determination. The need to involve patients is supported by evidence that physicians do not have the ability to adequately judge patients' values for outcomes of care (Cotler et al, 2001;Montgomery and Fahey, 2001;Brothers et al, 2004;Stalmeier et al, 2007).…”

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confidence: 99%

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Clinician and cancer patient views on patient participation in treatment decision-making: a quantitative and qualitative exploration

et al. 2008

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Patient participation in treatment decision-making is being increasingly advocated, although cancer treatments are often guidelinedriven. Trade-offs between benefits and side effects underlying guidelines are made by clinicians. Evidence suggests that clinicians are inaccurate at predicting patient values. The aim was to assess what role oncologists and cancer patients prefer in deciding about treatment, and how they view patient participation in treatment decision-making. Seventy disease-free cancer patients and 60 oncologists (surgical, radiation, and medical) were interviewed about their role preferences using the Control Preferences Scale (CPS) and about their views on patient participation using closed-and open-ended questions. Almost all participants preferred treatment decisions to be the outcome of a shared process. Clinicians viewed participation more often as reaching an agreement, whereas 23% of patients defined participation exclusively as being informed. Of the participants, X81% thought not all patients are able to participate and X74% thought clinicians are not always able to weigh the pros and cons of treatment for patients, especially not quality as compared with length of life. Clinicians seemed reluctant to share probability information on the likely impact of adjuvant treatment. Clinicians should acknowledge the legitimacy of patients' values in treatment decisions. Guidelines should recommend elicitation of patient values at specific decision points.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Clinician and cancer patient views on patient participation in treatment decision-making: a quantitative and qualitative exploration

et al. 2008

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“…It is especially important to consider patients’ values in this decision because their valuations of outcomes in HCV differ from physicians’. In contrast to previous studies which have examined patients’ values for multiattribute health states (15, 16) and their preferences for the timing of general health states related to HCV (17), the objective of this study was to ascertain patients’ treatment preferences for HCV in clinical practice at the actual time of decision making.…”

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confidence: 99%

Patients’ Preferences for Treatment of Hepatitis C

et al. 2009

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“…Physicians do not have the ability to adequately judge patients' values for outcomes of care. 17,18 Personal reflection and the difficult nature of the process serve as the best model for information transfer between the medical profession and the patient.…”

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confidence: 99%