Preferred and actual participation roles in operation treatment decision making of patients with colorectal cancer

Hou, Xiaoting; Pang, Dong; Lü, Qian; Xu, Zheng; Zhou, Yujie

doi:10.1016/j.ijnss.2014.10.016

Cited by 11 publications

(21 citation statements)

References 11 publications

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“…More educated patients are also much more likely to adopt new ideas and behaviors, such as the new health technology in their disease treatment. All of these relationships in this study are consistent with previous reports investigating the impact of patient demographic characteristics, and clinical decisions (38–40) on their participation and SDM score. Patients were very satisfied with the process of decision making, especially those who had much higher SDM-Q-9 scores indicated they had better involvement in the decision making and closer communication with their treating physician.…”

Section: Discussionsupporting

confidence: 92%

“…Patients also thought that physicians and patients reached an agreement on whether and how to adopt a new health technology. This could also explain a higher proportion of study respondents who preferred an SDM role, compared with those reported in the previous studies focusing on the Chinese population, ranging from 24.80 to 65.00 percent (37, 38). The higher preference on SDM may be due to the study hospitals being located in Eastern China, a region with high economic development and higher awareness for better patient participation than other regions.…”

Section: Discussionmentioning

confidence: 65%

“…Statistical analysis included descriptive analysis for SDM, adoption of a new health technology and satisfaction with the treatment decision-making process. A correlation analysis was conducted for the predictors reported in previous studies (36)(37)(38), including adoption of a new health technology, patient satisfaction with the decision-making process, patient involvement in decision making, concordance between preference, and actual SDM. Finally, based on the results of the correlation, multivariate logistic regression models and multivariate regression linear models were conducted, controlling for patient demographic characteristics such as age, gender, educational background, and duration of the disease.…”

Section: Discussionmentioning

confidence: 99%

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Physician–patient shared decision making, patient satisfaction, and adoption of new health technology in China

Wei

Ming

Shi

et al. 2020

Int J Technol Assess Health Care

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Objective To examine the association between physician–patient treatments shared decision making (SDM), patient satisfaction, and adoption of a new health technology. Methods A cross-sectional study was conducted from July 2016 to October 2016 in Fujian Province and Shanghai, in Eastern China. A total of 542 physicians and 619 patients in eleven hospitals were surveyed. Patients and their treating physicians completed self-reported questionnaires on patient–physician SDM, satisfaction with treatment decision making and adoption of a new health technology. Correlation analysis, multivariate logistic regression and multivariate linear regression were performed. Results The majority (68.20 percent) of patients preferred SDM. Involvement of patients in SDM was positively associated with their satisfaction with treatment decision making (p < .001) and adoption of a new health technology (p < .05). Better concordance between their preference and actual SDM was positively associated with patients' adoption behavior (p < .05), but no statistically significant association was found between concordance and satisfaction. Conclusion SDM was the most important predictor of patients' satisfaction with decision making and adoption of a new health technology. Therefore, better communication between physicians and patients is recommended to improve their SDM, increase patient satisfaction and to assist with the adoption of new technologies. Training healthcare provider and teaching communication skills in working with patients in the initial stage of technology diffusion is required.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

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Physician–patient shared decision making, patient satisfaction, and adoption of new health technology in China

Wei

Ming

Shi

et al. 2020

Int J Technol Assess Health Care

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“…All 32 included publications had a cross‐sectional study design, 11 of which derived their patient population from previous cohort studies, or from the control group of a randomized trial. Twenty of the 32 studies were published after 2010, 11 between 2000 and 2010, and one in 1989.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of shared decision-making in surgery

Mik

Stubenrouch

Balm

et al. 2018

British Journal of Surgery

126

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BackgroundMultiple treatment options are generally available for most diseases. Shared decision‐making (SDM) helps patients and physicians choose the treatment option that best fits a patient's preferences. This review aimed to assess the extent to which SDM is applied during surgical consultations, and the metrics used to measure SDM and SDM‐related outcomes.MethodsThis was a systematic review of observational studies and clinical trials that measured SDM during consultations in which surgery was a treatment option. Embase, MEDLINE and CENTRAL were searched. Study selection, quality assessment and data extraction were conducted by two investigators independently.ResultsThirty‐two articles were included. SDM was measured using nine different metrics. Thirty‐six per cent of 13 176 patients and surgeons perceived their consultation as SDM, as opposed to patient‐ or surgeon‐driven. Surgeons more often perceived the decision‐making process as SDM than patients (43·6 versus 29·3 per cent respectively). SDM levels scored objectively using the OPTION and Decision Analysis System for Oncology instruments ranged from 7 to 39 per cent. Subjective SDM levels as perceived by surgeons and patients ranged from 54 to 93 per cent. Patients experienced a higher level of SDM during consultations than surgeons (93 versus 84 per cent). Twenty‐five different SDM‐related outcomes were reported.ConclusionAt present, SDM in surgery is still in its infancy, although surgeons and patients both think of it favourably. Future studies should evaluate the effect of new interventions to improve SDM during surgical consultations, and its assessment using available standardized and validated metrics.

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“…The questionnaire which was used to evaluate the patients’ involvement in TDM was adopted from the current relevant literature on this subject (Hou, Pang, Lu, Xu, & Zhou, ; Sekimoto et al., ; Shin et al., ). The questionnaire comprised of three parts: the patients’ socio‐‎demographic data; the medical and ‎family history of the patients; and an evaluation of the patient's experiences of, and preferences for, their family's involvement levels in TDM.…”

Section: Methodsmentioning

confidence: 99%

The role of patients’ families in treatment decision-making among adult cancer patients in the Sultanate of Oman

Al-Bahri¹,

Al-Moundhri

Al-Mandhari

et al. 2018

Eur J Cancer Care

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There are limited numbers of studies available in Middle Eastern Arabic countries regarding participation of family ‎members in cancer treatment decision-making (TDM). The aim of this study was to evaluate the role of family members' ‎in TDM among ‎adult Omani cancer ‎patients. A cross-sectional study was conducted in two main teaching hospitals. All adult Omani patients who were diagnosed with cancer and their nominated family members were invited to ‎participate. A tool developed by Cancer Care Outcomes Research and ‎Surveillance Consortium was used to identify the level of family involvement in TDM. A weighted kappa (k) was significant (p < .001) and showed almost full agreement between the patients' experiences and their preferences ‎(‎k = .98) and between family members' experiences and their preferences ‎(‎k = .96) ‎‎of family involvement in TDM. Binary logistic regression showed significant family-controlled TDM if the patient communicated‎ less with oncologists (OR = 9.89; 95% CI: 3.79-25.81); financial dependence of the patient on their families ‎(OR = 6.21; 95% CI: 2.19-17.10‎); and advanced stages of cancer at the time of diagnosis ‎(OR = 3.10; 95% CI: 1.37-7.03). Oncologists in Oman should be aware of the strong family involvement in TDM to allow a successful cancer treatment.

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Preferred and actual participation roles in operation treatment decision making of patients with colorectal cancer

Cited by 11 publications

References 11 publications

Physician–patient shared decision making, patient satisfaction, and adoption of new health technology in China

Physician–patient shared decision making, patient satisfaction, and adoption of new health technology in China

Systematic review of shared decision-making in surgery

The role of patients’ families in treatment decision-making among adult cancer patients in the Sultanate of Oman

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