Using patient and physician perspectives to develop a shared decision-making framework for colorectal cancer

Leon-Carlyle, Marisa; Spiegle, Gillian; Schmocker, Selina; Gagliardi, Anna R.; Urbach, David R.; Kennedy, Erin

doi:10.1186/1748-5908-4-81

Cited by 14 publications

(12 citation statements)

References 26 publications

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“…The model in the current study is also appropriate for shared decision‐making. Leon‐Carlyle et al () proposed the framework of shared decision‐making defining patient and physician variables that influence the shared decision‐making process and associated outcomes. Patients' factors includes age, education level, perceived urgency, trust in physician, and emotional support network whereas communication training is included in physician variables.…”

Section: Discussionmentioning

confidence: 99%

The mediating effect of trust on the relationship between doctor–patient communication and patients' risk perception during treatment

Dong

2019

PsyCh Journal

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Doctor-patient communication interacts with patients' satisfaction to influence patients' risk perception. Current theories to explain this relationship have assumed particular psychological processes to explain observations of risk-sensitive behavior in an economic setting, but as of yet, they have not addressed whether it is adaptive for a decision-maker in a health-care situation. In addition, little is known about the role of interpersonal trust between doctor and patient. We surveyed 602 patients to examine the way in which trust, communication, and patients' satisfaction are related to patients' risk perception about uncertainties in medical treatment. The results showed that patients held a relatively low level of risk perception, which means that they had insufficient preparation for the possibility of uncertainties about the treatment. The association between doctor-patient communication and patients' perceived risk was mediated by doctor-patient trust. These results suggest that there is a relationship among good doctor-patient communication, patients' trust in medical staff, and perceived risk during medical treatment. Finally, theoretical and practical implications are discussed.

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Section: Discussionmentioning

confidence: 99%

The mediating effect of trust on the relationship between doctor–patient communication and patients' risk perception during treatment

Dong

2019

PsyCh Journal

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“…Both system- and patient-related factors could explain this disparity. Patient-related factors in health decision making may be numerous, including age, gender, education, emotional support, and physician trust [24]. Anxiety, personal beliefs, or aversion to postoperative complications may influence patients to not seek or receive therapy [25,26].…”

Section: Discussionmentioning

confidence: 99%

Does geography influence the treatment and outcomes of colorectal cancer? A population-based analysis

et al. 2013

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BackgroundThe Canadian province of Manitoba covers a large geographical area but only has one major urban center, Winnipeg. We sought to determine if regional differences existed in the quality of colorectal cancer care in a publicly funded health care system.MethodsThis was a population-based historical cohort analysis of the treatment and outcomes of Manitobans diagnosed with colorectal cancer between 2004 and 2006. Administrative databases were utilized to assess quality of care using published quality indicators.ResultsA total of 2,086 patients were diagnosed with stage I to IV colorectal cancer and 42.2% lived outside of Winnipeg. Patients from North Manitoba had a lower odds of undergoing major surgery after controlling for other confounders (odds ratio (OR): 0.48, 95% confidence interval (CI): 0.26 to 0.90). No geographic differences existed in the quality measures of 30-day operative mortality, consultations with oncologists, surveillance colonoscopy, and 5-year survival. However, there was a trend towards lower survival in North Manitoba.ConclusionWe found minimal differences by geography. However, overall compliance with quality measures is low and there are concerning trends in North Manitoba. This study is one of the few to evaluate population-based benchmarks for colorectal cancer therapy in Canada.

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“…Colorectal cancer is the third leading cause of cancer‐related death worldwide, with over 900 000 diagnoses and 639 000 deaths each year (Leon‐Carlyle et al . 2009).…”

Section: Introductionmentioning

confidence: 99%

“…Colorectal cancer is the third leading cause of cancerrelated death worldwide, with over 900 000 diagnoses and 639 000 deaths each year (Leon-Carlyle et al 2009). Sixty per cent of these patients present with stage II or III disease, which recurs with metastatic or locally invasive disease in approximately 35-40% of patients (Arends 2010;Jonsson et al 2010).…”

Section: Introductionmentioning

confidence: 99%

Using a bubble chart to enhance adherence to quality-of-care guidelines for colorectal cancer patients

Lin

et al. 2012

European Journal of Cancer Care

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This study examines whether a higher rate of physician adherence to quality-of-care indicators for colorectal cancer patients is associated with improved survival and using a bubble chart to help interpret physician performance. A set of 13 core measures was used to evaluate the quality of care in 708 colorectal cancer patients treated from 2004 to 2007 at a hospital in Taiwan. A 100% adherence standard was used to measure the relationship of adherence to patient survival. Each indicator assigned by each cancer stage was dichotomously coded. The associations between the adherence and survival rates and demographic characteristics were assessed using Cox's proportional hazard regression. Physician adherence to core indicators was plotted using a bubble chart to motivate physicians' performance adhering to quality-of-care guidelines for colorectal cancer patients. The 100% adherence rate criterion contributed to a relatively low hazard ratio of 0.36 (95% confidence interval, 0.14-0.85; P= 0.02). The association between the adherence rate and survival indicated significant improvements for stage III patients compared with stage I patients. A graphical representation of bubble charts helped to monitor physician performance, which improved the adherence rate to quality-of-care guidelines for colorectal cancer patients.

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Using patient and physician perspectives to develop a shared decision-making framework for colorectal cancer

Cited by 14 publications

References 26 publications

The mediating effect of trust on the relationship between doctor–patient communication and patients' risk perception during treatment

The mediating effect of trust on the relationship between doctor–patient communication and patients' risk perception during treatment

Does geography influence the treatment and outcomes of colorectal cancer? A population-based analysis

Using a bubble chart to enhance adherence to quality-of-care guidelines for colorectal cancer patients

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