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Identifying Factors Influencing Decision Making in Patients Diagnosed with Carotid Body Tumors: An Exploratory Study.
- Source :
-
Annals of vascular surgery [Ann Vasc Surg] 2020 Oct; Vol. 68, pp. 159-165. Date of Electronic Publication: 2020 Jun 02. - Publication Year :
- 2020
-
Abstract
- Background: Carotid body tumors (CBTs) are rare highly vascularized and slow enlarging tumors arising from the paraganglionic tissue at the carotid bifurcation. Main treatment options for CBTs are surgical resection or "wait and scan" strategy. The choice for either strategy may be equally good medically in many patients. A structured "shared decision making" (SDM) might be helpful for guiding patients.<br />Objectives: To develop an SDM strategy for the surgical treatment, we aim to (1) identify considerations and factors involved in the decision making of patients with CBTs and (2) evaluate the current practice in our clinic and explore the opinions of patients on their treatment.<br />Methods: This exploratory study was conducted in patients of the Leiden University Medical Centre (LUMC), The Netherlands. Patients who met the inclusion criteria were invited for a semi-structured interview. All conversations were fully audiotaped and transcripted.<br />Results: Fifteen patients were included and interviewed. Ten of these patients underwent previously surgical resection of at least one tumor. Five patients underwent the wait and scan policy. The most important factors influencing decision making in CBT treatment are family, fears, co-consultants, and doctor-patient relationship.<br />Conclusions: This study has identified the factors influencing decision making in CBT and should be considered during consultations. The decision for surgery or not was mainly influenced by physician preferences and family members' prior experiences.<br /> (Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Carotid Body Tumor diagnostic imaging
Carotid Body Tumor pathology
Female
Humans
Interviews as Topic
Male
Middle Aged
Netherlands
Patient Selection
Risk Assessment
Risk Factors
Young Adult
Carotid Body Tumor therapy
Clinical Decision-Making
Decision Making, Shared
Patient Participation
Vascular Surgical Procedures adverse effects
Watchful Waiting
Subjects
Details
- Language :
- English
- ISSN :
- 1615-5947
- Volume :
- 68
- Database :
- MEDLINE
- Journal :
- Annals of vascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 32502676
- Full Text :
- https://doi.org/10.1016/j.avsg.2020.05.044