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Importance of quality-of-life priorities and preferences surrounding treatment decision making in patients with cancer and oncology clinicians.
- Source :
- Cancer (0008543X); Aug2020, Vol. 126 Issue 15, p3534-3541, 8p
- Publication Year :
- 2020
-
Abstract
- <bold>Background: </bold>Shared decision-making (SDM) occurs when a patient partners with their oncologist to integrate personal preferences and values into treatment decisions. A key component of SDM is the elicitation of patient preferences and values, yet little is known about how and when these are elicited, communicated, prioritized, and documented within clinical encounters.<bold>Methods: </bold>This cross-sectional study evaluated nationwide data collected by CancerCare to better understand current patterns of SDM between patients and their oncology clinicians. Patient surveys included questions about the importance of quality-of-life preferences and discussions regarding quality-of-life priorities with their clinicians. Clinician surveys included questions about the discussion of quality-of-life priorities and preferences with patients, the effect of quality-of-life priorities on treatment recommendations, and quality-of-life priority documentation in practice.<bold>Results: </bold>Patient survey completers (n = 320; 33% response rate) were predominantly women (95%), had a diagnosis of breast cancer (59%), or were receiving active cancer treatment (59%). Clinician survey completers (n = 112; 5% response rate) predominately identified as hematologists or oncologists (66%). Although 67% of clinicians reported knowing their patients' personal quality-of-life priorities and preferences before finalizing treatment plans, only 37% of patients reported that these discussions occurred before treatment initiation. Most patients (95%) considered out-of-pocket expenses important during treatment planning, yet only 59% reported discussing out-of-pocket expenses with their clinician before finalizing treatment plans. A majority of clinicians (52%) considered clinic questionnaires as feasible to document quality-of-life priorities and preferences.<bold>Conclusions: </bold>Patients and clinicians reported that preferences related to quality-of-life should be considered in treatment decision making, yet barriers to SDM, preference elicitation, and documentation remain. [ABSTRACT FROM AUTHOR]
- Subjects :
- PATIENT decision making
CANCER patients
PATIENT surveys
ONCOLOGY
CANCER treatment
BREAST tumor treatment
TUMORS & psychology
TUMOR treatment
RESEARCH
PATIENT participation
PHYSICIAN-patient relations
RESEARCH methodology
PATIENT satisfaction
MEDICAL cooperation
EVALUATION research
MEDICAL protocols
COLORECTAL cancer
COMPARATIVE studies
QUALITY of life
TUMORS
BREAST tumors
CANCER & psychology
Subjects
Details
- Language :
- English
- ISSN :
- 0008543X
- Volume :
- 126
- Issue :
- 15
- Database :
- Complementary Index
- Journal :
- Cancer (0008543X)
- Publication Type :
- Academic Journal
- Accession number :
- 144424058
- Full Text :
- https://doi.org/10.1002/cncr.32961