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Shared decision making in recurrent ovarian cancer: Implementation of patient decision aids across three departments of oncology in Denmark
OBJECTIVE: Patients with relapsed ovarian cancer are offered multiple treatment options. To match treatment with the individual patient's life situation and preferences, healthcare professionals can apply shared decision making (SDM) including patient decision aids (PtDAs). This study aimed to...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10194381/ https://www.ncbi.nlm.nih.gov/pubmed/37213765 http://dx.doi.org/10.1016/j.pecinn.2022.100095 |
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author | Wulff, Christian Nielsen Hæe, Mette Hansen, Dorte Gilså Olling, Karina Jensen, Karina Mølgaard Knudsen, Anja Ør Fokdal, Lars Steffensen, Karina Dahl |
author_facet | Wulff, Christian Nielsen Hæe, Mette Hansen, Dorte Gilså Olling, Karina Jensen, Karina Mølgaard Knudsen, Anja Ør Fokdal, Lars Steffensen, Karina Dahl |
author_sort | Wulff, Christian Nielsen |
collection | PubMed |
description | OBJECTIVE: Patients with relapsed ovarian cancer are offered multiple treatment options. To match treatment with the individual patient's life situation and preferences, healthcare professionals can apply shared decision making (SDM) including patient decision aids (PtDAs). This study aimed to evaluate the implementation of two different PtDAs in consultations with patients suffering from relapsed ovarian cancer. METHODS: We analyzed the following data before and after implementation of the PtDAs: 1) observed SDM using the OPTION instrument, 2) physician treatment recommendations, and 3) patients' and physicians' evaluations of SDM in consultations using the CollaboRATE, SDM-Q-9, and SDM-Q-Doc. RESULTS: Significant improvement in observed SDM was found after the implementation (p = 0.002). Improvement of SDM was detected in consultations conducted by physicians reporting more than two hours of SDM-training (p < 0.001), but not when physicians reported less than two hours of SDM-training. No before/after differences in treatment recommendations and in patients' and physicians' evaluations were found. CONCLUSION: Implementation of PtDAs improved the level of observed SDM. Training of physicians in SDM is necessary for improved SDM practice. INNOVATION: Discussing oncological treatment options with the use of PtDAs is not standard practice in Denmark. The present study is one of the first Danish studies focusing on how to implement SDM and PtDAs in oncological consultations. |
format | Online Article Text |
id | pubmed-10194381 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-101943812023-05-19 Shared decision making in recurrent ovarian cancer: Implementation of patient decision aids across three departments of oncology in Denmark Wulff, Christian Nielsen Hæe, Mette Hansen, Dorte Gilså Olling, Karina Jensen, Karina Mølgaard Knudsen, Anja Ør Fokdal, Lars Steffensen, Karina Dahl PEC Innov Full length article OBJECTIVE: Patients with relapsed ovarian cancer are offered multiple treatment options. To match treatment with the individual patient's life situation and preferences, healthcare professionals can apply shared decision making (SDM) including patient decision aids (PtDAs). This study aimed to evaluate the implementation of two different PtDAs in consultations with patients suffering from relapsed ovarian cancer. METHODS: We analyzed the following data before and after implementation of the PtDAs: 1) observed SDM using the OPTION instrument, 2) physician treatment recommendations, and 3) patients' and physicians' evaluations of SDM in consultations using the CollaboRATE, SDM-Q-9, and SDM-Q-Doc. RESULTS: Significant improvement in observed SDM was found after the implementation (p = 0.002). Improvement of SDM was detected in consultations conducted by physicians reporting more than two hours of SDM-training (p < 0.001), but not when physicians reported less than two hours of SDM-training. No before/after differences in treatment recommendations and in patients' and physicians' evaluations were found. CONCLUSION: Implementation of PtDAs improved the level of observed SDM. Training of physicians in SDM is necessary for improved SDM practice. INNOVATION: Discussing oncological treatment options with the use of PtDAs is not standard practice in Denmark. The present study is one of the first Danish studies focusing on how to implement SDM and PtDAs in oncological consultations. Elsevier 2022-11-01 /pmc/articles/PMC10194381/ /pubmed/37213765 http://dx.doi.org/10.1016/j.pecinn.2022.100095 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Full length article Wulff, Christian Nielsen Hæe, Mette Hansen, Dorte Gilså Olling, Karina Jensen, Karina Mølgaard Knudsen, Anja Ør Fokdal, Lars Steffensen, Karina Dahl Shared decision making in recurrent ovarian cancer: Implementation of patient decision aids across three departments of oncology in Denmark |
title | Shared decision making in recurrent ovarian cancer: Implementation of patient decision aids across three departments of oncology in Denmark |
title_full | Shared decision making in recurrent ovarian cancer: Implementation of patient decision aids across three departments of oncology in Denmark |
title_fullStr | Shared decision making in recurrent ovarian cancer: Implementation of patient decision aids across three departments of oncology in Denmark |
title_full_unstemmed | Shared decision making in recurrent ovarian cancer: Implementation of patient decision aids across three departments of oncology in Denmark |
title_short | Shared decision making in recurrent ovarian cancer: Implementation of patient decision aids across three departments of oncology in Denmark |
title_sort | shared decision making in recurrent ovarian cancer: implementation of patient decision aids across three departments of oncology in denmark |
topic | Full length article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10194381/ https://www.ncbi.nlm.nih.gov/pubmed/37213765 http://dx.doi.org/10.1016/j.pecinn.2022.100095 |
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