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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...

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Autores principales: Wulff, Christian Nielsen, Hæe, Mette, Hansen, Dorte Gilså, Olling, Karina, Jensen, Karina Mølgaard, Knudsen, Anja Ør, Fokdal, Lars, Steffensen, Karina Dahl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
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.
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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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