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Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study
BACKGROUND: Traditional Chinese Medicine (TCM), integrating patient preferences into decision-making process, has been widely used in the multimodality therapy of lung cancer. This study aimed to estimate patient preferences for treatment and shared decision-making (SDM) modes concerning inpatient T...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10400851/ https://www.ncbi.nlm.nih.gov/pubmed/37546234 http://dx.doi.org/10.1016/j.imr.2023.100969 |
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author | Teng, Yue Wei, Yan Chen, Yingyao Yan, Juntao Liu, Shimeng Li, Fuming Bao, Shiyi Ren, Yanfeng Liu, Liu Yang, Yi |
author_facet | Teng, Yue Wei, Yan Chen, Yingyao Yan, Juntao Liu, Shimeng Li, Fuming Bao, Shiyi Ren, Yanfeng Liu, Liu Yang, Yi |
author_sort | Teng, Yue |
collection | PubMed |
description | BACKGROUND: Traditional Chinese Medicine (TCM), integrating patient preferences into decision-making process, has been widely used in the multimodality therapy of lung cancer. This study aimed to estimate patient preferences for treatment and shared decision-making (SDM) modes concerning inpatient TCM treatment of lung cancer in Shanghai in order to provide a basis for clinical decision-making process on TCM therapy for lung cancer. METHODS: This study was conducted among patients (n = 347) from nine tertiary hospitals in Shanghai by discrete-choice experiment (DCE) survey and Shared Decision-Making Questionnaire-patient version (SDM-Q-9) survey. The DCE was developed with the inclusion of the most relevant attributes at appropriate levels for the TCM treatment of lung cancer. The empirical data analyses of patients were performed using mixed logit models. Additionally, subgroup analysis was conducted. RESULTS: In total, 347 respondents completed the questionnaire. All attributes’ coefficients were statistically significant for patients’ preferences. Patients showed strong preferences for increasing disease control rate, relieving nausea and vomiting, reducing the risk of side effects, and were concerned about monthly out-of-pocket costs. Subgroup analysis indicated that patients with a lower SDM-Q-9 score and those who were satisfied with medical services emphasized more importance of higher disease control rate. Furthermore, most of the patients (90.20%) self-reported a high willingness to use SDM during the decision-making process. CONCLUSION: In Shanghai, patients mainly preferred SDM and considered disease control rate as the most essential attribute in the TCM treatment of lung cancer. The study findings could underscore the importance of considering patients’ preferences and promote SDM. |
format | Online Article Text |
id | pubmed-10400851 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-104008512023-08-05 Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study Teng, Yue Wei, Yan Chen, Yingyao Yan, Juntao Liu, Shimeng Li, Fuming Bao, Shiyi Ren, Yanfeng Liu, Liu Yang, Yi Integr Med Res Original Article BACKGROUND: Traditional Chinese Medicine (TCM), integrating patient preferences into decision-making process, has been widely used in the multimodality therapy of lung cancer. This study aimed to estimate patient preferences for treatment and shared decision-making (SDM) modes concerning inpatient TCM treatment of lung cancer in Shanghai in order to provide a basis for clinical decision-making process on TCM therapy for lung cancer. METHODS: This study was conducted among patients (n = 347) from nine tertiary hospitals in Shanghai by discrete-choice experiment (DCE) survey and Shared Decision-Making Questionnaire-patient version (SDM-Q-9) survey. The DCE was developed with the inclusion of the most relevant attributes at appropriate levels for the TCM treatment of lung cancer. The empirical data analyses of patients were performed using mixed logit models. Additionally, subgroup analysis was conducted. RESULTS: In total, 347 respondents completed the questionnaire. All attributes’ coefficients were statistically significant for patients’ preferences. Patients showed strong preferences for increasing disease control rate, relieving nausea and vomiting, reducing the risk of side effects, and were concerned about monthly out-of-pocket costs. Subgroup analysis indicated that patients with a lower SDM-Q-9 score and those who were satisfied with medical services emphasized more importance of higher disease control rate. Furthermore, most of the patients (90.20%) self-reported a high willingness to use SDM during the decision-making process. CONCLUSION: In Shanghai, patients mainly preferred SDM and considered disease control rate as the most essential attribute in the TCM treatment of lung cancer. The study findings could underscore the importance of considering patients’ preferences and promote SDM. Elsevier 2023-09 2023-06-22 /pmc/articles/PMC10400851/ /pubmed/37546234 http://dx.doi.org/10.1016/j.imr.2023.100969 Text en © 2023 Korea Institute of Oriental Medicine. Published by Elsevier B.V. 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 | Original Article Teng, Yue Wei, Yan Chen, Yingyao Yan, Juntao Liu, Shimeng Li, Fuming Bao, Shiyi Ren, Yanfeng Liu, Liu Yang, Yi Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study |
title | Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study |
title_full | Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study |
title_fullStr | Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study |
title_full_unstemmed | Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study |
title_short | Patient preferences and shared decision making for the traditional Chinese medicine treatment of lung cancer: A discrete choice experiment study |
title_sort | patient preferences and shared decision making for the traditional chinese medicine treatment of lung cancer: a discrete choice experiment study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10400851/ https://www.ncbi.nlm.nih.gov/pubmed/37546234 http://dx.doi.org/10.1016/j.imr.2023.100969 |
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