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Effects of a time out consultation with the general practitioner on cancer treatment decision‐making: a randomised controlled trial: Time out with the general practitioner and cancer treatment decision
OBJECTIVE: Improving shared decision‐making (SDM) enables more tailored cancer treatment decisions. We evaluated a Time Out consultation (TOC) with the general practitioner (GP), between cancer diagnosis and treatment decision, which aims at supporting SDM and improving continuity of primary care. T...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8048675/ https://www.ncbi.nlm.nih.gov/pubmed/33245150 http://dx.doi.org/10.1002/pon.5604 |
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author | Perfors, Ietje A.A. Noteboom, Eveline A. de Wit, Niek J. van der Wall, Elsken Visserman, Ella A. van Dalen, Thijs Verhagen, Marc A.M.T. Witkamp, Arjen J. Koelemij, Ron Flinterman, Annebeth E. van Dorst, Eleonora B.L. Pruissen‐Peeters, Kim A.B.M. Moons, Leon M.G. Schramel, Franz M.N.H. van Rens, Marcel T.M. Ernst, Miranda F. May, Anne M. Helsper, Charles W. |
author_facet | Perfors, Ietje A.A. Noteboom, Eveline A. de Wit, Niek J. van der Wall, Elsken Visserman, Ella A. van Dalen, Thijs Verhagen, Marc A.M.T. Witkamp, Arjen J. Koelemij, Ron Flinterman, Annebeth E. van Dorst, Eleonora B.L. Pruissen‐Peeters, Kim A.B.M. Moons, Leon M.G. Schramel, Franz M.N.H. van Rens, Marcel T.M. Ernst, Miranda F. May, Anne M. Helsper, Charles W. |
author_sort | Perfors, Ietje A.A. |
collection | PubMed |
description | OBJECTIVE: Improving shared decision‐making (SDM) enables more tailored cancer treatment decisions. We evaluated a Time Out consultation (TOC) with the general practitioner (GP), between cancer diagnosis and treatment decision, which aims at supporting SDM and improving continuity of primary care. This study aims to evaluate the effects of a TOC on perceived SDM, information provision and self‐efficacy. METHODS: This randomised controlled trial included newly diagnosed patients with curable cancer (breast, lung, colorectal, gynaecologic and melanoma) from four Dutch hospitals. Primary outcome is perceived SDM and secondary outcomes are information provision and self‐efficacy. RESULTS: One hundred fifty‐four patients (control n = 77, intervention n = 77) – female: 75%, mean age: 61 (SD ± 11.9). In the intervention group, 80.5% (n = 62) had a TOC, of which 82.3% (n = 51) took place after treatment decision. Perceived SDM was lower in the intervention group (−8.9 [95% CI: 0.6–17.1]). Among those with a TOC before treatment decision (n = 11), perceived SDM was comparable to the control group (66.5 ± 27.2 vs. 67.9 ± 26.1). CONCLUSION: Even though patients are motivated to have a TOC, implementing a TOC between diagnosis and treatment decision is challenging. Effects of a timely TOC could not be established. Non‐timely TOC decreased perceived SDM. Planning of the TOC should be optimised, and future research should establish if adequately timed TOC results in improved SDM in cancer patients. |
format | Online Article Text |
id | pubmed-8048675 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-80486752021-04-19 Effects of a time out consultation with the general practitioner on cancer treatment decision‐making: a randomised controlled trial: Time out with the general practitioner and cancer treatment decision Perfors, Ietje A.A. Noteboom, Eveline A. de Wit, Niek J. van der Wall, Elsken Visserman, Ella A. van Dalen, Thijs Verhagen, Marc A.M.T. Witkamp, Arjen J. Koelemij, Ron Flinterman, Annebeth E. van Dorst, Eleonora B.L. Pruissen‐Peeters, Kim A.B.M. Moons, Leon M.G. Schramel, Franz M.N.H. van Rens, Marcel T.M. Ernst, Miranda F. May, Anne M. Helsper, Charles W. Psychooncology Original Article OBJECTIVE: Improving shared decision‐making (SDM) enables more tailored cancer treatment decisions. We evaluated a Time Out consultation (TOC) with the general practitioner (GP), between cancer diagnosis and treatment decision, which aims at supporting SDM and improving continuity of primary care. This study aims to evaluate the effects of a TOC on perceived SDM, information provision and self‐efficacy. METHODS: This randomised controlled trial included newly diagnosed patients with curable cancer (breast, lung, colorectal, gynaecologic and melanoma) from four Dutch hospitals. Primary outcome is perceived SDM and secondary outcomes are information provision and self‐efficacy. RESULTS: One hundred fifty‐four patients (control n = 77, intervention n = 77) – female: 75%, mean age: 61 (SD ± 11.9). In the intervention group, 80.5% (n = 62) had a TOC, of which 82.3% (n = 51) took place after treatment decision. Perceived SDM was lower in the intervention group (−8.9 [95% CI: 0.6–17.1]). Among those with a TOC before treatment decision (n = 11), perceived SDM was comparable to the control group (66.5 ± 27.2 vs. 67.9 ± 26.1). CONCLUSION: Even though patients are motivated to have a TOC, implementing a TOC between diagnosis and treatment decision is challenging. Effects of a timely TOC could not be established. Non‐timely TOC decreased perceived SDM. Planning of the TOC should be optimised, and future research should establish if adequately timed TOC results in improved SDM in cancer patients. John Wiley and Sons Inc. 2020-12-22 2021-04 /pmc/articles/PMC8048675/ /pubmed/33245150 http://dx.doi.org/10.1002/pon.5604 Text en © 2020 The Authors. Psycho‐Oncology published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Article Perfors, Ietje A.A. Noteboom, Eveline A. de Wit, Niek J. van der Wall, Elsken Visserman, Ella A. van Dalen, Thijs Verhagen, Marc A.M.T. Witkamp, Arjen J. Koelemij, Ron Flinterman, Annebeth E. van Dorst, Eleonora B.L. Pruissen‐Peeters, Kim A.B.M. Moons, Leon M.G. Schramel, Franz M.N.H. van Rens, Marcel T.M. Ernst, Miranda F. May, Anne M. Helsper, Charles W. Effects of a time out consultation with the general practitioner on cancer treatment decision‐making: a randomised controlled trial: Time out with the general practitioner and cancer treatment decision |
title | Effects of a time out consultation with the general practitioner on cancer treatment decision‐making: a randomised controlled trial: Time out with the general practitioner and cancer treatment decision |
title_full | Effects of a time out consultation with the general practitioner on cancer treatment decision‐making: a randomised controlled trial: Time out with the general practitioner and cancer treatment decision |
title_fullStr | Effects of a time out consultation with the general practitioner on cancer treatment decision‐making: a randomised controlled trial: Time out with the general practitioner and cancer treatment decision |
title_full_unstemmed | Effects of a time out consultation with the general practitioner on cancer treatment decision‐making: a randomised controlled trial: Time out with the general practitioner and cancer treatment decision |
title_short | Effects of a time out consultation with the general practitioner on cancer treatment decision‐making: a randomised controlled trial: Time out with the general practitioner and cancer treatment decision |
title_sort | effects of a time out consultation with the general practitioner on cancer treatment decision‐making: a randomised controlled trial: time out with the general practitioner and cancer treatment decision |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8048675/ https://www.ncbi.nlm.nih.gov/pubmed/33245150 http://dx.doi.org/10.1002/pon.5604 |
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