Cargando…
Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction
Background: Few studies have addressed patient preferences in emergent surgical decision making. Aim of the study: Analyzing patient preferences for hand trauma reconstruction to propose a decision-making model. Methods: A conjoint analysis survey was developed with Sawtooth Software. Three common f...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8582850/ https://www.ncbi.nlm.nih.gov/pubmed/34769601 http://dx.doi.org/10.3390/ijerph182111081 |
_version_ | 1784597080256282624 |
---|---|
author | Chang, Dun-Hao Wang, Yu-Hsiang Hsieh, Chi-Ying Chang, Che-Wei Chang, Ke-Chung Chen, Yo-Shen |
author_facet | Chang, Dun-Hao Wang, Yu-Hsiang Hsieh, Chi-Ying Chang, Che-Wei Chang, Ke-Chung Chen, Yo-Shen |
author_sort | Chang, Dun-Hao |
collection | PubMed |
description | Background: Few studies have addressed patient preferences in emergent surgical decision making. Aim of the study: Analyzing patient preferences for hand trauma reconstruction to propose a decision-making model. Methods: A conjoint analysis survey was developed with Sawtooth Software. Three common flaps—i.e., a cross-finger flap (CFF), a dorsal metacarpal artery perforator flap (DMAPF), and an arterialized venous flap (AVF)—were listed as treatment alternatives. Five attributes corresponding to these flaps were recovery time, total procedure, postoperative care methods, postoperative scar condition, and complication rate. Utility and importance scores were generated from the software, and preference characteristics were evaluated using cluster analysis. Results: The survey was completed by 197 participants with hand trauma. Complication risk received the highest importance score (42.87%), followed by scar condition (21.55%). Cluster analysis classified the participants as “conservative,” “practical,” and “dual-concern”. The dual-concern and conservative groups had more foreign laborers and highly educated participants, respectively, than the other groups. Most participants in the conservative and practical groups preferred DMAPF, whereas those in the dual-concern group favored CFF. Our proposed model consisted of shared decision-making and treatment recommendation pathways. Conclusion: Incorporating patient preferences into the decision-making model can strengthen patient-centered care. Further research on the applications of the proposed model is warranted. |
format | Online Article Text |
id | pubmed-8582850 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-85828502021-11-12 Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction Chang, Dun-Hao Wang, Yu-Hsiang Hsieh, Chi-Ying Chang, Che-Wei Chang, Ke-Chung Chen, Yo-Shen Int J Environ Res Public Health Article Background: Few studies have addressed patient preferences in emergent surgical decision making. Aim of the study: Analyzing patient preferences for hand trauma reconstruction to propose a decision-making model. Methods: A conjoint analysis survey was developed with Sawtooth Software. Three common flaps—i.e., a cross-finger flap (CFF), a dorsal metacarpal artery perforator flap (DMAPF), and an arterialized venous flap (AVF)—were listed as treatment alternatives. Five attributes corresponding to these flaps were recovery time, total procedure, postoperative care methods, postoperative scar condition, and complication rate. Utility and importance scores were generated from the software, and preference characteristics were evaluated using cluster analysis. Results: The survey was completed by 197 participants with hand trauma. Complication risk received the highest importance score (42.87%), followed by scar condition (21.55%). Cluster analysis classified the participants as “conservative,” “practical,” and “dual-concern”. The dual-concern and conservative groups had more foreign laborers and highly educated participants, respectively, than the other groups. Most participants in the conservative and practical groups preferred DMAPF, whereas those in the dual-concern group favored CFF. Our proposed model consisted of shared decision-making and treatment recommendation pathways. Conclusion: Incorporating patient preferences into the decision-making model can strengthen patient-centered care. Further research on the applications of the proposed model is warranted. MDPI 2021-10-21 /pmc/articles/PMC8582850/ /pubmed/34769601 http://dx.doi.org/10.3390/ijerph182111081 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Chang, Dun-Hao Wang, Yu-Hsiang Hsieh, Chi-Ying Chang, Che-Wei Chang, Ke-Chung Chen, Yo-Shen Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction |
title | Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction |
title_full | Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction |
title_fullStr | Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction |
title_full_unstemmed | Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction |
title_short | Incorporating Patient Preferences into a Decision-Making Model of Hand Trauma Reconstruction |
title_sort | incorporating patient preferences into a decision-making model of hand trauma reconstruction |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8582850/ https://www.ncbi.nlm.nih.gov/pubmed/34769601 http://dx.doi.org/10.3390/ijerph182111081 |
work_keys_str_mv | AT changdunhao incorporatingpatientpreferencesintoadecisionmakingmodelofhandtraumareconstruction AT wangyuhsiang incorporatingpatientpreferencesintoadecisionmakingmodelofhandtraumareconstruction AT hsiehchiying incorporatingpatientpreferencesintoadecisionmakingmodelofhandtraumareconstruction AT changchewei incorporatingpatientpreferencesintoadecisionmakingmodelofhandtraumareconstruction AT changkechung incorporatingpatientpreferencesintoadecisionmakingmodelofhandtraumareconstruction AT chenyoshen incorporatingpatientpreferencesintoadecisionmakingmodelofhandtraumareconstruction |