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How shared is decision‐making in multidisciplinary tumour conferences with patient participation? An observational study

BACKGROUND: In some breast and gynaecologic cancer centres in Germany, patients participate in their own case discussion in multidisciplinary tumour conferences (MTCs), where treatment recommendations are discussed and finalized. However, the extent to which patients in MTCs are involved in decision...

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Autores principales: Schellenberger, Barbara, Heuser, Christian, Diekmann, Annika, Ernstmann, Nicole, Schippers, Anna, Geiser, Franziska, Schmidt‐Wolf, Ingo G. H., Scholl, Isabelle, Ansmann, Lena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9700138/
https://www.ncbi.nlm.nih.gov/pubmed/36314056
http://dx.doi.org/10.1111/hex.13638
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author Schellenberger, Barbara
Heuser, Christian
Diekmann, Annika
Ernstmann, Nicole
Schippers, Anna
Geiser, Franziska
Schmidt‐Wolf, Ingo G. H.
Scholl, Isabelle
Ansmann, Lena
author_facet Schellenberger, Barbara
Heuser, Christian
Diekmann, Annika
Ernstmann, Nicole
Schippers, Anna
Geiser, Franziska
Schmidt‐Wolf, Ingo G. H.
Scholl, Isabelle
Ansmann, Lena
author_sort Schellenberger, Barbara
collection PubMed
description BACKGROUND: In some breast and gynaecologic cancer centres in Germany, patients participate in their own case discussion in multidisciplinary tumour conferences (MTCs), where treatment recommendations are discussed and finalized. However, the extent to which patients in MTCs are involved in decision‐making on treatment recommendations remains largely unexplored. Hence, this study investigates how recommendations are communicated to patients and the extent to which the interactions with patients in MTCs are in line with shared decision‐making (SDM). METHODS: In this observational study, we audio‐recorded MTCs with patient participation in three breast and gynaecologic cancer centres in Germany. We qualitatively analysed the data with regard to content and linguistic aspects. RESULTS: We analysed 82 case discussions. Recommendations made during MTCs were regarding (i) treatment options, (ii) treatment initiation, (iii) next (treatment) steps and (iv) whether a treatment method should be initiated at all. The decision about recommendations depended in part on patients' preferences or further course/further outcomes. Although the purpose of MTCs is to provide recommendations, some recommendations were framed as the final decision. The majority of the decision‐making conversation could be characterized as option talk (78%), during which patients were mostly proposed only one (treatment) option. CONCLUSIONS: This study establishes limited SDM in MTCs with patient participation. By indicating choices and thereby creating awareness of choices among patients, MTCs with patient participation could be used to foster SDM implementation. PATIENT OR PUBLIC CONTRIBUTION: Two representatives of a large self‐help organization for patients with breast cancer assisted the research project, particularly, in discussing the results.
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spelling pubmed-97001382022-12-01 How shared is decision‐making in multidisciplinary tumour conferences with patient participation? An observational study Schellenberger, Barbara Heuser, Christian Diekmann, Annika Ernstmann, Nicole Schippers, Anna Geiser, Franziska Schmidt‐Wolf, Ingo G. H. Scholl, Isabelle Ansmann, Lena Health Expect Original Articles BACKGROUND: In some breast and gynaecologic cancer centres in Germany, patients participate in their own case discussion in multidisciplinary tumour conferences (MTCs), where treatment recommendations are discussed and finalized. However, the extent to which patients in MTCs are involved in decision‐making on treatment recommendations remains largely unexplored. Hence, this study investigates how recommendations are communicated to patients and the extent to which the interactions with patients in MTCs are in line with shared decision‐making (SDM). METHODS: In this observational study, we audio‐recorded MTCs with patient participation in three breast and gynaecologic cancer centres in Germany. We qualitatively analysed the data with regard to content and linguistic aspects. RESULTS: We analysed 82 case discussions. Recommendations made during MTCs were regarding (i) treatment options, (ii) treatment initiation, (iii) next (treatment) steps and (iv) whether a treatment method should be initiated at all. The decision about recommendations depended in part on patients' preferences or further course/further outcomes. Although the purpose of MTCs is to provide recommendations, some recommendations were framed as the final decision. The majority of the decision‐making conversation could be characterized as option talk (78%), during which patients were mostly proposed only one (treatment) option. CONCLUSIONS: This study establishes limited SDM in MTCs with patient participation. By indicating choices and thereby creating awareness of choices among patients, MTCs with patient participation could be used to foster SDM implementation. PATIENT OR PUBLIC CONTRIBUTION: Two representatives of a large self‐help organization for patients with breast cancer assisted the research project, particularly, in discussing the results. John Wiley and Sons Inc. 2022-10-31 2022-12 /pmc/articles/PMC9700138/ /pubmed/36314056 http://dx.doi.org/10.1111/hex.13638 Text en © 2022 The Authors. Health Expectations published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Schellenberger, Barbara
Heuser, Christian
Diekmann, Annika
Ernstmann, Nicole
Schippers, Anna
Geiser, Franziska
Schmidt‐Wolf, Ingo G. H.
Scholl, Isabelle
Ansmann, Lena
How shared is decision‐making in multidisciplinary tumour conferences with patient participation? An observational study
title How shared is decision‐making in multidisciplinary tumour conferences with patient participation? An observational study
title_full How shared is decision‐making in multidisciplinary tumour conferences with patient participation? An observational study
title_fullStr How shared is decision‐making in multidisciplinary tumour conferences with patient participation? An observational study
title_full_unstemmed How shared is decision‐making in multidisciplinary tumour conferences with patient participation? An observational study
title_short How shared is decision‐making in multidisciplinary tumour conferences with patient participation? An observational study
title_sort how shared is decision‐making in multidisciplinary tumour conferences with patient participation? an observational study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9700138/
https://www.ncbi.nlm.nih.gov/pubmed/36314056
http://dx.doi.org/10.1111/hex.13638
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