scholarly journals Patient Decision Making Prior to Radical Prostatectomy

2016 ◽  
Vol 11 (1) ◽  
pp. 108-115 ◽  
Author(s):  
Çağatay Doğan ◽  
Hamza M. Gültekin ◽  
Sarper M. Erdoğan ◽  
Hamdi Özkara ◽  
Zübeyr Talat ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Telephone Interview ◽  
Third Party ◽  
Decision Making Process ◽  
Patient Decision Making ◽  
Patient Decision ◽  
Number Of Patients ◽  
Treatment Alternatives ◽  
Critical Aspects

The current study assessed the decision-making process before surgery in prostate cancer patients. A structured telephone interview was conducted by an independent third party in 162 consecutive patients who underwent surgery for prostate cancer. Responders revealed that details regarding diagnosis and treatment alternatives were withheld from a significant number of patients. Radiation and active surveillance were presented as alternative options to surgery in 57 (39%) and 20 (14%) of responders, respectively. Twenty-six (18%) patients reported not being informed regarding potential surgical side effects. Patients were not active participants in critical aspects of decision making in 61 (42%) of the cases. Being inadequately informed and more frequent visits to the urologist appeared to make decisions more difficult. Treatment regret was reported by 23 (16%) of the patients who underwent surgery and was more common when the patient was not involved in the decision or was inadequately informed. As such, shared decision making should replace paternalism when managing patients with localized prostate cancer in urologic practice.

scholarly journals Why go to the Emergency Room? A Patient Decision Making Process

2014 ◽  
Vol 3 (3) ◽  
pp. 480
Author(s):  
William Hanson ◽  
Jeffrey Moore ◽  
Chandler Whitesides ◽  
Madison Foxx ◽  
Joshua Hickman ◽  
...  
Keyword(s):  
Decision Making ◽  
Emergency Room ◽  
Decision Making Process ◽  
Patient Decision Making ◽  
Patient Decision

Exploring the Patient Decision-Making Process in Choosing Route of Hysterectomy [5E]

2017 ◽  
Vol 129 ◽  
pp. 53S
Author(s):  
Louise van der Does ◽  
Rupen P. Baxi ◽  
Paul MacKoul ◽  
Natalya Danilyants ◽  
Kelly Washington
Keyword(s):  
Decision Making ◽  
Decision Making Process ◽  
Patient Decision Making ◽  
Patient Decision

scholarly journals PCN145 A COMPARISON OF PHYSICIAN AND PATIENT DECISION MAKING FOR FIRST VERSUS SECOND OPINIONS AMONG MEN WITH LOCAL STAGE PROSTATE CANCER

2010 ◽  
Vol 13 (3) ◽  
pp. A51
Author(s):  
S Ramsey ◽  
SB Zeliadt ◽  
DK Blough ◽  
CR Fedorenko ◽  
CM Moinpour ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Patient Decision Making ◽  
Patient Decision

scholarly journals Feasibility and Efficacy of Decision Aids to Improve Decision Making for Postmastectomy Breast Reconstruction: A Systematic Review and Meta-analysis

2018 ◽  
Vol 39 (1) ◽  
pp. 5-20 ◽  
Author(s):  
Nicholas L. Berlin ◽  
Vickram J. Tandon ◽  
Sarah T. Hawley ◽  
Jennifer B. Hamill ◽  
Mark P. MacEachern ◽  
...  
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Breast Reconstruction ◽  
Decision Aids ◽  
Decisional Conflict ◽  
Decision Making Process ◽  
Patient Decision Making ◽  
Patient Decision ◽  
Perceived Involvement ◽  
The Impact

Background. The decision-making process for women considering breast reconstruction following mastectomy is complex. Research suggests that fewer than half of women undergoing mastectomy have adequate knowledge and make treatment decisions that are concordant with their underlying values. This systematic review assesses the feasibility and efficacy of preoperative decision aids (DAs) to improve the patient decision-making process for breast reconstruction. Methods. A systematic review was performed using PubMed, Ovid MEDLINE, EMBASE, CINAHL, and Cochrane Databases published prior to January 4, 2018. Studies that assessed the impact of a DA on patient decision making for breast reconstruction were identified. The effect of preoperative DAs on decisional conflict in randomized controlled trials (RCTs) was measured with inverse variance-weighted mean differences (mean difference [MD] ± 95% confidence interval [CI]). Results. Among 1299 unique articles identified, 1197 were excluded after reviewing titles and abstracts against selection criteria. Among the 17 studies included in this review, 11 assessed the efficacy of DAs for breast reconstruction and 6 additional studies described the development and usability of these DAs. Studies suggest that DAs reduce patient-reported decisional conflict (MD, –4.55 [95% CI, –8.65 to –0.45], P = 0.03 in the fixed-effects model and MD, –4.70 [95% CI, –10.75 to 1.34], P = 0.13 in the random-effects model). Preoperative DAs also improved patient satisfaction with information and perceived involvement in the decision-making process. Conclusions. The existing literature suggests that DAs reduce decisional conflict, improve self-reported satisfaction with information, and improve perceived involvement in the decision-making process for women considering breast reconstruction.

scholarly journals Protocol for systematic review: patient decision aids for total hip and knee arthroplasty decision-making

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Lissa Pacheco-Brousseau ◽  
Marylène Charette ◽  
Dawn Stacey ◽  
Stéphane Poitras
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Knee Arthroplasty ◽  
Patient Involvement ◽  
Decision Aids ◽  
Risk Of Bias ◽  
Decision Making Process ◽  
Patient Decision Aids ◽  
Patient Decision ◽  
Hip And Knee Arthroplasty

Abstract Background Total hip and knee arthroplasty are a highly performed surgery; however, patient satisfaction with surgery results and patient involvement in the decision-making process remains low. Patient decision aids (PtDAs) are tools used in clinical practices to facilitate active patient involvement in healthcare decision-making. Nonetheless, PtDA effects have not been systematically evaluated for hip and knee total joint arthroplasty (TJA) decision-making. The aim of this systematic review is to determine the effect of patient decision aids compared to alternative of care on quality and process of decision-making when provided to adults with hip and knee osteoarthritis considering primary elective TJA. Methods This systematic review will follow the Cochrane Handbook for Systematic Reviews. This protocol was reported based on the PRISMA-P checklist guidelines. Studies will be searched in CINAHL, MEDLINE, Embase, PsycINFO, and Web of Science. Eligible studies will be randomized control trial (RCT) evaluating the effect of PtDA on TJA decision-making. Descriptive and meta-analysis of outcomes will include decision quality (knowledge and values-based choice), decisional conflict, patient involvement, decision-making process satisfaction, actual decision made, health outcomes, and harm(s). Risk of bias will be evaluated with Cochrane’s risk of bias tool for RCTs. Quality and strength of recommendations will be appraised with Grades of Recommendation, Assessment, Development and Evaluation (GRADE). Discussion This review will provide a summary of RCT findings on PtDA effect on decision-making quality and process of adults with knee and hip osteoarthritis considering primary elective TJA. Further, it will provide evidence comparing different types of PtDA used for TJA decision-making. This review is expected to inform further research on joint replacement decision-making quality and processes and on ways PtDAs facilitate shared decision-making for orthopedic surgery. Systematic review registration PROSPERO CRD42020171334

An economic theory of patient decision-making

2005 ◽  
Vol 2 (3) ◽  
pp. 153-164 ◽  
Author(s):  
Douglas O. Stewart ◽  
Joseph P. DeMarco
Keyword(s):  
Decision Making ◽  
Economic Theory ◽  
Patient Decision Making ◽  
Patient Decision
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