Patients' preferences in therapeutic decision-making in digestive oncology: a single centre cross-sectional observational study
Abstract Considering the preferences in Shared Decision Making (SDM) of patients with Digestive Cancer (DC) is crucial to ensure the quality of care. To date, there is limited information on preferences in SDM of patients with DC. The objectives of this study were to describe digestive cancer patien...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-05-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-35407-x |
| _version_ | 1797818060924518400 |
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| author | Pierre Nizet Charlotte Grivel Pauline Rabeau Solange Pecout Adrien Evin Sonia Prot Labarthe Dominique Navas Fanny Feuillet Marianne Bourdon Jean-François Huon |
| author_facet | Pierre Nizet Charlotte Grivel Pauline Rabeau Solange Pecout Adrien Evin Sonia Prot Labarthe Dominique Navas Fanny Feuillet Marianne Bourdon Jean-François Huon |
| author_sort | Pierre Nizet |
| collection | DOAJ |
| description | Abstract Considering the preferences in Shared Decision Making (SDM) of patients with Digestive Cancer (DC) is crucial to ensure the quality of care. To date, there is limited information on preferences in SDM of patients with DC. The objectives of this study were to describe digestive cancer patients’ preference for involvement in therapeutic decision-making and to identify variables associated with these preferences. An observational prospective study in a French university cancer center has been conducted. Patients completed two questionnaires to qualify and quantify their preference for involvement in therapeutic decision-making: the Control Preference Scale (CPS) and the Autonomy Preference Index (API), which is composed of the Decision Making (DM) score and the Information Seeking (IS) score. Associations between these scores and socio-demographic data, disease-related data, coping strategies (Brief-COPE), physical (QLQ-C30) and psychological (HADS) quality of life were tested. One-hundred fifteen patients returned the questionnaires. The majority of patients reported a passive (49.1%) or a collaborative (43.0%) CPS status. The mean DM score was 39.4 Variables associated with decision-making preferences were occupational status and time since diagnosis. The identification of variables associated with patients' preferences for involvement in decision-making can help make clinicians aware of patients' needs and wishes. However, it can only be determined by interviewing the patient individually. |
| first_indexed | 2024-03-13T09:02:35Z |
| format | Article |
| id | doaj.art-5c14af66d72f4811808a75fcf1c27aeb |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-13T09:02:35Z |
| publishDate | 2023-05-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-5c14af66d72f4811808a75fcf1c27aeb2023-05-28T11:13:49ZengNature PortfolioScientific Reports2045-23222023-05-011311810.1038/s41598-023-35407-xPatients' preferences in therapeutic decision-making in digestive oncology: a single centre cross-sectional observational studyPierre Nizet0Charlotte Grivel1Pauline Rabeau2Solange Pecout3Adrien Evin4Sonia Prot Labarthe5Dominique Navas6Fanny Feuillet7Marianne Bourdon8Jean-François Huon9Nantes Université, CHU Nantes, PharmacieNantes Université, CHU Nantes, PharmacieUMR INSERM 1246 SPHERE “methodS in Patient-Centered Outcomes and HEalth ResEarch”, Nantes Université, Université de ToursNantes Université, CHU Nantes, Institut Des Maladies De l’Appareil DigestifNantes Université, CHU Nantes, Service de Soins Palliatifs et de SupportNantes Université, CHU Nantes, PharmacieNantes Université, CHU Nantes, PharmacieUMR INSERM 1246 SPHERE “methodS in Patient-Centered Outcomes and HEalth ResEarch”, Nantes Université, Université de ToursUMR INSERM 1246 SPHERE “methodS in Patient-Centered Outcomes and HEalth ResEarch”, Nantes Université, Université de ToursNantes Université, CHU Nantes, PharmacieAbstract Considering the preferences in Shared Decision Making (SDM) of patients with Digestive Cancer (DC) is crucial to ensure the quality of care. To date, there is limited information on preferences in SDM of patients with DC. The objectives of this study were to describe digestive cancer patients’ preference for involvement in therapeutic decision-making and to identify variables associated with these preferences. An observational prospective study in a French university cancer center has been conducted. Patients completed two questionnaires to qualify and quantify their preference for involvement in therapeutic decision-making: the Control Preference Scale (CPS) and the Autonomy Preference Index (API), which is composed of the Decision Making (DM) score and the Information Seeking (IS) score. Associations between these scores and socio-demographic data, disease-related data, coping strategies (Brief-COPE), physical (QLQ-C30) and psychological (HADS) quality of life were tested. One-hundred fifteen patients returned the questionnaires. The majority of patients reported a passive (49.1%) or a collaborative (43.0%) CPS status. The mean DM score was 39.4 Variables associated with decision-making preferences were occupational status and time since diagnosis. The identification of variables associated with patients' preferences for involvement in decision-making can help make clinicians aware of patients' needs and wishes. However, it can only be determined by interviewing the patient individually.https://doi.org/10.1038/s41598-023-35407-x |
| spellingShingle | Pierre Nizet Charlotte Grivel Pauline Rabeau Solange Pecout Adrien Evin Sonia Prot Labarthe Dominique Navas Fanny Feuillet Marianne Bourdon Jean-François Huon Patients' preferences in therapeutic decision-making in digestive oncology: a single centre cross-sectional observational study Scientific Reports |
| title | Patients' preferences in therapeutic decision-making in digestive oncology: a single centre cross-sectional observational study |
| title_full | Patients' preferences in therapeutic decision-making in digestive oncology: a single centre cross-sectional observational study |
| title_fullStr | Patients' preferences in therapeutic decision-making in digestive oncology: a single centre cross-sectional observational study |
| title_full_unstemmed | Patients' preferences in therapeutic decision-making in digestive oncology: a single centre cross-sectional observational study |
| title_short | Patients' preferences in therapeutic decision-making in digestive oncology: a single centre cross-sectional observational study |
| title_sort | patients preferences in therapeutic decision making in digestive oncology a single centre cross sectional observational study |
| url | https://doi.org/10.1038/s41598-023-35407-x |
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