Is there a role for decision aids in cancer-related decisions? Journal Article
| Authors: | Neuman, H. B.; Charlson, M. E.; Temple, L. K. |
| Article Title: | Is there a role for decision aids in cancer-related decisions? |
| Abstract: | Cancer-related decisions are challenging, requiring patients to evaluate associated medical and psychological outcomes within the context of their personal values. In response, a number of decisional support tools have been developed. Clinical decision aids are decisional support tools designed to facilitate patient-driven decision-making by providing relevant information on the options while eliciting and incorporating patient preferences; they have been designed to support decision-making in the prevention, screening, and treatment of cancer. The development begins with identification of an appropriate clinical problem, followed by needs assessment to determine content and optimal methods of data presentation. Because implementation of a decision aid requires time and financial commitment, its efficacy in improving the quality of patients' decisions must be evaluated. In randomized controlled trials, cancer-related decision aids have been shown to increase patients' knowledge regarding their disease, and may facilitate patients playing a more active role in decision-making. Some studies suggest less decisional conflict and improved satisfaction with decision-making as a result. Whether use of a decision aid impacts the actual decisions made by patients, however, is less evident. © 2007 Elsevier Ireland Ltd. All rights reserved. |
| Keywords: | patient satisfaction; review; cancer patient; neoplasms; cancer prevention; ovary cancer; breast cancer; lung non small cell cancer; cancer screening; chronic myeloid leukemia; oncology; cancer therapy; prostate cancer; patient participation; psychological aspect; randomized controlled trials; total quality management; colon cancer; consultation; clinical decision making; patient decision making; clinical effectiveness; decision support system; decision support systems, clinical; decision making, computer-assisted; shared decision-making; decision aid; decisional support |
| Journal Title: | Critical Reviews in Oncology/Hematology |
| Volume: | 62 |
| Issue: | 3 |
| ISSN: | 1040-8428 |
| Publisher: | Elsevier Science, Inc. |
| Date Published: | 2007-06-01 |
| Start Page: | 240 |
| End Page: | 250 |
| Language: | English |
| DOI: | 10.1016/j.critrevonc.2006.12.006 |
| PUBMED: | 17317206 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 9" - "Export Date: 17 November 2011" - "CODEN: CCRHE" - "Source: Scopus" |
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