Patient Preferences Versus Physician Perceptions of Treatment Decisions in Cancer Care

Abstract

An individual approach is needed and each patient should be assessed prospectively for DMP.

Collaborative/active participationper se does not decrease anxiety in breast cancer

“…1,[6][7][8][9][10][11][12][13][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] The patients' expectations also depend on the type of the disease, 15,20 or the type of the malignancy. 13,15,19,25 Most of the literature data on the attitude of breast cancer patients towards being informed, and participation in treatment decision come from Canada, 15,17,18,26,32 the US, 7,10,25,[27][28][29][30][31]34 Australia, 6,9,…”

“…5 At the same time our data confirm the commendations that for the optimal result, an interacting consultation with a permanent monitoring of the needs of the individual patient is required. 10,11,27,28,31,32 The attitude of breast cancer patients toward the disease and the treatment may vary in different countries. It is mandatory to apply such practice that optimally meets their real requirements and preferences.…”

Shared Decision Making in Oncology Practice: What Do Oncologists Need to Know?

“…This process is different from the process in which preferences are elicited using a time tradeoff or standard gamble approach to assess health states (utilities), commonly used in macrolevel decision analysis, economic evaluations, and some patient decision aids [46]. Patient preferences cannot often be predicted and do not always correlate with sociodemographic variables like age or gender [47], so eliciting individual preferences provides the only reliable method of understanding individual values that can influence decisions. In addition, patients might not have previously formed preferences about cancer decisions because they find themselves in a new, emotional situation [4,20,48].…”

¿Cuánta información desean recibir y cómo prefieren tomar sus decisiones pacientes con cáncer avanzado atendidos en una Unidad del Programa Nacional de Dolor y Cuidados Paliativos en Chile?

“…Degner et al reportaron una concordancia de 42% entre las preferencias en el estilo de toma de decisiones y experiencia real de 1.012 mujeres con cáncer de mama 13. En un estudio posterior, Bruera encontró una concordancia de 45% entre las preferencias en toma de decisiones y percepción de los médicos sobre éstas 14 .…”