Availability and effectiveness of decision aids for supporting shared decision making in patients with advanced colorectal and lung cancer: Results from a systematic review.
advanced colorectal cancer
advanced lung cancer
decision aid
shared decision making
Journal
European journal of cancer care
ISSN: 1365-2354
Titre abrégé: Eur J Cancer Care (Engl)
Pays: England
ID NLM: 9301979
Informations de publication
Date de publication:
May 2019
May 2019
Historique:
received:
07
11
2018
revised:
22
03
2019
accepted:
08
04
2019
pubmed:
9
5
2019
medline:
20
12
2019
entrez:
9
5
2019
Statut:
ppublish
Résumé
Shared decision making is not always commonplace in advanced colorectal or lung cancer care. Decision aids (DAs) might be helpful. This review aimed (a) to provide an overview of DAs for patients with advanced colorectal or lung cancer and assess their availability; and (b) to assess their effectiveness if possible. A systematic literature search (PubMed/EMBASE/PsycINFO/CINAHL) and Internet and expert searches were carried out to identify relevant DAs. Data from the DAs included were extracted and the quality of studies, evidence (Grading of Recommendations Assessment, Development and Evaluation) and effectiveness (International Patient Decision Aid Standards) of DAs were determined. Ten of the 12 DAs included (four colorectal cancer, four lung cancer and four generic) are still available. Most (9/12) were applicable throughout the disease pathway and usable for all decisions, or to the decision for supportive care with/without anti-cancer therapy. Seven studies tested effectiveness. Effects on patient outcomes varied, but were generally weakly positive (e.g., DAs improved patient satisfaction) with low evidence. Study quality was fair to good. There is a lack of readily available DAs that have been demonstrated to be effective in advanced colorectal or lung cancer. Rigorous testing of the effects of currently available and future DAs, to improve patient outcomes, is urgently needed.
Identifiants
pubmed: 31066142
doi: 10.1111/ecc.13079
pmc: PMC9286651
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Pagination
e13079Subventions
Organisme : Dutch Cancer Society
ID : 10392
Organisme : Dutch Care Institute
Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2019 The Authors. European Journal of Cancer Care Published by John Wiley & Sons Ltd.
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