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Cancer patients' preferred and perceived level of involvement in treatment decision-making: an epidemiological study

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Cancer patients' preferred and perceived level of involvement in treatment decision-making: an epidemiological study. / Hahlweg, Pola; Kriston, Levente; Scholl, Isabelle; Brähler, Elmar; Faller, Hermann; Schulz, Holger; Weis, Joachim; Koch, Uwe; Wegscheider, Karl; Mehnert, Anja; Härter, Martin.

In: ACTA ONCOL, Vol. 59, No. 8, 08.2020, p. 967-974.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Hahlweg, P, Kriston, L, Scholl, I, Brähler, E, Faller, H, Schulz, H, Weis, J, Koch, U, Wegscheider, K, Mehnert, A & Härter, M 2020, 'Cancer patients' preferred and perceived level of involvement in treatment decision-making: an epidemiological study', ACTA ONCOL, vol. 59, no. 8, pp. 967-974. https://doi.org/10.1080/0284186X.2020.1762926

APA

Hahlweg, P., Kriston, L., Scholl, I., Brähler, E., Faller, H., Schulz, H., Weis, J., Koch, U., Wegscheider, K., Mehnert, A., & Härter, M. (2020). Cancer patients' preferred and perceived level of involvement in treatment decision-making: an epidemiological study. ACTA ONCOL, 59(8), 967-974. https://doi.org/10.1080/0284186X.2020.1762926

Vancouver

Hahlweg P, Kriston L, Scholl I, Brähler E, Faller H, Schulz H et al. Cancer patients' preferred and perceived level of involvement in treatment decision-making: an epidemiological study. ACTA ONCOL. 2020 Aug;59(8):967-974. https://doi.org/10.1080/0284186X.2020.1762926

Bibtex

@article{72e4d9ea70da4f6c837f25f10c0b6142,
title = "Cancer patients' preferred and perceived level of involvement in treatment decision-making: an epidemiological study",
abstract = "Background: We aimed to analyze preferred and perceived levels of patients' involvement in treatment decision-making in a representative sample of cancer patients.Material and Methods: We conducted a multicenter, epidemiological cross-sectional study with a stratified random sample based on the incidence of cancer diagnoses in Germany. Data were collected between January 2008 and December 2010. Analyses were undertaken between 2017 and 2019. We included 5889 adult cancer patients across all cancer entities and disease stages from 30 acute care hospitals, outpatient facilities, and cancer rehabilitation clinics in five regions in Germany. We used the Control Preferences Scale to assess the preferred level of involvement and the nine-item Shared Decision-Making Questionnaire to assess the perceived level of involvement.Results: About 4020 patients (mean age of 58 years, 51% female) completed the survey. Response rate was 68.3%. About a third each preferred patient-led, shared, or physician-led decision-making. About 50.7% perceived high levels, about a quarter each reported moderate (26.0%) or low (24.3%) levels of shared decision-making. Sex, age, relationship status, education, health care setting, and tumor entity were linked to preferred and/or perceived decision-making. Of those patients who preferred active involvement, about 50% perceived high levels of shared decision-making.Conclusion: The majority of patients with cancer wanted to be involved in medical decisions. Many patients perceived a high level of shared decision-making. However, many patients' level of involvement did not fit their preference. This study provides a solid basis for efforts to improve shared decision-making in German cancer care.",
author = "Pola Hahlweg and Levente Kriston and Isabelle Scholl and Elmar Br{\"a}hler and Hermann Faller and Holger Schulz and Joachim Weis and Uwe Koch and Karl Wegscheider and Anja Mehnert and Martin H{\"a}rter",
year = "2020",
month = aug,
doi = "10.1080/0284186X.2020.1762926",
language = "English",
volume = "59",
pages = "967--974",
journal = "ACTA ONCOL",
issn = "0284-186X",
publisher = "informa healthcare",
number = "8",

}

RIS

TY - JOUR

T1 - Cancer patients' preferred and perceived level of involvement in treatment decision-making: an epidemiological study

AU - Hahlweg, Pola

AU - Kriston, Levente

AU - Scholl, Isabelle

AU - Brähler, Elmar

AU - Faller, Hermann

AU - Schulz, Holger

AU - Weis, Joachim

AU - Koch, Uwe

AU - Wegscheider, Karl

AU - Mehnert, Anja

AU - Härter, Martin

PY - 2020/8

Y1 - 2020/8

N2 - Background: We aimed to analyze preferred and perceived levels of patients' involvement in treatment decision-making in a representative sample of cancer patients.Material and Methods: We conducted a multicenter, epidemiological cross-sectional study with a stratified random sample based on the incidence of cancer diagnoses in Germany. Data were collected between January 2008 and December 2010. Analyses were undertaken between 2017 and 2019. We included 5889 adult cancer patients across all cancer entities and disease stages from 30 acute care hospitals, outpatient facilities, and cancer rehabilitation clinics in five regions in Germany. We used the Control Preferences Scale to assess the preferred level of involvement and the nine-item Shared Decision-Making Questionnaire to assess the perceived level of involvement.Results: About 4020 patients (mean age of 58 years, 51% female) completed the survey. Response rate was 68.3%. About a third each preferred patient-led, shared, or physician-led decision-making. About 50.7% perceived high levels, about a quarter each reported moderate (26.0%) or low (24.3%) levels of shared decision-making. Sex, age, relationship status, education, health care setting, and tumor entity were linked to preferred and/or perceived decision-making. Of those patients who preferred active involvement, about 50% perceived high levels of shared decision-making.Conclusion: The majority of patients with cancer wanted to be involved in medical decisions. Many patients perceived a high level of shared decision-making. However, many patients' level of involvement did not fit their preference. This study provides a solid basis for efforts to improve shared decision-making in German cancer care.

AB - Background: We aimed to analyze preferred and perceived levels of patients' involvement in treatment decision-making in a representative sample of cancer patients.Material and Methods: We conducted a multicenter, epidemiological cross-sectional study with a stratified random sample based on the incidence of cancer diagnoses in Germany. Data were collected between January 2008 and December 2010. Analyses were undertaken between 2017 and 2019. We included 5889 adult cancer patients across all cancer entities and disease stages from 30 acute care hospitals, outpatient facilities, and cancer rehabilitation clinics in five regions in Germany. We used the Control Preferences Scale to assess the preferred level of involvement and the nine-item Shared Decision-Making Questionnaire to assess the perceived level of involvement.Results: About 4020 patients (mean age of 58 years, 51% female) completed the survey. Response rate was 68.3%. About a third each preferred patient-led, shared, or physician-led decision-making. About 50.7% perceived high levels, about a quarter each reported moderate (26.0%) or low (24.3%) levels of shared decision-making. Sex, age, relationship status, education, health care setting, and tumor entity were linked to preferred and/or perceived decision-making. Of those patients who preferred active involvement, about 50% perceived high levels of shared decision-making.Conclusion: The majority of patients with cancer wanted to be involved in medical decisions. Many patients perceived a high level of shared decision-making. However, many patients' level of involvement did not fit their preference. This study provides a solid basis for efforts to improve shared decision-making in German cancer care.

U2 - 10.1080/0284186X.2020.1762926

DO - 10.1080/0284186X.2020.1762926

M3 - SCORING: Journal article

C2 - 32427015

VL - 59

SP - 967

EP - 974

JO - ACTA ONCOL

JF - ACTA ONCOL

SN - 0284-186X

IS - 8

ER -