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Anticipated regret in shared decision-making: a randomized experimental study.

Rebecca M Speck1, Mark D Neuman2, Kimberly S Resnick3

  • 1Department of Anesthesiology and Critical Care, Center for Pharmacoepidemiology Research and Training, University of Pennsylvania, 3400 Spruce Street, Dulles 6, Philadelphia, PA 19104 USA ; Evidera, 1417 4th Ave., Suite 510, Seattle, WA 98101 USA.

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Summary
This summary is machine-generated.

Incorporating anticipated regret into decision aids significantly influenced hypothetical breast cancer surgery choices. This suggests regret plays a key role in shared decision-making for preference-sensitive procedures.

Keywords:
Anticipated regretBreast cancerDecision-makingSurgery

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Area of Science:

  • Medical Decision Making
  • Surgical Oncology
  • Health Psychology

Background:

  • Standard shared decision-making protocols often omit explicit consideration of anticipated regret.
  • This pilot study investigated the role of regret in treatment decisions for hypothetical breast cancer surgery.

Purpose of the Study:

  • To compare treatment decisions regarding breast cancer surgery.
  • To examine if incorporating anticipated regret into decision aids influences surgical choices.

Main Methods:

  • A randomized experimental study involving 184 healthy female volunteers.
  • Participants received either a standard decision aid or one including information on post-surgical regret.
  • Outcomes measured were the choice between lumpectomy and mastectomy and the reported role of regret in decision-making.

Main Results:

  • A significantly higher proportion of the experimental group (78%) reported regret influenced their decision compared to the control group (65%).
  • Participants using the regret-incorporated decision aid were three times more likely to choose the less regret-inducing surgical option (OR = 2.97).

Conclusions:

  • The inclusion of anticipated regret in a decision aid impacted hypothetical surgical choices for breast cancer.
  • Anticipated regret may be a crucial component of effective shared decision-making strategies.
  • Further research in actual surgical patient populations is warranted to validate these findings.