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A Personalized Approach of Patient-Health Care Provider Communication Regarding Colorectal Cancer Screening Options.

M Gabriela Sava1, James G Dolan2, Jerrold H May3

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Medical Decision Making : an International Journal of the Society for Medical Decision Making
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Summary

This study introduces a new method to assess patient preferences for colorectal cancer screening, aiding personalized healthcare discussions. The analysis helps providers tailor information for informed patient decisions on screening choices.

Keywords:
analytic hierarchy process (AHP)colorectal cancer screeningpatient–health care provider communicationpersonalized medicinesensitivity and stability analysis for AHP models

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Area of Science:

  • Medical Decision Making
  • Health Services Research
  • Preventive Medicine

Background:

  • Current guidelines offer multiple colorectal cancer screening options for average-risk individuals.
  • Patient preferences are key, but eliciting and assessing them is challenging.
  • Personalized screening choices require understanding individual patient priorities.

Purpose of the Study:

  • To present a methodology for analyzing patient preference sensitivity and stability for colorectal cancer screening.
  • To provide a framework for personalized patient-provider discussions on screening selection.
  • To support informed decision-making in colorectal cancer screening.

Main Methods:

  • Secondary analysis of existing patient preference data.
  • Development of new measures for preference sensitivity and stability.
  • Evaluation of how additional information impacts initial screening preferences.

Main Results:

  • Illustrative analysis applied to two patient cases with differing demographics.
  • Demonstration that viable screening options vary per patient.
  • Identification of distinct information emphasis for healthcare providers.

Conclusions:

  • Sensitivity and stability analysis offer key communication topics for providers.
  • Analysis enables personalized patient communication, prioritizing patient preferences.
  • This approach supports tailored medical decision-making in colorectal cancer screening.