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Dupuytren contracture: using qualitative data to inform a conceptual framework for shared decision-making
Meghan N Cichocki1, William T Chung1, Robert L Kane1
1Section of Plastic Surgery, Michigan Medicine, Ann Arbor, MI, USA.
The Journal of Hand Surgery, European Volume
|November 4, 2022
Summary
Understanding patient perspectives on Dupuytren contracture treatment is key for shared decision-making. This study identifies core themes to improve patient-physician communication and optimize treatment choices.
Area of Science:
- Hand Surgery
- Qualitative Research
- Patient-Centered Care
Background:
- Dupuytren contracture presents multiple treatment options, complicating shared decision-making.
- Effective communication is crucial for patients navigating treatment choices.
Purpose of the Study:
- To explore patient perceptions of shared decision-making in Dupuytren contracture treatment.
- To develop a conceptual framework for enhancing patient-physician communication.
Main Methods:
- Qualitative analysis of interviews with 30 patients with Dupuytren contracture.
- Thematic analysis to identify key elements of the shared decision-making process.
Main Results:
- Key themes include discussing disease progression, treatment options, patient biases, values, risks/benefits, physician recommendations, and active participation.
- Identified factors influencing treatment selection and patient expectations.
Conclusions:
- A conceptual framework can optimize communication regarding Dupuytren contracture treatments.
- Improved communication can align treatment expectations with outcomes like recovery, recurrence, complications, and costs.
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