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Factors Involved in Shared Decision-making Regarding Treatment Selection by Patients With Cancer
Yuko Kawasaki1, Kei Hirai2, Manabu Nii3
1College of Nursing Art and Science, University of Hyogo, Akashi, Japan.
Cancer Diagnosis & Prognosis
|January 4, 2024
Summary
Cancer patients often find treatment decisions stressful, with many prioritizing life extension and medical advice. Understanding patient perceptions and decision factors is crucial for effective cancer care and support.
Area of Science:
- Oncology
- Medical Sociology
- Health Psychology
Background:
- Cancer patients face complex treatment choices, balancing efficacy with quality of life.
- Confusing information from healthcare providers can lead to patient distress and decision-making difficulties.
Purpose of the Study:
- To investigate cancer patient perceptions of treatment.
- To identify key factors influencing treatment decision-making in cancer patients.
Main Methods:
- Cross-sectional online questionnaire survey of 194 Japanese cancer patients.
- Analysis of patient demographics, perceptions of healthcare provider explanations, treatment views, and decision-making rationales.
Main Results:
- A significant proportion of patients perceived cancer treatment as a financial/family burden (60.3%), with concerns about pain (47.4%) and stress (40.2%).
- Most patients (83.0%) made their treatment decisions independently, often within a week (95.9%), despite reported difficulties (49.0%).
- Key decision factors included prolonging life (68.0%), medical staff opinions (68.6%), and accepting treatment risks (60.3%). Patient attitudes encompassed anxiety, benefit expectations, and care expectations.
Conclusions:
- Shared decision-making (SDM) should incorporate prognosis and visualization of treatment effects.
- Prioritizing psychological support is essential to reduce patient anxiety and enhance decision-making readiness.
- Optimizing the extent and timing of information delivery is critical for informed cancer treatment choices.
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