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Related Concept Videos

Cancer Survival Analysis01:21

Cancer Survival Analysis

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Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
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  11. Testing Of A Risk-stratified Patient Decision Aid To Facilitate Shared Decision-making For Extended Postoperative Thromboprophylaxis After Major Abdominal Surgery For Cancer.
  1. Home
  3. Research Domains
  5. Biomedical And Clinical Sciences
  7. Oncology And Carcinogenesis
  9. Predictive And Prognostic Markers
  11. Testing Of A Risk-stratified Patient Decision Aid To Facilitate Shared Decision-making For Extended Postoperative Thromboprophylaxis After Major Abdominal Surgery For Cancer.

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Testing of a risk-stratified patient decision aid to facilitate shared decision-making for extended postoperative thromboprophylaxis after major abdominal surgery for cancer.

Victoria Ivankovic1, Megan Delisle1, Dawn Stacey1

  • 1From the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Ivankovic, Delisle, Balaa, Dingley); the School of Nursing, University of Ottawa, Ottawa, Ont. (Stacey); the Ottawa Hospital Research Institute, Ottawa, Ont. (Stacey, Abou-Khalil, Bertens, Martel, Nessim, Tadros, Carrier, Auer); the Department of Surgery, University of Ottawa, Ottawa, Ont. (Abou-Khalil, Bertens, Martel, Nessim, Tadros, Auer); the Division of Urology, Department of Surgery, University of Toronto, Toronto, Ont. (McAlpine); and the Department of Medicine, University of Ottawa, Ottawa, Ont. (Carrier).

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|August 27, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

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A new decision aid improved decision-making quality for extended pharmacologic thromboprophylaxis after abdominopelvic cancer surgery. The tool reduced decisional conflict and increased patient confidence and knowledge.

Area of Science:

  • Oncology
  • Vascular Surgery
  • Decision Science

Background:

  • Extended pharmacologic thromboprophylaxis decisions after major abdominopelvic cancer surgery require evidence-based guidance.
  • Patient preferences are crucial for informed decision-making regarding thromboprophylaxis.
  • A risk-stratified patient decision aid was developed to support shared decision-making.

Purpose of the Study:

  • To evaluate the effect of a risk-stratified decision aid on decision-making quality.
  • To assess changes in decisional conflict, readiness to decide, confidence, and knowledge.
  • To facilitate informed choices about extended thromboprophylaxis.

Main Methods:

  • A pre-post study design was employed with 17 patients undergoing major abdominopelvic cancer surgery.
  • Patients received a risk-stratified decision aid based on their Caprini score.
  • Decisional conflict, readiness to decide, decision-making confidence, and knowledge were measured.

    • Main Results:

    • The decision aid significantly reduced decisional conflict (p < 0.01).
    • Participants reported high confidence and readiness to make decisions.
    • Median patient knowledge scores increased from 50% to 75%.

    Conclusions:

    • The risk-stratified, evidence-based decision aid significantly improved decision-making quality.
    • The tool effectively supports informed choices regarding extended thromboprophylaxis.
    • Further research is needed to assess the aid's perioperative usability and feasibility.